Credentialing, Contracting & Privileging
Managing credentialing and payer contracting internally is time-consuming, error-prone, and can delay revenue if not handled right.
We take care of everything — from enrollment to renewals.
At Orgusta Healthcare, we deliver comprehensive Credentialing, Contracting, and Privileging services designed to simplify the complex processes of verifying provider qualifications, establishing payer contracts, and granting clinical privileges. By partnering with us, healthcare organizations can ensure regulatory compliance, reduce administrative burden, accelerate provider onboarding, and maintain a strong revenue cycle — all while focusing on patient care and operational excellence.
What We Handle
✔ Provider enrollment and re-enrollment
✔ CAQH profile updates and monitoring
✔ Hospital/facility privileging coordination
✔ Payer contract submissions and status follow-ups
✔ Expirables tracking: licenses, certifications & insurance
What You Gain
➡ Faster start-of-billing
➡ Fewer credentialing-related denials
➡ Less administrative workload
➡ Seamless provider onboarding
Medical Records Management
Secure, structured medical records are essential for care continuity, compliant coding, and faster claim approvals.
At Orgusta Healthcare, we provide an advanced Medical Records Management System designed to govern patient data through streamlined processes, strict protocols, and regulatory-compliant procedures. Using robust encryption technologies and strict access controls, our centralized, paperless platform ensures the privacy, security, and integrity of patient information.
What We Handle
✔ Digital archival and retrieval
✔ Access permissions and audit controls
✔ Support for audits, payer requests & chart reviews
✔ Standardized structure for better coding accuracy
What You Gain
➡ Strong data governance
➡ Faster payer and audit responses
➡ Minimal documentation-related denials
➡ Paperless efficiency and reduced overhead
Compliance & Risk Management
Compliance failures can lead to penalties, payment delays, or loss of payer participation.
We help you stay ahead of regulatory and payer expectations.
At Orgusta Healthcare, we believe that a strong compliance framework is the backbone of sustainable success in healthcare operations. Our Compliance and Risk Management Services are designed to help healthcare organizations navigate complex regulatory environments, safeguard patient data, minimize risks, and maintain operational excellence.
What We Handle
✔ Regulatory compliance review
✔ Coding, billing & documentation risk analysis
✔ Internal audits and preparedness for external reviews
✔ Guidance on corrective actions and monitoring
What You Gain
➡ Strong audit readiness
➡ Fewer compliance-related denials
➡ Reduced legal and financial risk
➡ Peace of mind for the organization