Credentialing & Billing Support for Nurse Practitioners & PAs
At Fortify RCM, we provide expert Nurse Practitioner Billing Services to help independent NPs and group practices maximize reimbursements, reduce claim denials, and stay compliant with Medicare, Medicaid, and commercial insurers.
Who We Help
We support nurse practitioners and group practices with expert Nurse Practitioner Billing Services to boost reimbursements, cut claim denials, and stay compliant.
Solo NPs & PAs
Independent practitioners in physical or virtual settings.
Group Practices
Clinics and practices employing multiple advanced practice providers.
New Private Practice
NPs and PAs launching their own practice — we help from setup to scaling.
What We Do for NPs & PAs
Credentialing
Commercial, Medicare, Medicaid — from CAQH to contracting to revalidation.
Revenue Cycle Management
Complete back-office support from eligibility to AR follow-up.
Denial Management
We fix broken claims — fast resubmissions & appeal handling.
EDI/ERA/EFT Setup
Payer connections made easy — fast & paperless.
Eligibility & Benefits Verification
Avoid denials by checking before you submit.
Claims Submission & Payment Posting
Clean claims + accurate payments = healthy revenue
Why Choose Fortify RCM for Nurse Practitioner Billing Services?
We understand the unique challenges faced by Nurse Practitioners and Physician Assistants in both solo and group settings. Our Nurse Practitioner Billing services at Fortify RCM simplify your administrative workload so you can focus on providing quality care — not chasing claims. learns more on CMS site.
☑ Tailored support for independent NPs & PAs
☑ Fast credentialing with Medicare, Medicaid & commercial payers
☑ EMR-friendly workflows
☑ Transparent reporting & performance metrics
☑ Dedicated AR & denial management team
Results from Our Work
100%
Claim Acceptance Rate
100%
Timely Filing Compliance
6–8 Weeks
Credentialing Turnaround Time
30%
Avg. Monthly Revenue Growth
Frequently Asked Questions
I’m just starting my private practice — can you help from day one?
Absolutely. We help with NPI setup, Medicare/Medicaid enrollment, commercial credentialing, and your billing system — everything you need to launch confidently.
What if I’m already seeing patients and not yet credentialed?
We can begin the credentialing process while you see cash-pay clients, and advise on how to retroactively bill once credentialing is complete.
How do I know if I’m getting paid the right rates?
We verify payer fee schedules, negotiate rates when needed, and track reimbursement trends to ensure you’re not underpaid.
Can I bill for mental health services as a Nurse Practitioner?
Absolutely. If your licensure and scope of practice allow it, we help you credential with behavioral health panels and bill codes like 90791, 90834, and 99214 accurately.
What’s the difference between individual vs group credentialing?
We assess your setup and help you decide the best approach. Then we take care of the paperwork and payer coordination.
Do you work with both independent Nurse Practitioners and group practices?
Yes. We help solo NPs, collaborative agreements, and multi-provider groups with credentialing, billing, and revenue cycle management tailored to their needs.
Can you help me if I’m switching from a W-2 job to my own private practice?
Absolutely. We guide you through NPI setup, payer enrollment, EHR selection, and billing workflows so you can transition smoothly without income gaps.
Do you offer Medicare and Medicaid enrollment for Nurse Practitioners?
Yes. We handle Medicare/Medicaid applications, revalidations, and compliance to ensure you’re eligible to bill these programs without delays.
How can Fortify RCM reduce my claim denials?
We perform eligibility checks, correct coding, and payer-specific documentation reviews before submission — minimizing rejections and accelerating payment.
Do you also handle telehealth billing for Nurse Practitioners?
Yes. We ensure your telehealth claims meet CMS and commercial payer guidelines, including modifier usage and place-of-service codes.
What’s the benefit of outsourcing Nurse Practitioner billing instead of doing it in-house?
Outsourcing saves time, reduces administrative costs, and ensures claims are handled by experts familiar with NP-specific payer rules — resulting in faster payments.
Let’s Build Your Practice Together
Whether you’re just starting out or scaling your practice, Fortify RCM is your trusted partner for Nurse Practitioner Billing Services, credentialing, and revenue management.