MDCredentialing

MDCredentialing® handles the administrative work that keeps a medical practice running behind the scenes. Based in Lexington, Kentucky and serving providers across the United States, this back-office outsourcing company specializes in credentialing, provider enrollment, contracting, and practice management consulting for physician practices of all sizes. The full-service credentialing and contracting package covers the process from application to approval. MDCredentialing® manages credentialing and recredentialing with commercial insurance carriers, networks, workers' compensation plans, and government programs, and handles all related applications including CAQH, individual NPI, and group NPI registrations. Fee negotiation and contract renegotiation are also part of the offering: the team analyzes current fee schedules and works directly with payers to improve reimbursement rates. An annual maintenance plan covers CAQH reattestation, NPI updates, demographic maintenance, license renewals for DEA and CDS, and recredentialing with existing insurance plans and hospitals. For practices that prefer to pick and choose, individual services are sold separately: standalone CAQH applications, NPI filings, hospital privileges credentialing, state licensure support, and consulting on additional payer plans. The consulting work suits practices that want guidance on which insurance networks align with their specialty and patient population. Owner Sabrina Stephens built MDCredentialing® after more than two decades in provider enrollment, credentialing, and contracting. Her background includes a role as administrator at Kentucky Children's Hospital and a later position as Vice President of Client Affairs and Director of Operations at a credentialing services company. That experience across both academic medicine and private practice settings shapes how the team approaches each client engagement. Current clients include solo physician practices, multi-provider groups, and behavioral health clinics that have chosen to outsource their credentialing and enrollment work rather than staff it in-house. Clients receive electronic progress reports on a weekly basis, and phone conferences are available at their convenience. That level of visibility matters when practices are onboarding new providers or working through contract renegotiations where delays affect cash flow directly. Medical practices ready to hand off credentialing and contracting administration can contact MDCredentialing® for a review of their specific needs and a service plan built around them.