Solutions That Empower Healthcare Providers

At Providers Health Management, we deliver tailored solutions to help healthcare practices thrive. From credentialing and payer negotiations to IT strategy and compliance, our team handles the complex administrative and technical tasks—so you can focus on what matters most: patient care and growth.

Concierge Provider Support

Navigating licensing and credentialing, compliance can be overwhelming. That’s where we come in to help.  Our concierge-style support is designed for individual providers who want to simplify administrative tasks associated with licensing and credentialing so that they can stay focused on what matters most—caring for patients.

Services Provided:
•Streamlined licensing and credentialing services
• Ongoing monthly support tailored to your needs
• Friendly, professional guidance every step of the way

Payer Contract Review

We review contracts line‑by‑line to surface revenue opportunities and hidden risks. For value‑based agreements, we clarify attribution, quality metrics, risk corridors, and reporting so you enter with eyes wide open.

Services Provided:

  • Fee‑for‑Service Contract Review: fee schedules & modifiers, timely filing, audit/recoupment, medical necessity, termination, change‑notice clauses.
  • Value‑Based Care Contract Review: attribution rules, quality/Star/HEDIS measures, risk adjustment (HCC/RAF), shared savings/loss, stop‑loss, benchmarking, coding/documentation expectations, data rights & reporting.

IT Consulting Services

Providers Health Management provides IT consulting services, including EMR and other IT areas tailored to the needs of independent healthcare providers and provider groups. Overcome your IT challenges with our expert guidance.

Services Provided:

  • Technology Strategy: Develop IT roadmaps that support growth, efficiency, and compliance.
  • System Planning: Provide recommendations for infrastructure, applications, and integrations that fit your organization’s needs.
  • Vendor Coordination: Assist with vendor selection, contract review, and implementation planning.
  • Governance & Best Practices: Establish policies and frameworks to ensure security, reliability, and scalability.

"Providers Health Management has been instrumental in optimizing our payer contracts and streamlining our credentialing process. Their expertise has allowed us to focus on delivering the best possible care to our patients."

Dr. Emily Carter, MD