What is Medical Credentialing?
Medical credentialing refers to a process of reviewing healthcare provider’s credentials so that a patient can verify their professional standing before seeking medical help.
Healthcare provider credentialing is a process of reviewing different pieces of data for every medical professional. It includes training and education licensing, residency, qualifications, specialty certificates, and career history.
Every medical professional should go through this new practice credentialing before changing states or starting a new practice. Medical credentialing comprises healthcare provider credentialing and provider enrollment.
Provider Credentialing is the process of authenticating the training, skills, qualifications, licensing, etc., as mentioned above. Provider Enrollment is the procedure of registering a healthcare provider with insurance plans like Medicare and Medicaid.
Along with helping medical professionals develop a thriving practice, medical credentialing is vital for insurance reimbursement.
Our clients often tell us that they don’t have the means to afford an outsourced credentialing service and review their physicians in-house. However, after reviewing, we’ve discovered that managing medical credentialing in-house is more costly than outsourcing it.
The most significant benefit of outsourcing a medical credentialing service is that all the efforts can be strengthened. Professional services can carry out credentialing for several physicians, which can save you time and money.
Areas of Practice
Healthcare credentialing with many different payers for all types of healthcare providers. MD, DO, NP,OD,PHD, behavorial health etc.
“We must all obey the great law of change. It is the most powerful law of nature.”
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Use the form below to contact us regarding your credentialing requests. Please be as detailed as possible.