4 Reasons to Undergo Medical Credentialing in 2021

a doctor checking a patient

Medical credentialing is the most critical process to assure that a healthcare provider is competent and legal. This significance of medical credentialing plays out in a plethora of ways from avoiding lost revenue due to civil monetary penalties and fines, to patient outcomes, to operating with a best-practices culture in your delivery of healthcare to your community.

Here are 4 reasons to undergo medical credentialing in 2021!

1. Lesser restrictions

Thanks to healthcare credentialing, the scope of services provided by insurance plans with lesser restrictions on pre-existing conditions have widened. Currently, no insurance company is allowed to deny payment, charge a person more, or deny any person coverage on important health benefits. This means, patients no longer have to seek the services of specialists who are out of work.

2. Reduces the risk of medical errors

Thousands of Americans die from medical errors every year. This worrying statistic has forced industry leaders to campaign for improved standards of competency.

By credentialing independent practitioners and healthcare providers, the risk of medical errors caused by incompetent providers will be significantly reduced. In addition, electronic credentialing uses a variety of automation tools, ensuring there’s no fatigue or human error involved.

3. Prevent hospitals and healthcare organizations from losing revenues

It’s important for every medical office to partner with insurance careers. Healthcare professionals are required to produce a list of verifications to insurance if they’re to be considered for reimbursement expenses.

If proper credentialing by healthcare professionals isn’t acquired, the insurance carriers wouldn’t reimburse medical offices that bills for the professionals. In case a medical office enables an expert to perform services before credentialing, the insurance carrier can backdate the reimbursement of the medical office to cover the offered services.

Since there’s a limited timeframe, the medical office risks losing a lot of money that may not be recovered from the insurance payer.

a doctor talking to patient

4. Medical credentialing improve patient trust in chosen healthcare provider

The healthcare system will suffer if there’s no trust between patients and medical professionals. Trust allows patients to open up and disclose more information due to their perception of better care.

Patients who don’t know much about the qualification of their doctor wouldn’t put their full trust in them. By evaluating and confirming the qualifications of healthcare agencies and hospitals, patients will have a better idea of the experience and merit of healthcare professionals, which will help them place greater trust in their chosen providers.

Get credentialed for systems like Medicare and Medicaid with Premier Medical Credentialing’s medical credentialing service

At Premier Medical Credentialing, we understand that credentialing is vital for timely and efficient reimbursement – and that’s why we provide free consultations to walk you through your budget, the scope of your goals, and your needs.

Reach out to us now for more information on our Provider Enrollment & Credentialing Service service!