7 Quick Tips for Successful Medical Credentialing

Whether you’re launching your practice or adding a new doctor, you should begin the credentialing process as soon as possible to avoid any complications. If you fail to make the credentialing process a priority, you’ll encounter repetitive phone calls to and from payers, problematic scheduling due to patient restrictions, and delayed cash flow.

Here’s our new practice credentialing expert offering 7 quick tips for successful medical credentialing.

1. Track progress using spreadsheets

During the medical credentialing process, there’s a lot of things to keep track of. This means you can easily lose track of important deadlines or information. To ensure the medical credentialing process runs smoothly, organize your dates and important information. Besides Excel spreadsheets, there are a number of organization tools on the market you can choose from.

2. Require peer references

Our recommendation is to request three peer references from same-specialty physicians who aren’t current members of the same practice nor relatives. If you’ll be setting these standards for peer references, ensure you deliver your specifications to applicants for this request.

3. Examine malpractice claims

While reviewing an applicant’s experience, you might find data on malpractice claims, closed suits, or settlements. Although this information isn’t an indicator of something fishy, applying an extra layer of security is always recommended to ensure maximum efficiency.

4. Keep up-to-date information

Ensure that your staff quickly updates all important channels and platforms within the process to rectify outdated or incorrect information.

5. Develop a list and check it twice

Training your staff to gather the necessary information is paramount. Instead of chasing breadcrumbs of information over time, give your team a checklist with the required information so they can collect it upfront.

6. Don’t wait until it’s too late

While 3 months may be enough to start and complete the process, it’s usually better to stay on the safe side. So, our recommendation is, give yourself at least 5 months so even if there’s an unforeseen setback, you’ll not be late.

7. When possible, outsource

While implementing and maintaining the medical credentialing process isn’t easy, getting it right is important. This is why a large number of modern healthcare organizations outsource their medical credentialing to Premier Medical Credentialing –a company that’ll help you develop a thriving practice.

Premier Medical Credentialing’s provider enrollment & credentialing services help you save time and money by credentialing for several physicians

Premier Medical Credentialing has played an important role in enrolling providers into Medicare, Medicaid, and many payers for various hospitals in different states. To complete the credentialing process, we regularly communicate with health insurance companies, hospital administration, and providers via both written and verbal communication. As a medical credentialing service provider, we understand why keeping a great client relationship is important.

We can also track and report weekly to our clients. Please get in touch with us for more information on our healthcare provider credentialing service!

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