Introduction:
While most people know about medical credentialing, it is also important for patients to look for a health care provider who is adequately credentialed. A doctor with the proper training, licensing and medically fit to do practice should be able to give you a better treatment as compared to a practitioner who is not sure to be credentialed. Thus, it is vital for the physician to be credentialed and a patient to get treated only by a credentialed health care provider.
Why is it crucial to get a medical credentialing?
Medical credentialing has various aspects and ample advantages to it. On may find relevant information on it in several places including internet, which has become the main source of access. Information about physicians and doctors are readily available on the internet. Apart from that you may get more information from the healthcare centre itself. Doctors practicing legally with a verified credentialing will provide a patient with the best available treatment. Thus with the help of advanced technology, one may confirm if the doctor has valid credentialing or not. To start a medical practice especially if it is a new setup, outsourcing the credentialing procedure would make it a lot simpler. Business experts who are experienced in medical credentialing services provide on-site consulting to help deal with the complexities of starting a new practice set up service. A stable start provides a strong foundation and long-term financial security.
To avoid any mishap and practice legally without hindrance, a health care provider should be medically credentialed. Your healthcare facility and your license as a medical practitioner could be legally liable if you start your practice before credentialing. The objective of credentialing is to prove that you have the necessary training and qualifications to treat your patients with care and safety. To verify and confirm that you and your team of physicians have legal licenses and genuine certificates, the process of credentialing requires you to get in touch with different organisations where you had worked earlier. You may also have to contact the universities and colleges from where you graduated, received your post-graduation and doctoral degree and all the medical facilities where you practiced earlier.
Important Tips to help you acquire a swift medical credentialing
1. The Earlier the Better
Pre-planning and beginning your credentialing process earlier will help you avoid any delays. Your cash flow and reimbursement may be directly impacted by the lengthy medical credentialing process. All the important paperwork, like updating contact information, updating CVs, gathering relevant reference documents, and others should be where you start from. While most people know that the organisations take 90 days to complete the medical credentialing process, but we suggest starting the process even earlier, 120-150 days in advance. It is to maintain a safety rather than be sorry in the end.
2. Ensure That All Physician Contact Information Is Current
Maintaining a direct and clear communication is an essential part of medical credentialing process. Since it involves various forms of submissions you should be readily available for direct communication anytime. In case of credentialing or re-credentialing issues, it may take longer than expected if there is no direct contact. Make certain that your credentialing coordinator has complete and up-to-date contact information for every physician. This saves time and ensures that you have a smooth credentialing process. To avoid incorrect or outdated information, it's crucial that your team or the staff quickly updates information on all important platforms and channels within your reach.
3. By Assigning A Credentialing Coordinator, the Workflow Will Be Smoother
While many physicians and health care organisations hire medical billing and credentialing company to outsource their medical credentialing services, some prefer to take care of them by themselves. But when it comes to taking care the credentialing in-house it is best to assign this duty to a co-ordinator. A co-ordinator will manage all the documentation and updates and ensure that the credentialing is completed before a deadline and expirations. He will also keep a check on the reminders to rectify any incorrect information. He will also maintain the complete data and knows whose credentialing expires on which date in the team.
4. Be Aware Of the Regulations in Your State
Physician credentialing laws may be in place in your state, and there may be reciprocity agreements based on payer and other state credentialing organizations. A medical organisation’s smooth practice and regular cash flow can be greatly impacted by understanding how credentialing works at your place. Your credentialing in another state can be expedited by the same payer if you register with one in another state. As mentioned earlier it's important to pre-plan and establish a process to ensure that credentialing is always up to date. A minor issue can cost you a lot while draining your whole team’s productivity. You have the option to hire professional medical credentialing services that can handle the complete process for you.
5. Invest In Advanced Cloud-Based Software for Monitoring
If you are managing alone or do not want to involve the administrative staff as co-ordinators, investing in an advanced software is a good idea. No need to be dependent on a person for all the work involved, when things can be automated. A software based on cloud computing will allow you to track the credentialing process anytime, anywhere. They also have the facility to set up reminders and alerts if a work is completed, near expiration, needs renewal or update required. This enhances the smoothness of your credential process.
Conclusion
The physician credentialing process must be finished and approved before a health care provider can begin working. Credentialing is a slow-moving process. As a physician, you cannot personally make sure that all the documents and the complete verification process, progresses smoothly. There is a lot of back and forth that is involved in it. While it’s difficult to implement and maintain, it is best to hire the services of a medical credentialing and billing company that provides you with the most benefits and gets you enrolled with maximum number of insurance providers. This will help you avoid delayed cash flow. The reason why most healthcare organisations have started to outsource their credentialing process by hiring reputed medical credentialing services because it enhances the speed of the entire credentialing process.
About
Cosmos Medical Management has been working as a leading medical credentialing services provider as a medical credentialing and billing company for the past 2 decades. We also provide medical coding services, medical billing services and new practice setup services.
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