PROVIDER CREDENTIALING SERVICE
The credentialing process is essential to establishing a healthcare practice's revenue stream. Credentialing is the process of being recognized by managed healthcare organizations (MHO's) as a qualified provider.
Many providers find the credentialing process overwhelmingly burdensome and time consuming. The process involves a lengthy application form and submission of source documents such as certificates, proof of malpractice insurance, school transcripts etc. Which MHO you credential with depends on your specialty, location, patient population and reimbursement goals.
Proper credentialing is an absolute necessity to the business health of the practice. Without proper credentialing, payment can be delayed or refused by payers, even if the physician is otherwise ready and able to provide services. Many practices feel it makes sense to outsource this burdensome task to professionals who focus on credentialing and can provide the service as quickly and efficiently as possible.
Practice Care offers cost-efficient credentialing services to ensure the revenue stream is uninterrupted.
Service includes:
· Compiling required enrollment documents
· Completing and submitting the enrollment application.
· Tracking the enrollment application progress through insurer’s final decision
· Processing re-credentialing applications as needed
The credentialing process is essential to establishing a healthcare practice's revenue stream. Credentialing is the process of being recognized by managed healthcare organizations (MHO's) as a qualified provider.
Many providers find the credentialing process overwhelmingly burdensome and time consuming. The process involves a lengthy application form and submission of source documents such as certificates, proof of malpractice insurance, school transcripts etc. Which MHO you credential with depends on your specialty, location, patient population and reimbursement goals.
Proper credentialing is an absolute necessity to the business health of the practice. Without proper credentialing, payment can be delayed or refused by payers, even if the physician is otherwise ready and able to provide services. Many practices feel it makes sense to outsource this burdensome task to professionals who focus on credentialing and can provide the service as quickly and efficiently as possible.
Practice Care offers cost-efficient credentialing services to ensure the revenue stream is uninterrupted.
Service includes:
· Compiling required enrollment documents
· Completing and submitting the enrollment application.
· Tracking the enrollment application progress through insurer’s final decision
· Processing re-credentialing applications as needed