Quick & Easy Provider Enrollment and Medical Credentialing Services in USA
Do you wonder how a medical practice starts or a hospital operates? It all starts with medical credentialing services and a motive to keep everyone healthy. In this blog post, we will talk about 10 reasons why medical credentialing services are important and how EHR services play a great role in rendering quality patient care.
Medical Credentialing might seem like a tedious paperwork task, but it is significantly important and essential for the emerging medical community. Simply put, it is a market-driven process that aims to maintain a quality standard of healthcare services for the benefit of patients. Medical credentialing professionals like Panda Infosoft work for group practices, hospitals, individual practices, credentialing agencies, or other healthcare organizations to ensure that they are complying with the government’s credentialing standards. Let’s get more insights into Medical Credentialing Services.
What Is Medical Credentialing?
Medical credentialing is a popular term among healthcare providers, especially among group practitioners, hospitals, diabetes education providers, physicians, dialysis centers, individual practitioners and even pain management clinics. Medical credentialing services have become an integral part of medical practices because this is the only process that helps individuals to confidently entrust their family health to selected healthcare providers.
With a standardized process including data collection, primary source verification and committee review by insurance providers and other healthcare agencies, patients can learn about their healthcare professional’s merit and experience. With the advent of healthcare technologies and EHR services, medical credentialing has become a prime concern for increased efficiency and process improvement.
Getting credentialed involved filling out multiple applications with hospitals, authorities and insurance companies (which often takes up to 10 hours per panel), submitting the application to insurance companies and a long tedious follow-up to track the application process.
While it seems easy and sounds simple, healthcare providers often describe the credentialing process as a ‘nightmarish’ as the application process goes smoothly, most providers find themselves resubmitting applications, facing enrollment rejections and spending a lot of time “on hold” with insurance providers. Additionally, most of the insurance panels might not be accepting people from your specialty at this time. No wonder in saying that the process of medical credentialing is essential for many healthcare providers, in fact, it is something that most medical practitioners dread.
If you want to get credentialed without any hassle, we would suggest partnering with a professional organization for medical credentialing services. Here is why it is important.
What is The Purpose of Medical Credentialing
Clinical credentialing is a cycle of confirming and evaluating the wellbeing supplier’s capabilities, including instruction capability, vocation history, preparing experience, residency and license strength endorsements (assuming any) and other capability subtleties.
Do you realize which is the ideal time for clinical credentialing? It’s great to perform credentialing just prior to employing a medical care supplier or during the recruiting cycle and it is vital to check whether all the data keeps awake to date.
Why Medical Credentialing Services Are Important?
Here are some reasons why every healthcare provider should get medical credentialing services.
- It Improves Patient Trust
When talking about healthcare services, trust means a lot. The trust between patients and healthcare providers ensures quality patient care. For instance, if a patient is not aware of his doctor’s qualifications and specialties, he or she won’t put complete trust on the doctor.
Additionally, the insecurity may hinder him or her from sharing medical information honestly. Medical credential specialists assess and verify the healthcare provider’s qualification and experience so that the patient can confidently believe their doctor.
- It Prevents Revenue Loss
Since healthcare services have been 90% cashless, it is essential for healthcare providers to partner with insurance companies. Medical credentialing services include insurance credentialing which verified them to major insurance panels to be considered for reimbursement expenses.
- It Minimizes The Risk of Medical Errors
According to reports, around 98,000 Americans die from medical errors. Medical credentialing of healthcare providers and individual practitioners help minimize the risk of medical errors that may be caused by incompetent healthcare providers. Additionally, EHR services are here to eliminate the risk of human errors associated with manual evaluation processes.
- It Helps Hospitals in Hiring Right Talent
If you are running a hospital or big medical practice, you must consider credentialing important as it helps you hire the right person. During the credentialing process, healthcare professionals have to undergo an in-depth examination that includes verifying their education, work experience, residential history and license as well.
- It Streamlines Your Medical Practice
Medical credentialing services allow healthcare providers to accept patients with insurance. Since the majority of Americans have health insurance plans, it will extend your clientele, resulting in increased revenue.
- Improves Clinic’s Reputation
With more and more patients researching their healthcare provider prior to visiting them, it is important for healthcare professionals to maintain their online reputation. Since credentialed practitioners can treat all patients regardless of their insurance plans, they are likely to earn more reputation compared to others.
- Safeguards Healthcare Organizations from Potential Lawsuits
In most states, it is essential for healthcare providers to be credentialed on legal documents including prescription and medical records. If any hospital found missing anything by the law, he may be penalized or sued. Medical credentialing services ensure that a medical practice adheres to a letter of law that may vary from state to state.
- Boost Third-party Reimbursements
One of the most important benefits of medical credentialing services is it enables healthcare professionals to claim payments from multiple payers. It enables them to accept third-party payments resulting in increased revenue.
Contact For Medical Credentialing Services
The medical credentialing services and EHR services are increasingly becoming crucial among the healthcare providers, looking for an affordable approach to render quality patient care. However, the process includes a lot of time-consuming and tedious tasks. Therefore, you better partner with a medical credentialing service company.
If you are searching for a medical credentialing service provider that can evaluate the qualifications, practice history and help you become affiliated with insurance companies, you better partner with Panda Infosoft. With years of experience in revenue cycle management, we have assisted thousands of healthcare providers in practice establishment. We offer certified EHR services and Medical credentialing services to save your time and improve practice.