Provider Credentialing

Provider Credentialing

It’s no secret that medical credentialing has long been seen as something of a hindrance and distraction to health professionals. Many see credentialing as an unnecessary obstacle that simply takes time way from providing care to their patients. It is seen as just another cog in the insurance machine that makes things more difficult than they need to be.

Credentialing: A Necessity

Still, provider credentialing is a necessity. It allows providers to become affiliated with insurance companies of their choice so that they, the providers, can be reimbursed by a third party. While processes like these can certainly become distracting, they don’t have to be if you know what to expect.

The current state of the insurance industry basically makes it a prerequisite for providers to operate in a networked environment with insurance companies. This is in part because US citizens now have more health benefits and insurance than at any other point in history. This networking is vital since the bulk of patients seek to use their health insurance to cover health care and medical expenses. More than that, patients are looking for their providers to accept insurance plans that cover all manners of conditions.

Provider credentialing is becoming more and more relevant and necessary primarily because the scope of services that health care plans and insurance cover has grown much broader. Plans now cover a wide range of services that were once considered to be cosmetic or secondary such as massage therapies and holistic health care. By becoming credentialed, you ensure that you are properly networked with insurance companies of your choice and are able to provide patients with the appropriate coverage.

Get Credentialed Now

It can sometimes take as much four months to complete the provider credentialing process.  Because of this, we recommend that you get started as soon as you can. Be prepared to provide documents as wide reaching as personal and academic references, transcripts, insurance board certifications, previous affiliations, and much more.

We Have a Recommended Credentialing Service

Fortunately, you can sidestep all of these hassles by taking advantage of credentialing services. Not only can these services offer helpful tips and guidance to ease you through the process, but they can even adapt specifically to your situation and take monotonous provider credentialing tasks completely off of your hands.

Tell me more! Did you know that if you complete the credentialing process yourself, you’ll spend around 10 hours on each application (for each insurance company)? Then, it’s time to follow up with each company until you’ve heard word that the process has been finalized. This takes additional time and energy that you could be putting into your practice and clients. If you want to save yourself this time (and the headaches that come with this lengthy and often frustrating process), let a credentialing service take over the process for you. They have the experience, the training, and the skills to get the job done.

Additionally, allowing a team to do this for you can be incredibly helpful when you consider the fact that most insurance panels for providers are becoming more and more difficult to access as they grow full. As a result of this, some insurance companies are limiting the providers they take on. This makes it incredibly hard to become credentialed, but when you have the dedication and experience of an expert credentialing team on your side, you won’t have to worry about this stage of the process at all.

If you’re looking for help with medical billing or credentialing, consider our friends at Credentialing.com. They’re available to offer a timely quote, or help you find a solution. You can reach them at 1-855-664-5154 or by filling out this quick and easy form here: