To bill, any healthcare service to an insurance carrier, the provider, or the health organization should be credentialed by that insurance carrier. Provider credentialing is one of the most important processes of practice management. In provider credentialing, you are enrolled in the insurance carrier’s network and get authorized to render services to the patients who […]
In the healthcare sector, maintaining standards is essential to ensure high-quality medical care is provided to patients. There is no room for treatment errors and costs remain optimum; that’s why credentialing is crucial. Credentialing is a quality assertion process among medical practitioners to bring down the incidence of medical errors. Provider credentialing involves a thorough […]
A healthcare facility’s accountability and overall reputation is dependant upon Physician Credentialing. If there is one administrative task that requires meticulousness and painstaking precision in a healthcare sector, it is physician credentialing. Being a process that is so stringent and directly impacts reimbursements, credentialing is a complete nightmare for those facilities where the administrative staff […]
Physicians/providers are revenue-generating members of hospitals or healthcare organizations. Credentialing enables practitioners to become employable as they can treat patients. Today as health systems are growing continuously, and more and more providers need to being credentialed with insurance carriers to realize exponential revenue growth. But first, we need to understand what is credentialing? The process […]
Provider insurance credentialing is a complex and time-consuming process. Once you have decided to start the credentialing process, your first task would be knowing key payers to get credentialed with. Your second task would be listing payers who are difficult to get credentialed with. For some payers, the credentialing process is much more complex compared […]
Durable Medical Equipment (DME) is the equipment that includes oxygen supplies, wheelchairs, iron lungs, catheters, etc. As you are starting a Durable Medical Equipment (DME) company, be prepared with time on hand, money, endurance, and determination; as it ultimately boils down to being paid for the products sold by your company. This means receiving DME […]
Getting credentialed with the right insurance panels is key to growing your practice revenue. However, Credentialing for Optometry Practices can be a daunting task. Are you aware that a Medicare application is a minimum of 30 pages for a solo provider and may surpass 50+ pages if you are a corporation or group practice? Even […]
Physician credentialing or provider credentialing is a prolonged yet crucial procedure. Every physician who joins a new practice requires credentialing. It is a process of acknowledgment, attestation, and authentication of knowledge, proficiency, and motivation of the physician to provide medical care. If postponed for a long time or done arbitrarily, it can cause glitches in […]
The importance of negotiating or renegotiating payer contracts has drastically grown after the recent health care reforms. This is because insurance companies are being reined in by the government and may see a decline in profits. This presents a good opportunity for payer contracts to become a source of income more for the insurance companies […]