The COVID-19 pandemic has made a drastic impact on the healthcare industry. Some licensed providers are returning to a partly insurance-based model of private practice because of the lack of private pay patients. If you are running a group practice then you have multiple questions regarding credentialing, like how to credential a group practice? Do […]
How to credential a group practice?
Time Required for Physician Credentialing
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 […]
Grow Your Revenue Exponentially by Getting Credentialed for More Insurance Companies
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 […]
Save your time by knowing key payers to get credentialed with!
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 […]
Basics of Provider Credentialing and Contracting
What is Credentialing in Medical Billing? Credentialing is a process where insurance companies verify your education, professional experience, and training. For insurance companies, credentialing ensures that you meet their internal requirements for serving as an in-network provider. Insurance companies have web-based provider directories where they list all in-network providers for their plans. Such updated provider […]
7 Things to accelerate Physician Credentialing
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 […]
Physician Credentialing: Worth Getting Right to Get Paid
Physician Credentialing Physician credentialing is the process of organizing and verifying the professional records that qualify a doctor to practice medicine. As physicians, despite your reputation for benchmarked medical services, you could be losing out when it comes to realizing medical bills reimbursed fully by respective health insurance carriers. And when you start to analyze […]
Negotiating Payer Contracts for Physicians
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 […]