{"id":13451,"date":"2021-05-11T16:27:44","date_gmt":"2021-05-11T16:27:44","guid":{"rendered":"https:\/\/www.medicalbillersandcoders.com\/blog\/?p=13451"},"modified":"2025-05-30T14:27:58","modified_gmt":"2025-05-30T14:27:58","slug":"how-to-credential-a-group-practice","status":"publish","type":"post","link":"https:\/\/www.medicalbillersandcoders.com\/blog\/how-to-credential-a-group-practice\/","title":{"rendered":"How to credential a group practice?"},"content":{"rendered":"

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 we need to enroll all rendering providers as employer models or reverse contractor models? And many more…<\/p>\n

This blog is going to outline the information on group credentialing so you can make the best decision as you continue growing your private practice.<\/p>\n

The partly insurance-based model creates a lot of insecurity when it comes to payer credentialing and how to structure a group practice with insurance.<\/p>\n

Medical Credentialing is Important for a Successful Practice<\/strong><\/h2>\n

Several healthcare providers think that credentialing services are pointless or even an interruption to their day-to-day operations, but the fact is that they are more important to the healthcare industry than ever before.<\/p>\n

Medical credentialing is the process of making sure that providers are in compliance with obliged regulations. In many cases, it means, medical credentialing means communicating with insurance providers so that healthcare providers can accept third-party insurance patients for their services to provide treatment. This way providers can increase their collection.<\/p>\n

Our credentialing service specialist works closely with group physicians, solo physician offices, and ambulatory surgical care facilities in addition to payers and credentialing verification organizations with all required documentation submission processes.<\/p>\n

Group Practice Credentialing<\/strong><\/h2>\n

To get all group members credentialed with payer \u2013 then yes, it is likely individual credentialing will need to be completed. If you\u2019re being independently credentialed, you might just need to add other physicians as rendering providers.<\/p>\n

As a group practice, group credentialing comes with the biggest benefits to being credentialed us that if anyone provider leaves the practice or group, the credentialed enrollment does not revoke with them. Therefore, groups are not paying to credential their employees only have them leave.<\/p>\n

Let\u2019s take an example of the BCBS of Texas<\/a> Provider Onboarding Process.<\/strong><\/h3>\n

Physicians, Professional Providers, and Hospital\/Facility-Based Providers<\/p>\n