Physician Credentialing

Credentialing.com Offers Medical Credentialing for Physicians

Physicians have busy days working in the office and hospitals. They also invest time in completing administrative duties, such as updating patient records, returning phone calls, and dealing with office issues. It’s no wonder why physicians work well over 60-70 hours a week. Where would a physician find time to complete the process of do-it-yourself medical credentialing?

With a physician’s day filled with responsibilities, there’s barely enough time to take a break, let alone find time for medical credentialing. It’s a process that takes a lot of time between finding which panels to be on, filling out up to 100 pages for one application, calling each insurance company numerous times to make sure the application is with the appropriate department or person, and checking if it is still on track to being completed. Medical credentialing is one of the most significant things a physician can do for a healthy practice and patients (current and potential). Still, it is also one process that gives health practitioners a great amount of angst. With something vital for the practice, it’s better not to squeeze in a little time here and there to complete each application.
Thousands of healthcare practitioners have chosen the professionals at Credentialing.com for medical credentialing. With more than 10 years of experience, the Credentialing.com team is the choice of physicians who want their medical credentialing done efficiently and precisely—without having to go through the burden of doing it themselves. The Credentialing.com team will guide your medical credentialing through the process while you concentrate on the many demands of your practice and patients.

1) Accepting medical insurance is a priority.

Medical credentialing is important for physicians who are just starting their careers in healthcare and those who have been treating patients for years. It is no longer common to see physicians collecting cash payments from patients, given the number of people in the country who now have healthcare coverage. The bottom line is that medical credentialing is a priority.
Physicians must join insurance panels or become "in-network" with insurance plans. By doing so, physicians will be eligible to accept third-party payments from their patients and attract new patients, which is crucial for practice growth.

2) Patients are Requiring Covered Services

With healthcare reform taking place across the nation, and physicians must transition from accepting only cash payments to treating patients with insurance plans. People are paying high costs for their healthcare, and they want to ensure that their physicians accept insurance. Additionally, HMO plans are more prevalent than PPO plans, and out-of-network benefits must be updated. Moreover, people receive more equitable healthcare services and can obtain coverage whether their circumstances are new or pre-existing. Modern-day patients not only want to know if their insurance is accepted but also request it. Paying in cash for healthcare services is a thing of the past. When people face staggering healthcare prices, they want assurance that their insurance company will cover the costs. Physicians need to catch up to the times, so they find it necessary to accept insurance. However, this also means they must navigate the cumbersome and challenging medical credentialing process.

Clear your schedule and ensure you have plenty of time for the process of do-it-yourself medical credentialing. Once you decide to tackle medical credentialing, you’ll need to adhere to the following guidelines.

  1. Decide which insurance panels you feel are appropriate for you.
  2. Please don’t fill out any application until you know it is the most current one.
  3. Each application is lengthy and can range from 30 to almost 100 pages.
  4. Attention to detail while filling out the applications is mandatory—they each require certain formats.
  5. Call each insurance company to ensure your applications have been received and are in the department or on the desk of the appropriate person. You don’t want to find that, after several weeks, your application can’t be located or it was on the bottom of a stack of papers and never looked at. This can be particularly upsetting when enough time passed to cause it to miss the deadline. You will then have to start the process from the top.
  6. Many times, insurance companies will require you to send additional documentation. You must locate this material promptly, send it to the insurance company, and follow up with a phone call to ensure it is where it should be.
  7. Make sure to call each insurance company every other week to ascertain that the applications are being shepherded along on their way to completion.
  8. Sometimes, insurance companies need clarification on your information, so be prepared for more phone calls.
  9. In the worst-case scenario, an application is rejected. Your next step is to file a formal appeal in response.

Nobody could blame you for not wanting to spend endless hours filling out applications and being on the phone for each application needed for insurance panels. Your responsibilities to your patients and your practice are foremost on your mind, and you don’t need the problems and don’t have the extra time for do-it-yourself medical credentialing. The experts at Credentialing.com have worked with thousands of healthcare professionals over the past 10 years to ensure their medical credentialing is done swiftly and top-notch. When you choose the professionals at Credentialing.com, the benefits are many, including:

  • You will receive help in choosing the insurance panels that are the best match for you.
  • You can breathe a sigh of relief knowing that you only have to complete one form, our Master Survey.
  • The credentialing team immediately works on getting your insurance panels.
  • You never have to wonder about your application’s progress with the ability to view it online any day of the week at any time. In addition, you’ll always see it in real time.
  • You can also call the credentialing team, which will be happy to inform you where the application is in the process.

Put your trust in the Credentialing.com team, just like the thousands of physicians and other healthcare professionals who have expediently completed their medical credentialing. Among the many reasons to choose Credentialing.com is that medical credentialing is affordable.