As a nurse, the center of your attention is to help clients. Each day brings a variety of situations and challenges, and your focus is to ensure outstanding service to the individuals who walk through the door.
With days filled and devoted to clients and the many other responsibilities related to the practice, it leaves little or no time left for the exhausting process of medical credentialing. With barely a minute to take a break, it would be close to impossible to carve out time to fill out piles of paperwork, make phone calls to ensure applications arrived and are being processed, and spend valuable minutes on hold with insurance companies. In addition to follow up on the applications, there are deadlines to meet and, in the event that paperwork is lost or too much time has passed, the deadline may have expired. Medical credentialing takes an extensive amount of time, and you probably do not have extra to spare.
The experts at Thriveworks can relieve you of the endless frustrations of medical credentialing, giving you the time and energy you need to provide the care your patients and clients deserve.
The team at Thriveworks resolve the issues of medical credentialing. They manage the process from beginning to end and every detail in between. With years of knowledge and experience, the team at Thriveworks can help you avoid the stresses of paperwork and time spent on the phone with insurance companies.
The Importance of Medical Credentialing
Accepting Insurance is Integral
Medical credentialing is critical to nurses, whether they are beginning or maintaining a practice. While numerous veteran healthcare providers have experienced success with cash-only practices, they now find it necessary to obtain medical credentialing. Getting on insurance panels or becoming “in network” with insurance plans is important, because healthcare in the country is more universally available (Being on insurance panels allows practitioners the eligibility to accept third-party payments from new and potential patients—an integral component of growing the practice).
Patients Request Covered Services
Many practitioners who have accepted cash-only payments in the past are now serving more people with insurance plans due to healthcare reform. The cost of healthcare is surging. HMO plans have become more prominent than PPO plans, resulting in out-of-network benefits becoming obsolete. In addition, healthcare has become more equitable, making it possible for services to be covered whether the condition is new or pre-existing.
Patients today are not hesitant to ask if their insurance is accepted–in fact, they require it. In the past, patients were willing to pay out-of-pocket for services by physicians, chiropractors, mental health providers and other healthcare professionals. With the escalating costs of healthcare premiums, they want to make certain their healthcare is paid by the insurance company. To keep up with the current market, healthcare providers do not want to exclude themselves from appealing to new patients—it is essential that they accept insurance. This means being enrolled in insurance plans or getting credentialed.
The Drawbacks of DIY Medical Credentialing
The difficulties of taking a DIY approach to credentialing can be many. When you take on this time-consuming and tedious task, keep in mind some of the guidelines typically required for each insurance panel.
- Make a determination about which insurance panels you want be on.
- Find time to make phone calls to identify the most updated insurance applications, and fill them out.
- Complete the detailed applications that span from 30 to nearly 100 pages each. Attention to specifics is important, because the applications require information in certain formats.
- Follow up with each insurance company to confirm the application was received. If applications are misplaced or lost, they are not being reviewed. While applications sit in a pile, possibly for weeks, enough time may lapse to cause it to expire and be rejected. If that happens, the process must start from the beginning.
- Send additional documentation to the insurance companies.
- Spend more time on the phone with each insurance company to make sure the materials were received and are being processed.
- In many instances, more time is necessary for clarifications or additional information on the applications.
- Follow up at least every two weeks to be certain the applications have not been lost or forgotten and are, indeed, being processed.
- If an application is rejected, a formal appeal must be submitted in response.
The Best Choice for Medical Credentialing
You can bypass the frustrations and time it takes for medical credentialing by choosing a top-notch team. When medical credentialing is left to the professionals at Thriveworks, you will find impeccable service and attention to detail make the process a breeze. The following are the benefits of choosing Thriveworks.
- The experts assist in selecting the insurance panels that are ideal for you.
- You complete only one, simple form—our Master Survey.
- The credentialing team efficiently works on securing your insurance panels.
- Tracking an application’s progress online is easy and available wherever you are and whenever you want—24 hours a day, seven days a week. In addition, your credentialing account is viewed in real time. You can also opt to call the credentialing team anytime to receive an update on your medical credentialing progress.
- Thousands of healthcare professionals have trusted the superior Thriveworks team for medical credentialing and benefited with outstanding results.
- Medical credentialing through Thriveworks is affordable.
Thriveworks credentialing is the reputable choice for nurses, counselors, psychologists, chiropractors and many other healthcare practitioners. While becoming credentialed with insurance providers is one of the most significant things you can do for the benefit of your practice and patients, it is also one of the most burdensome tasks of all. The team at Thriveworks can help take the complications and hassles out of medical credentialing for you.
Let the experts at Thriveworks provide their skills and knowledge of medical credentialing, so you can focus on your patience. With Thriveworks, credentialing is effective, affordable and efficient. For more information and to get started on credentialing today, call 1-855-664-5154 or visit https://credentialing.com/.