Author Archives: medrevinc

The Dos and Don’ts of Medical Credentialing

Medical credentialing is a necessary, but complicated, process. After all, ensuring the qualifications of a physician is easier said than done. While medical credentialing will never be easy, there are ways to make it less stressful on you and your physicians. Here are some things you should do, and some things you shouldn’t do, when it comes to medical credentialing:

DO start early

The Dos and Don'ts of Medical Credentialing

Medical credentialing takes time, and you need to make sure you have enough of it. It takes roughly three to five months in order to receive a completed contract, that’s almost half of the year. To save yourself a few headaches down the line, start the process as early as you can.

DON’T accept incomplete applications

Medical credentialing needs to be done thoroughly and accurately. This cannot be accomplished if people don’t fill out the proper information. If you notice missing information on any applications or documents, send them back and request that they be filled out in their entirety.

DO go to primary sources

In order to be sure of your facts, you need to go directly to the source. This is true for journalism, as well as credentialing. When checking the qualifications of your physicians, go straight to the physician’s medical school or residency program in order to get your information.

DON’T have just one way to contact references

As you’re requesting references, be sure to ask for multiple forms of contact information. This means asking your physician to provide not only a name and phone number, but also a reference’s email and even their address. This will ensure that you can contact each reference and hear from them directly.

DO consider outsourcing your medical credentialing

Medical credentialing can either be done in-house, or it can be outsourced. While having it in-house is convenient, oftentimes practices don’t have time to thoroughly credential each candidate. Outsourcing it, however, will ensure that it’s done in a professional and timely manner.

Here at Medical Revenue Associates, we can take on the credentialing process so that you don’t have to. Give us a call at 215-497-1001 to learn more.

4 Tips to Improve Your Revenue Cycle Management

Having good revenue cycle management, also known as accounts receivable management, is necessary for any medical practice that wants to keep treating patients. Unfortunately, many practices do not manage their finances effectively, resulting in outstanding payments and financial strain. By adopting good RCM strategies, however, you’ll be able to put your medical practice back on…

How Rural Medical Practices Can Overcome Revenue Cycle Challenges

Every medical practice has their own revenue cycle challenges. Rural medical practices, however, often have to endure a unique set of challenges due to their socioeconomic situation. These challenges can lead to rural healthcare facilities losing money and even shutting their doors entirely. In areas where the next doctor is often miles away, it’s important…

Individual vs. Group Credentialing

Medical credentialing ensures that a physician both has the proper education to perform their services and is “in-network” with health insurance companies. As such, the credentialing process involves collecting and evaluating all available data on a physician in order to ensure their credentials. While you can credential individuals, you can also credential people as a…

Medical Billing Issues That Are Impacting Your Practice

Every practice needs to have a medical billing system set up in order to properly receive payments in a timely manner. Many struggle with problems regarding their medical billing procedures. Here we identify some of the common medical billing issues practices. Failure to notify patients of financial obligations As we’ve discussed in previous blog posts,…

The Pros and Cons of Credit Card on File

With patients paying more and more of their medical costs, many physicians across the country are looking for ways to ensure patients pay their bills in a timely manner. Keeping a patient’s credit card on file is one of these ways. There are several advantages to this form of payment, but also some disadvantages that…

What is Revenue Cycle Management?

One of the most crucial aspects of managing a medical practice is to ensure that the finances are in order, something that is critical for being able to maintain the operation of the medical practice. Revenue cycle management (RCM) is another terminology for Accounts Receivable, or the collection of insurance carrier and patient payments which…

Common Questions About Medical Credentialing

Medical credentialing and contracting is required for a provider to receive payment for their services. Medical credentialing is a complicated process that takes time and precision. There are many steps and doing just one thing incorrectly can upend the process. Here are some of the most commonly asked questions about medical credentialing: How long does…

What is Medical Credentialing?

Ensuring a healthcare provider has the proper education, training, certification and credentials not only makes certain that they are qualified to provide care, but it is also integral to being “in-network” with health insurance companies. Credentialing makes this happen. But what is it and how, exactly, does it work? Here are the details: Credentialing—The Basics…

Medical Revenue: Planning Your Service Charges with the Medicare Physician Fee Schedule in Mind

The Medicare Physician Fee Schedule (MPFS) applies to healthcare provider services such as office visits, lab work, types of therapy, surgical procedures and more. It gives providers guidelines on what Medicare will cover for services and how much it will reimburse the provider. Medicare Physician Fee Schedule Rates The rates are determined based on input…