We’ve discussed how important getting your physicians credentialed can be. Not only does it allow physicians to be “in-network,” but it can also make sure that a physician is qualified to treat patients. However, the medical credentialing process can be complicated, and there are many mistakes that health care providers can make throughout it. Relying… Read more »
Tag: medical credentialing
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… Read more »
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… Read more »
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… Read more »
Credentialing Services: Adding or Removing a Physician from Your Carrier Profiles
Being a practice within a managed care carrier network or multiple carrier networks means inevitably having to add or remove a physician from your carrier profile. This process involves an application process (completing the 30-page Council for Affordable Quality Healthcare (CAQH) questionnaire) for a specific network and must be completed whenever there is a provider… Read more »
SGR (Sustainable Growth Rate) delays – again!
Why isn’t Congress supporting our healthcare providers? Every year we go through this agonizing time frame of facing a 20% cut in Medicare payments, while Congress constantly bypasses their responsibility. Congress can’t be penalized for their lack of appropriate actions, so they do what is in their best interests. Typical political selfishness. Our government expects our healthcare providers… Read more »