Does it help to Outsource Provider Credentialing Services - PowerPoint PPT Presentation

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Does it help to Outsource Provider Credentialing Services

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Provider credentialing is a critical process for ensuring quality care and strengthening the practice’s financial health but such legwork also creates administrative burden. – PowerPoint PPT presentation

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Title: Does it help to Outsource Provider Credentialing Services


1
Does it help to Outsource Provider Credentialing
Services?
  • 24/7 Medical Billing Services
  • Info_at_247medicalbillingservices.Com
  • Phone 1 888-502-0537

2
If you are a practice that wishes to contract
with third-party payers, then it is necessary
that you attest to the qualifications and
competencies of your physicians. This needs to be
done through a process of source verification,
data collection and committee review. If
the physicians are not credentialed properly by
an insurance company, then they wont get paid on
time for treatment of patients that are covered
by that plan. This will result in a direct hit to
the revenue cycle of your practice. Even if the
physicians see the patients, the patients will be
charged a higher deductible or out-of-network
copay, which will be hard to collect because
eventually, a great deal winds up in collections.
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Provider credentialing is a critical process for
ensuring quality care and strengthening the
practices financial health but such legwork also
creates administrative burden. From source
verification and certifications to experience,
training, residency and licenses, there are
various factors that need to be verified. The
higher a physician performs in relation to these
factors, the higher his/her credentialing will
be. It is necessary to ensure that credentialing
is done properly or else your practice will run
the risk of not getting paid. Also, it is
important to note that this is an on-going
process and just a one time verification wont be
sufficient. Every time a physician joins or
leaves your practice, you will have to conduct
this process. Considering the complexities and
paperwork involved, many practices prefer to
outsource this labor-intensive process to a third
party. Most reputed medical billingcompanies
offer this service to practices across the US.
They take away the hassles of paperwork involved
in credentialing and reduce the burden for
practices.
5
Outsourcing this service has helped many
practices become more profitable. It helps
increase the efficiency of the practice because a
dedicated team will be handling the credentialing
process which feels like walking in a maze with
blindfold on. Billing companies have
credentialing professionals who make use of
advanced technology and payer relationships to
get practices out of this maze. Outsourcing
helps reduce labor costs and also eliminates the
risk of turnover. You dont have to worry about
your practices credentialing needs getting
displaced to the bottom of the stack. Having a
reliable billing partner will help you avoid
hiccups in the cash flow for your practice.
6
Contact Us
  • 24/7 Medical Billing Services
  • 16192 Coastal Hwy,
  • Lewes,de 19958,USA
  • 2028 E Ben White Blvd 240-1030,
  • Austin, Tx 78741,usa
  • Phone  1 888-502-0537
  • Fax 1 888-635-9013
  •  Info_at_247medicalbillingservices.Com
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