How To Streamline Physician Credentialing Process?

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How To Streamline Physician Credentialing
Process?
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How To Streamline Physician Credentialing Process?
In healthcare, Physician Credentialing is the key
process of organizing and verifying a doctors
professional records. Every physician have to be
credentialed with payers to get reimbursement for
patients with insurance. We submit credentialing
application within 7 days or as soon as we
receive CAQH and required documents from
physicians. Generally standard credentialing
process takes from 90 to 120 days based on the
payers guidelines. Keeping in mind that the
complexities in medical credentialing, it is good
to streamline physician credentialing
process. With all of this complexity, creating a
streamlined credentialing process to protect your
practice and make sure that your staff is
properly certified becomes an essential. A weak
or ineffective credentialing process can effect
severe problems for your practice. If mistakes
happen, or credentialing lapses, you may face
stoppage of provider services, accreditation
issues. A well-trained and experienced physician
can render high-quality services and to attest
his/her merit, provider credentialing is
necessary. Physician credentialing is a process
through which Providers are validated for their
educational qualification, certification, work
history, and conduct. To run the operations
successfully, every provider streamline their
physician credentialing processes. Here is how
they can do it
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How To Streamline Physician Credentialing Process?
Accurateness It is highly recommended that the
data entered in a medical billing companys
provider credentialing system matches with the
data added into the payers credentialing system.
A small mistake may cause revenue loss to
provider. Therefore, we do a thorough check on
our clients (providers) background information
before sending any application to
payers. Automate Tasks To streamline physician
credentialing process with automation to make it
accurate and faster. As physician credentialing
is a time-consuming process, old-fashioned data
systems may delay it further. Using automated
systems can really improve the physician
credentialing process. These systems can automate
critical credentialing tasks to remind and
request for timely submission of
applications. Follow-up Its a good practice to
keep follow up with insurance companies once the
provider credentialing process starts. Stay in
the loop and follow up on regular time intervals
will keep us informed on status of the
application.
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How To Streamline Physician Credentialing Process?
Application Tracking and Reporting Implementing
best practices will definitely improve physician
credentialing process. Keeping a track on the
provider enrolment days, provider processing time
and multiple payers rules set is important.
Provider must have weekly or monthly reports with
the tracked data for review status of
credentialing. Outsource Physician Credentialing
Process Many times physicians struggle with doing
credentialing themselves. They must try and find
best medical billing company to outsource
physician credentialing process. MedisysData
follow streamlined physician credentialing
process which result into faster turn-around
times and better revenue generation at low costs.
We are equipped with qualified and certified
credentialing experts to enhance the physician
credentialing process. Are You Ready to
Outsource Credentialing? If youre ready to get
started, schedule a meeting with our medical
billing manager from filling out enquiry form
from our website!
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