Medical Credentialing is the process of verification of clinicians’ backgrounds and expertise. It seems to assist healthcare providers accepting in the most renowned and prestigious insurance networks that ultimately helping them gain more collections.

That is why when we at P3Care talk about optimizing providers’ performance, we cater to every aspect. Thus, how could we forget about the Medical Credentialing services? Not only do our experts have the right certification to certify clinicians’ professionalism to do the job but we offer this service at an affordable rate.

P3 Healthcare Solutions Takes Care of Clinician’s RCM

The ultimate goal of credentialing is to improve revenue cycle management. And, our consultants ensure that whether you go for individual medical billing or comes under a medical group, there remains nothing that restricts the smooth payments.

With P3Care, you have a promise for that.

Why Is Medical Credentialing Essential?

Medical credentialing is indeed very crucial because it gives patients the chance to trust their selected physicians blindly.

Providers are tested for their education, work history, degrees, and behavior before becoming a part of the payer network. Now, it is an avid practice of many healthcare organizations. They verify the documents and degrees of the candidates from qualified medical billing services before they join them.

As mentioned earlier, it also helps speed up the payment process through insurance companies.

As a clinician, what should be your responsibility before consulting a medical credentialing services provider, we have the answer for that.

Things that Clinicians Should Ensure on Their End

Start Credentialing Soon: If you are starting your career in medicine, it’s important to capture start as soon as possible. A better practice is to apply almost 120 days before seeing the patients and after completing your degree.

Be Elaborative About the Information: Healthcare providers! Take as much time as possible and complete the paperwork carefully. A single minor mistake can cost weeks.

Check with the Authorities to Know Your Status: Clinicians need to check the status of their applications regularly by staying in contact with payers.

However, when clinicians do it by themselves and handle procedures by themselves, it’s a recipe for disaster. Let the team of P3 credentialing do their work because you will have all the time to prioritize your patients while an expert team will cater to you.

The Work We Do for the Group Practices and Individuals

Credentialing services are altogether a way to get approval for your credentials and get timely reimbursements from payers. Moreover, they aren’t tangled amidst the hectic medical billing and coding process.

Here is the list of things that P3Care does for its clients.

• We fill your provider credentialing application
• Send it to the high authorities for verification
• Regular follow-ups with them to check the status
• Provide any additional documents on your behalf if required
• Coordinate with insurance setups and hospitals on your behalf

Who Verifies the Providers’ Credentials?

Several organizations tend to help with credentialing services in this regard. Their stamp on your resume adds value to your experience and qualification. The National Committee for Quality Assurance (NCQA) has the guidelines that help agencies verify data. Here is the list of agencies doing it.

· National Practitioner Data Bank (NPDB)

· American Board of Medical Specialties (ABMS)

· Council for Affordable Quality Healthcare (CAQH) — Online platform

For nurses, the following agencies verify if they are board-certified.

· American Association of Nurse Practitioners (AANP)

· American Nurses Credentialing Center (ANCC)

List of Providers Who Can Go for Medical Credentialing Services

How Soon Does It Have to Happen?

The process of medical credentialing happens every two years.

What Facilities does P3Healthcare Credentialing Provide You?

We help you:

• Save your time
• Increase a patient’s referrals
• Assign a good project manager to your company
• Eliminates the pain points caused by the complex paperwork

Conclusion

The above article shows the advantages of medical credentialing services and how a qualified credentialing firm such as P3Care can help you do all the work. We have a great team of experts to take care of the whole process.

So, if you want to grow and take advantage of premium insurance networks, go for medical credentialing.