How Can Medical Credentialing Services Benefit Your Practice

Medical credentialing has been keeping quality standards intact for quite some time. The credentialing process involves verifying the qualifications of a provider providing healthcare services to patients. 

The credentialing process is paramount because it ensures that the providers have a competitive license, skills, and certifications necessary to render their services to the patients. Credentialing is a complex and time-consuming task, with a great deal of documentation and many guidelines to adhere to. 

Each year, the journey to credentialing becomes more challenging as healthcare regulations keep evolving. Every provider, once credentialed, needs to go for re-credentialing every 1 to 3 years, depending on the regulations of insurance companies.

Given the complications, it is still vital for providers to go for credentialing. However, more and more providers want to complete the process quickly and without chaos. That is where some well-versed and trusted companies that provide medical credentialing services have become a savior to many.

How, you ask? Here are several reasons explaining the answer to that.

1. Less time spent on paperwork and more on patient care

No provider ever wanted to spend most of their time behind piles of paper. The time spent doing paperwork could have been spent doing something more meaningful, like providing better patient care. Credentialing services remove this burdening paperwork from providers’ shoulders so that they focus on what matters the most- their patients.

2. Cost-effectiveness

Almost every healthcare facility, large or small, faces budget constraints and challenges in reducing operational costs and streamlining processes. Implementing an efficient credentialing solution can reduce paperwork and errors while preserving the health and safety of patients.

3. Quicker Turnaround

Using credentialing services saves healthcare providers time and effort while ensuring timely reimbursement. The average time for healthcare insurance carriers to verify credentials is 60-120 days. It allows a medical credentialing company to utilize its medical credentialing specialists to keep the process moving to complete it within the estimated timeline, allowing providers to work without worry.

4. Improved efficiency

The existing system in many healthcare organizations consists of spreadsheets, paper documents, and checklists spread across various departments. In addition, many of the documents must be updated regularly, which adds to the paperwork. 

Credentialing service providers use a system to verify, update, and check for errors quickly. A central database saves time when setting up perimeters, storing follow-up and payer status data, and providing easy access to analytics.

How can Capline Healthcare Management help?

Outsourcing the insurance credentialing services allows medical practices to focus on patient care while Capline Healthcare Management objectively gathers, filters, reports, and manages the verification process. 

Capline Healthcare Management is known for its medical credentialing and billing services that have helped hundreds of practices grow. We also stay updated on changing government regulations, so the practice is not concerned about credentialing compliance issues. 

Don’t hesitate to contact us if you want to learn more about how you can enhance your medical practice by outsourcing your credentialing processes. We are only a phone call away.