Medical Credentialing Tips

Medical credentialing refers to the verification of a candidate’s medical credentials before hiring him/her as a physician in a hospital. Nowadays a lot of hospitals are outsourcing medical credentialing services from various medical billing companies. The purpose is to make the credentialing process effective and hassle-free. However, simply outsourcing the medical credentialing service is not enough to ensure the progress and success of the credentialing process.

Therefore, the following are the medical credentialing tips to help you with the medical credentialing process.

Look for a Professional Credentialing Specialist

Running a hospital is quite tiresome and can consume a lot of time. This means that you cannot look after all the administrative tasks all alone. So, it is better to assign a professional to carry out the tasks of medical credentialing. Outsourcing medical credentialing billing is one of the efficient ways to ensure the error-free credential verification process.

Wait for the Credentialing Process to Finish

Medical credentialing requires a lot of documentation to make the process effective and efficient. This means credentialing may take up to 90-150 days to finish. So, don’t expect the credentialing specialist to finish the process in less than 90 days. Let the professional do his/her job without any interruption.

Follow-up with your Credentialing Specialist

You may have hired a professional for medical credentialing but that doesn’t mean you are no more responsible. You are responsible to keep track of the medical credentialing process and ensure that the work may progress slowly but it doesn’t hamper in between. You are paying for the credentialing specialist to make sure you are fetching full advantages from the medical credentialing service.

Know Your Employee’s Background

Of course, you have hired a medical provider credentialing company to verify the credentials of your employees. But as a precaution, you must double-check your employee’s background. This doesn’t mean you don’t trust your credentialing specialist. It simply means you are reviewing your employee’s background for any false information that the credentialing specialist may have missed due to an extreme workload.

Stay Update With Your State’s Regulations

Your credentialing specialist is an expert in knowing all the regulations that may apply to the medical credentialing. But it is important that you too stay updated with your state’s medical credentialing regulations. Thorough knowledge of the state’s regulations will help you a lot in preventing compliance risks.