Proper provider credentialing makes the difference between getting paid and not getting paid.  Our Billing company can provide credentialing services for your new locations as well as medical, dental and behavioral health providers. We give your center increased security and more time to concentrate on your patients.

Medical Credentialing — also known as provider or physician credentialing — is an elaborate process that examines and reviews the health care provider’s qualifications and career experience including education, medical certification, training, licenses held and any specialty certificates to determine if clinical privileges to practice in a particular place can be granted. It must be completed upon the hire or enrollment of a new doctor and regularly afterwards to abide by the standards set forth by regulatory and accreditation organizations such as the National Committee for Quality Assurance (NCQA) and The Joint Commission (TJC).

Due to rising levels of complexity, many providers are looking at outsourcing credentialing as a response. There are many benefits of outsourcing credentialing and enrollment, such as:

• Reducing application mistakes which could significantly delay the application process
• Saving you and your practice time, paperwork and frustration
• Freeing up schedule space for staff to work on collection and billing
• Decreasing operating costs by up to 40%

The credentialing process can take anywhere from 90 to 150 days, depending on the state requirements. Due to the extended processing time, make sure to leave plenty of time – at least four months — to complete the credentialing application process.