Medical credentialing is painfully boring and time-consuming, but absolutely crucial. If medical credentialing is done poorly, it wreaks havoc on a practice.
Common credentialing errors cause scheduling delays, fluctuation in revenue cycle, and much more. It’s important to take the appropriate amount of time necessary for credentialing, instead of waiting a month before a new physician arrives.

(Interested in saving money? Assess your revenue cycle.)

Time

The most important part of credentialing is allowing yourself the time to do so. Most credentialing takes anywhere from three to four months. This is because you have to turn in paperwork, supplemental documents, and even get in touch with insurance credentialing departments themselves.

Most physicians view this as a necessary evil and find it extremely undesirable. For that reason, they will put off the paperwork until it’s too late. With little time to work through paperwork, problems arise.  The most important way to avoid this is by giving yourself time, and getting it over with.

CAQH

The Coalition of Affordable Quality Healthcare has a mission to improve healthcare access and quality to patients. They work to accomplish this by relieving the administrative burdens of physicians, granting more time all around.

Why is this important? The CAQH created a database years ago for credentialing. This application host all participating health care plans and provider information in one place, allowing physicians and health care providers to submit one credentialing form to a multitude of organizations. This also allows simple updating for physicians.

Because updating is so simple, stay updated! Credentialing and re-credentialing become exponentially easier by simply staying on top of your CAQH information.

Medical Billing Services – Hire A Medical Credentialing Company

By hiring a medical credentialing company, you no longer have to worry about completing the widely-dreaded task of credentialing.

A medical credentialing company can help you with a wide range of services that will free up time at your practice.  At MEREM Healthcare Solutions, we would love to help you with the following credentialing services:

  • Filing applications with Insurance Companies
  • Complete application for CAQH (universal credentialing)
  • Approval for work comp carriers
  • Approval with TPA’s
  • Credentialing with hospitals, ambulatory surgery centers
  • Credentialing for CMS (Medicare and Medicaid)
  • Track updates for all insurance companies, government payers, and work comp carriers
  • File malpractice certificates

Are you interested in hiring a medical credentialing company? If so, contact us today!

Amanda Cherry

Recent Posts

Technology: The Good and The Bad

Certainly, let's discuss technology, specifically focusing on billing software in the context of a billing…

6 months ago

Principles of Improving Patient Procedure Collections

It has never been more important to the financial health of your practice to have…

1 year ago

Outsource to Avoid Medical Billing and Coding Errors!

By utilizing an experienced team of medical billers and coders who are knowledgeable in various…

5 years ago

Next Level Coding Begins with Improved Documentation

Incomplete or vague documentation can lead to a major loss in billable revenue. By making…

5 years ago

Specialty Healthcare Solutions expanding outside of Birmingham, Alabama

Birmingham, Alabama based specialty healthcare solution company, MEREM Healthcare Solutions, is preparing to expand their…

5 years ago

Don’t underestimate the integral role medical billers and coders play in the healthcare industry

While it tends to be that the people who are in the frontlines get the…

5 years ago