1 / 3

Importance of Credentialing in Medical Billing Process

A reliable billing company will not only increase insurance reimbursement for the practice but also help in streamlining the vexing credentialing process. They work with experts who are qualified to set up and manage files, data input systems that are used during admissions.

Download Presentation

Importance of Credentialing in Medical Billing Process

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Providers cannot underestimate the importance of proper credentialing if they wish to ensure a steady cash flow. They need to respond to credentialing requests by insurance carries in a timely manner and also be prepared with the accurate documentation. If they lack in meeting the requests, it can lead to deactivation and loss of revenue. For instance, if a carrier deactivates a provider, he/she will have to enrol in the program all over again. Also, it will put claims on hold anywhere between 90-180 days based on the insurance carrier’s processing time. Medicaid requires annual credentialing Medicare requires revalidation every five years Credentialing for new providers takes 60-120 days by Medicare and Medicaid Importance of Credentialing in Medical Billing Process http://www.247medicalbillingservices.com

  2. Credentialing is very important if you want your practice to earn revenue. So whether you are hiring a new physician for your practice or you are starting a new practice, make sure to send the required information to the credentialing staff as soon as possible because backdating is not allowed by some carriers. Medical billing and credentialing have a strong connection. If the provider or physician isn’t credentialed with insurance companies, he/she cannot be an approved provider of services. Many practices choose to outsource credentialing task to a third party as this process is quite extensive and needs to be done in an accurate manner. Since it is a tedious process, it is better left to professionals. A reliable billing company will not only increase insurance reimbursement for the practice but also help in streamlining the vexing credentialing process.. Billing companies submit credentialing applications seamlessly and also follow-up till the physician or practice’s enrolment hasn’t been processed. So why fret? It is better to take the weight off of your staff’s shoulders and let experts handle credentialing for you. Importance of Credentialing in Medical Billing Process http://www.247medicalbillingservices.com

  3. About 247 Medical Billing Services:We are a medical billing company that offers ‘24/7 Medical Billing Services’ and support physicians, hospitals, medical institutions and group practices with our end to end medical billing solutions. We help you earn more revenue with our quick and affordable services. Our customized Revenue Cycle Management (RCM) solutions allow physicians to attract additional revenue and reduce administrative burden or losses. Contact: 247 Medical Billing ServicesTel: +1 888-502-0537Email: info@247medicalbillingservices.com Importance of Credentialing in Medical Billing Process http://www.247medicalbillingservices.com

More Related