5 Benefits of Outsourcing Credentialing and Provider Enrollment Services

1. 5 Benefits of Outsourcing Credentialing and Provider Enrollment Services

2. Generally speaking, third-party medical billing and coding companies play an integral role in provider credentialing services. • Given how stringent some of the standards set by insurance companies and health plans can be, it goes without saying that small practices without an in-house team the size of larger healthcare providers are going to find it pretty challenging to handle the entire credentialing and enrollment process without a few errors. • Fortunately, though, small medical practices don’t need to dedicate a significant amount of their resources to hiring and educating new staff members – outsourcing to a reputable service provider can make all the difference without disturbing any of your daily operations.

3. The Credentialing Process and Its Importance • Before we take a closer look at why small healthcare providers should consider outsourcing, let’s take a moment to understand what actually happens during the credentialing process and why it’s so important. • Put simply, credentialing is a relatively rigorous verification process for healthcare providers -systematically checking whether things like your qualifications, experience, and background are all in check so you can know for sure whether you’ll meet the various standards required by insurance carriers. • Naturally, this is a fairly critical step in the wider enrollment process since it essentially allows providers to become in-network and offer any of their services to a much broader patient base.

4. Why Outsource to PMN? So, for practice owners who recognize they may need the support of a company with over 20 years of experience aiding small medical practices – whether it’s by handling their A/R days or by conducting monthly reports on your practice’s financial health – come see why PMN would be a great option to partner with: • Expertise in Credentialing Services The team of professionals over at PMN fully understands how intricate things like physician credentialing, medical credentialing, and the overall enrollment process can be, so outsourcing to them gives you a great opportunity to leverage this level of expertise.

5. 2. Streamlined Enrollment Process • Generally speaking, you’ll find that the whole enrollment and credentialing process is not only incredibly complex, but it can be quite time-consuming, too. PMN, on the other hand, is able to employ a much more efficient process that’ll help you streamline credentialing and enrollment in general, ultimately leading to healthcare providers becoming in-network a lot more quickly. • Of course, this kind of efficiency essentially means your practice is going to get access to various insurance plans much sooner – not to mention how much easier it’ll be to provide affordable quality healthcare to more customers.

6. 3. Accurate Provider Data Management • Any small medical practice looking to achieve some level of success needs to understand the importance of maintaining accurate provider data, and PMN plays a fantastic role in provider data management – ensuring that all of your practice’s information is not only completely up-to-date but also always compliant with the various types of requirements that are imposed by health plans and insurance providers. • You’ll always want to make sure your practice is in good standing with these various different health plans, so bear in mind how crucial accurate data management is to conducting an all-around smooth contracting process.

7. 4. Increased Patient Referrals • It’s without a doubt that becoming an in-network provider opens a lot more doors to additional patient referrals, so while you allow PMN to handle the insurance credentialing process, all of the physicians at your small medical practice are able to prioritize the main strengths you have, i.e., delivering quality medical services – all the while expanding your patient base.

8. 5. Compliance with Medicare Enrollment and Insurance Carriers • It’s not particularly uncommon to find walking through all of the different intricacies involved in Medicare enrollment/dealing with various insurance carriers pretty daunting – especially when you’re a small practice that may not have much experience yet. • With PMN, though, you don’t need to worry – they’ll ensure that your practice is always staying compliant with the various Medicare enrollment requirements, as well as dealing with the different insurance carriers on your behalf. • Obviously, this kind of compliance is going to simplify a lot of your administrative tasks, but it’s also going to help enhance the overall image of your practice and demonstrate that your practice can be trusted.