Credentialing – Seven Solid Reasons To Outsource

When a medical practice hires new physicians or other healthcare providers, it is important that they go through the credentialing process. This is done in order to verify their qualifications and skills while also getting them enlisted with the insurance companies. Even if the healthcare provider has been approved by the insurance panels earlier, it is necessary that they reapply if they decide to join a new practice. Unfortunately, physician credentialing is both a complex and lengthy process, and any errors can lead to serious consequences. Outsourcing credentialing services reduces oversights and errors that can pave the way for delayed payments or revenue loss.

Let’s explore some of the seven solid reasons to outsource physician credentialing.

Minimal to Zero Errors: Credentialing is a meticulously detailed process that calls for accuracy and thoroughness. Any errors due to oversight, data integrity issues, or omissions can result in delays, and can sometimes be grounds for application denial or rejection. With a third party provider, you gain access to knowledgeable credentialing specialists and automated software that ensures minimal to zero errors.

Ensure Compliance: Credentialing and compliance go hand in hand. Outsourcing credentialing ensures that you meet all applicable regulatory requirements and maintain compliance with industry standards. This can reduce the risk of non-compliance and help you avoid potential legal issues and financial penalties.

Increase Efficiency: Efficiency is crucial in every industry, more so in healthcare as patient’s wellness is on the line. If your in-house staff seems to be overburdened with tasks related to the credentialing process, it can impact your practice efficiency. Outsourcing can ease your in-house staff burden and allow them to focus on more crucial tasks.

Cost Savings: Outsourcing credentialing can ensure huge cost savings for your medical practice. You don’t have to spend on hiring and training staff, providing office space and equipment, and maintaining and updating credentialing software. Most importantly, it helps prevent costly legal liabilities due to noncompliance or errors.

Quicker Turnaround time: Typically the insurance credentialing process takes 90 to 120 days to complete and get credentialed. Sometimes it can even take longer, especially when working with multiple insurance providers due to their varying compliance requirements. Automated credentialing can speed up the process, while minimizing errors and non-compliance.

Access to Skilled Experts: Outsourced credentialing allows you to benefit from skilled and knowledgeable experts who know the process inside out. They are well-versed with the regulations, requirements and timelines related to credentialing. You can benefit from their specialized knowledge and experience, thus ensuring accurate and efficient medical credentialing services.

Ease of Scalability: Outsourcing credentialing allows practices to scale operations as needed. In high-demand times, like onboarding new providers or expanding services, outsourcing partners can quickly add resources to manage the workload. During slower periods, outsourcing services can be adjusted to fit the smaller workload.

From the above reasons it is quite clear that outsourcing the credentialing process is the best approach for medical practices. However, not all credentialing services providers are created equal. It is up to you to exercise due diligence and make the right choice for your practice. Well, if you are on the lookout for the right credentialing company, then look no further than Physicians Angels. With our Staffing Angels service you gain access to experienced credentialing experts, reduce overall costs, improve compliance, increase efficiency and ensure minimal to zero errors. If you would like to know more on how our credentialing services for providers can mean a smooth and clear process reach us at (419) 318-4471).