Medical credentialing is the process of reviewing a doctor’s qualifications and career history including their education, residency, licenses, training, and any specialty certificates. It must be completed to hire a new doctor and on a regular basis afterwards in order to adhere to the regulations of organizations such as the The Joint Commission and the National Committee for Quality Assurance. Although it may seem like a mundane and time-consuming administrative task, medical credentialing is important and can benefit your practice in the following ways:
- Properly Trained Medical Professionals
Imagine hiring a doctor and later finding out that they never completed their residency or did not undergo the training they stated they did. Medical credentialing can help you avoid this scenario and ensure that you only hire healthcare professionals that have the education and training necessary to provide your patients with the high quality of care they deserve.
- Third-Party Reimbursement
One of the most overlooked benefits of medical credentialing is that it can provide you, an affiliate medical provider, with a variety of insurance companies. This will allow you to accept third party reimbursement. Having the ability to accept the insurance of a wide array of patients is the key to success for any healthcare organization.
- Competitive Advantage
If patients find out that your services are not covered by their insurance company, they will go to one of your competitors. By investing in medical credentialing and being able to accept various types of insurance, you’ll have a competitive advantage and be able to earn the business of more patients.
Outsource Medical Credentialing to Applied Medical Systems
Since medical credentialing is a complex process that you may not have time to manage in-house, consider outsourcing it to Applied Medical Systems. We have a team of medical credentialing specialists who can handle the in-depth process of medical credentialing on your behalf.
Most of them have earned an associate’s degree in healthcare or business administration or have a minimum of two years of work experience in a healthcare environment. They will take the time to confirm the undergraduate education, medical school, residency, and other qualifications of each and every medical professional you have at your practice.
Contact Applied Medical Systems Today
If you’re interested in learning more about our medical credentialing services, we encourage you to contact us today. We will be happy to evaluate the qualifications and history of your healthcare professionals and help your practice become affiliated with insurance companies.