Credentialing and Insurance Enrollment

The credentialing process is nothing new. Medical credentialing has actually been around since about 1000 BC where Persia first documented the process. Essentially, a physician had to treat three heretics. If they lived, you were good to go as a doctor! Luckily, medical credentialing today is not a life or death process. Revivify Revenue Cycle, a medical biller, offers credentialing services. Below, we’ll review some pertinent information you need to know about credentialing. Visit us online today to get started!

MEDICAL CREDENTIALING

What’s the purpose?

Medical credentialing is a process a physician has to undergo in order to practice medicine, start their own practice, and be allowed to bill insurance companies. Also, if a physician changes states, he or she must go through the credentialing process. Some practices do their own verification of the background of physicians. Others outsource this to a credentialing specialist, such as Revivify Revenue Cycle Consulting.

This is in part to prevent fraud, as well as for the potential employer to make sure there are no red flags present, such as a DUI charge, which could impact patient care. Furthermore, insurance companies require credentialing before you can bill them, again a precautionary protocol for insurance companies to limit their losses as well.

What’s the process of credentialing?

Credentialing can take a bit of time, anywhere from 90 to 150 days to complete the necessary paperwork, so if you’re a practitioner, make sure you give yourself plenty of time for the credentialing process. There’s a lot of paperwork involved, which is crucial to the process, so make sure you fill out everything completely. Work history and where your malpractice insurance is are important pieces of information. Double check the credentialing forms because any information that is missing or that you need to change will require a rewrite, delaying the credentialing process. Keep in mind that every state has its own credentialing process, so be sure to check with your state when beginning.

Revivify Revenue Cycle offers credentialing services. Contact us today to get started!

Our modern healthcare system is highly complex, and if you’re passionate about helping people live healthier lives, you’ll need certain credentials. RRCC is here to get you moving! We proudly provide both healthcare credentialing and insurance enrollment. We’re not only members of the Health Care Compliance Association (HCCA), we have more than 50 years of combined experience. We can get you on your feet.

Serve Your Patients Better

In order to accept insurance at your practice, you’ll need to go through the credentialing process. Credentialing is the process of validating and assessing an independent practitioner’s qualifications. RRCC can walk you through it and help you with insurance enrollment. Once you can accept insurance, you can reach a larger number of patients and establish your practice as one of the best. Let us help with medical reimbursement behind the scenes, and you can truly take your patient care to the next level.

Schedule a Free Consultation Today

RRCC proudly offers world-class medical billing support that empowers care providers to give their patients truly personalized care. We’ll train your staff, help you stay on top of process changes, and keep your billing compliant. Contact us for a free phone consultation and start a conversation today.