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Medical Credentialing Services

What Is Medical Credentialing And Enrollment?

Medical credentialing is a formal process to verify that medical staff such as physicians and nurses are both certified and trained to provide healthcare services to patients. In order to maintain the highest standards of patient safety and care, it’s important to have medical credentialing experts who do all extensive paperwork and verification.

Medical enrollment also commonly known as provider or payer enrollment is the process through which a healthcare provider gets inclusion in the health insurance network. Once a healthcare provider becomes a part of a health insurance network, he is allowed to cater to patients who carry insurance from the same health insurance network.

Medical Credentialing Services

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Medical Credentialing Services
Medical Credentialing Services

How Does Physician Credentialing Work?

The process of physician credentialing usually starts with an application. Every healthcare facility has a different application so the physician needs to get credentialing for each facility he will be working in. Once he’s done with submitting the application, he needs to provide various supporting documents such as his medical license, DEA number, board certification, and other educational and professional work documents. Then a credentialing specialist will analyze and verify all the submitted documents. Once he’s done with verification, the matter will be moved to department heads and hospital boards who then approve or disapprove the physician’s employment. In some cases, physicals are also asked to reapply and provide documentation for re-credentialing.

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What Are The Benefits Of Medical Credentialing?

Medical credentialing is an essential part of revenue cycle management and it offers you various benefits. First and foremost, credentialing helps you in building a relationship of trust and confidence with your patients that will eventually help you in making your reputation better against your competitors. In addition, medical credentialing greatly helps in quality assurance and establishing a higher level of professionalism. Moreover, hiring a good provider credentialing service like Medtech Providers help you in reducing the risk of legal issues and minimizing the chance of errors.

Medical Credentialing

Benefits of Hiring MedTech Providers For Medical Billing Services

Saves you a lot of time and hassle
Instead of dealing with all the paperwork and phone calls yourself, you can simply hand everything over to our professionals. This frees up your time so that you can focus on other aspects of your practice.
No More Denied Claims
We understand the ins and outs of coding, insurance claims, and reimbursement procedures which means that you will get paid for the services you provide, and won’t have to deal with denied claims.
Improved Cash Flows
When claims are submitted in a timely and accurate manner, you will get paid more quickly. This can make a big difference in the financial cash flows of your practice.
Peace of Mind
When you have someone else handle the billing and coding for your practice, you can be sure that everything is being done correctly, allowing you to focus on providing quality care to your patients.

Call Now To Speak With One Of Our Medical Billing Service Specialists!

To help you get medical billing levels, our qualified medical billing consultants offer excellent medical billing services. To eliminate any possibility of error or mistake, we handle end-to-end insurance verification in which we monitor the benefits and coverage provided by the insurance providers. Due to the incredible accuracy of our claim filings, medical practice and patient satisfaction have grown.

Our Comprehensive Process For Verifying Eligibility

To guarantee the confidentiality of any protected health information (PHI), the HIPAA Compliance Act was passed into law back in 1996. Because of this, American professional medical billing organizations must at all times adhere to HIPAA compliance. Because of this, a revenue cycle management company can only be relied upon if it complies with all HIPAA Act requirements.

MedTech Providers is a fully compliant HIPAA medical billing service company in the United States that offers practicing safe medical billing that complies with all privacy protection regulations. Throughout the medical billing process, we take precautions to keep the security of your Protected Health Information (PHI). It is one of the main reasons why medical practices feel at ease by outsourcing their medical billing to a reputable RCM billing business like MedTech Providers. We are one of the top provider of medical billing Solutions in all 50 US States, including California, New Jersey, Texas, Florida, Alaska, New York, and other states.


What is the role of a credentialing specialist?
A credentialing specialist ensures that all the medical staff members in a healthcare organization have up-to-date credentials and licenses to work legally in their specialty.
How long does the credentialing process take?
The credentialing process takes around 90 to 120 days to complete, however, in some cases it may take a little longer.
What is the difference between certification and credentialing?
The process of obtaining, assessing, and verifying the qualification of a physician is called certification. On the other hand, credentialing is the process in which a physician is authorized for the scope of a patient care service by a healthcare organization.
Why is credentialing so important?
In healthcare, credentialing is very important as it helps in ensuring that physicians and other healthcare providers are qualified to cater to patients.