Known within the healthcare industry as physician credentialing or primary source verification, this process is used by practices, clinics, health plans and hospitals to verify the credentials of a particular physician. The term physician credentialing can also mean verifying insurance enrollment, another type of credentials verification that is vital to the continued success of any practice. Credentialing services and also recredentialing services can be used by these facilities to stay on top of all of these verifications to ensure that everything is in order.
How Professional Services Can Help
Credentialing services can help ENT practices stay on top of insurance verification, Medicare reimbursement and help with important areas like comprehensive record-keeping to ensure that nothing falls through the cracks. Hiring a professional service to take care of these things for you helps you in a number of ways. First it saves time, as it can take a lot of time to do credentialing and recredentialing for insurance plans and physicians. Second it can save money, as the staff members that you would have do this work for you can now focus on helping patients, which is what brings money into the practice.
The next way that professional credentialing services can help you is by making sure that you stay connected to Medicare, Medicaid, top insurance programs and workers compensation or anything else that you use regularly for your patients, to prevent any delay in payment. Working with a service that specializes in your specialty can also be beneficial. Otolaryngology is a very specific specialty that requires some knowledge of the work that needs to be done and the credentialing that is required. MD Pro Solutions specializes in Ear Nose and Throat practices and clinics, and has many years of experience working within this specialty.
Should You Outsource These Services?
While we have already identified all of the benefits associated with hiring credentialing services and recredentialing services to take care of insurance verification, credentialing to ensure Medicaid and Medicare reimbursement, as well as comprehensive record-keeping to keep everything all together, you will still want to consider whether outsourcing is for you. Some practices prefer to send a staff member out for additional training so that this type of work can be done in-house. If you have the staff to do something like this even with all of the recent medical billing and coding changes that have happened in the healthcare industry, then this might be what you need.
However, if you have more work every day already than you have staff, you might want to consider outsourcing. The points mentioned above regarding saving time, money and staying on top of these tasks to keep payments flowing into your practice should be enough to convince you to at least take a look at professional credentialing services. Each practice and clinic is different. There are unique needs with regard to credentialing and recredentialing services. Some practices have more complicated situations, while others are quite simple. Outsourcing can be a huge asset for brand new practices, clinics that are in a growing phase or busy offices that don’t have time to add one more duty to their already over-tasked staff members.
What About MD Pro Solutions?
Our team is highly trained and experienced in credentialing services for top insurance agencies, Medicaid and Medicare reimbursement and comprehensive record-keeping. We can provide credentialing services for every provider in your office. Our many years of experience working with credentialing and recredentialing services has helped us to be able to provide a wide array of services, including current licensing, CMEs, declaration pages, certifications and malpractice narratives, along with each completed application, before we send it off to your office for signatures. However, it is important to note that the credentialing services we provide is only for insurance payers and not for hospital privileges and other services.
Some of the services included in with our credentialing services include the initial credentialing and recredentialing services for every provider in your office, as well as comprehensive record-keeping for all applications that are made to the various insurance companies. We also provide the completion and storage of all 855s for Medicare reimbursement, as well as preparation of applications and all relevant documents to be attached. MD Pro Solutions provides personal service for each and every client to address your specific needs. We also provide on-site visits to your practice or clinic as needed to ensure that everything is taken care of appropriately. Our fast and accurate credentialing services are a great tool for new providers to help save time and money, as well as for existing practices that want to spend less time on paperwork and more time helping patients.
If you are interested in learning more about our professional services for otolaryngology practices and clinics, give us a call at 508-946-1665. Our team can help with a wide variety of services, including comprehensive record-keeping for credentialing, Medicare reimbursement, insurance verification, recredentialing services and much more. Call today to get a FREE estimate for any of our services or to schedule an appointment for an evaluation.