Medical Credntialing
Medical Credentialing is the process of becoming affiliated with insurance companies so that you, the medical provider, can accept third party reimbursement. While important for the success of a clinical practice, medical credentialing is an unwelcome distraction from providing quality care to patients.
Today’s Patients Want to Use their Insurance
Just a few years ago, health professionals considered medical credentialing to just be optional for building a practice. Today, it has become more necessary than ever for providers to be networked with insurance companies. This is partly because more people in the U.S. have health insurance than ever before, but even more-so because patients wish to use their health insurance when seeking healthcare services rather than out-of-pocket payment.
Insurance Plans are Covering more Services (Pre-existing conditions, Mental Health, etc.)
Medical credentialing is becoming more important as health insurance plans are becoming broader in regards to the scope of treatments they cover. These changes include Mental Health and Behavioral Health parity, fewer restrictions on pre-existing conditions and the coverage of supplemental services, such as physical therapy, massage therapy, acupuncture and other holistic health services.
How Long Does the Process take?
The process of credentialing can be a challenging and lengthy one, and generally takes between 3-4 months to submit the paperwork, submit supplementary documentation, and correspond with insurance companies’ credentialing departments.
Because of the large amount of paperwork and correspondence that is required, medical providers generally find the process to be undesirable, and very time-consuming. But every client that you turn away for not accepting their insurance, is money that you can never recover from. In fact, many patients today are demanding that their counselor accepts their insurance.
Hence, insurance credentialing services are often an affordable and effective alternative to the do it yourself approach.
For more information or to get started on insurance credentialing, give us a call today (800) 208-6324 to learn more. Let us help you grow your practice.
Today’s Patients Want to Use their Insurance
Just a few years ago, health professionals considered medical credentialing to just be optional for building a practice. Today, it has become more necessary than ever for providers to be networked with insurance companies. This is partly because more people in the U.S. have health insurance than ever before, but even more-so because patients wish to use their health insurance when seeking healthcare services rather than out-of-pocket payment.
Insurance Plans are Covering more Services (Pre-existing conditions, Mental Health, etc.)
Medical credentialing is becoming more important as health insurance plans are becoming broader in regards to the scope of treatments they cover. These changes include Mental Health and Behavioral Health parity, fewer restrictions on pre-existing conditions and the coverage of supplemental services, such as physical therapy, massage therapy, acupuncture and other holistic health services.
How Long Does the Process take?
The process of credentialing can be a challenging and lengthy one, and generally takes between 3-4 months to submit the paperwork, submit supplementary documentation, and correspond with insurance companies’ credentialing departments.
Because of the large amount of paperwork and correspondence that is required, medical providers generally find the process to be undesirable, and very time-consuming. But every client that you turn away for not accepting their insurance, is money that you can never recover from. In fact, many patients today are demanding that their counselor accepts their insurance.
Hence, insurance credentialing services are often an affordable and effective alternative to the do it yourself approach.
For more information or to get started on insurance credentialing, give us a call today (800) 208-6324 to learn more. Let us help you grow your practice.