At 1ˢᵗ Credentialing we know that when our clients place their trust in us, we take that responsibility seriously by communicating with our clients to create a transparent and collaborative partnership.
Healthcare organizations of every size realize that hiring 1ˢᵗ Credentialing is the most economical and efficient way to solve their credentialing needs. We have the training, expertise and commitment it takes to keep a complex process moving forward at all times.
1ˢᵗ Credentialing supports healthcare practices of all sizes - from health systems, to community hospitals, to large group practices, to smaller organizations. We help get your providers up and practicing as fast as possible.
Learning more about the credentialing process benefits us and our clients. 1ˢᵗ Credentialing offers regular videos and newsletter updates to bring our clients and those interested in innovations in credentialing up to speed.
Medical credentialing is obtaining and evaluating documentation for a medical provider in order that they can participate in a network or treat patients at a medical facility or hospital. It’s essential for medical offices to be able to partner with insurance carriers including Medicare and Medicaid. In the absence of providing verifications to these organizations, physicians and other medical professionals may not be eligible for reimbursable expenses. Providing Required Credentials
Insurance carriers and medical facilities have their own specifications for medical credentialing. In general the following credentials will be required:
· Provider application · State license · DEA license · Board certification · Hospital affiliation · Training · Education · Malpractice insurance certificate
When a provider requests in-network status, the insurance companies perform primary source verification on all providers to ensure they are qualified to be in the carrier’s network. Primary source verification means that a provider’s information is verified by the person, organization or body that actually issued the information and therefore has direct knowledge of its legitimacy.
At 1st Assistant when we send provider applications to insurance companies, they perform primary source verification according to their standards. We then follow up to ensure that nothing more is needed to evaluate the information and therefore confirm the timely processing of the file. Why Timely Credentialing Is Important
It is risky to let a medical professional perform services without proper credentialing. The process of credentialing protects the patients in the facility as well as the members of the insurance companies. The number one reason to do credentialing is for the safety of every patient who seeks medical attention from that provider. The insurance companies and facilities want to ensure that the patient will receive the highest level of care possible from their providers.
Timely and proper credentialing means that only those healthcare professionals who have gone through rigorous evaluation regarding their qualifications to practice medicine will treat patients. Knowing that providers have been vetted and monitored allows for public confidence in the organizations’ decision to permit doctors to practice in their facility or to be promoted by an insurance company in its directory.
Are you still doing credentialing within your administrative staff? Give us a call and learn how our dedicated specialists can take over this tedious and time-consuming task quickly and professionally. Let Us Manage All Your Payer Enrollment and Credentialing Services
If you require medical credentialing and payer enrollment needs for your practice or medical facility, please contact 1st Assistant. Our experienced and dedicated specialists will provide all credentialing and enrollment services quickly and will monitor your account for ongoing updates and re-attestations. Heidi Henderson, Vice President of Credentialing, is eager to meet you and discuss your payer enrollment needs. Please call us at 512.201.2668 or contact us via the website.
Our credentialing experts are here to help you assess exactly which solutions you need and let you know how inexpensively we could put you on the right track. 1ˢᵗ Credentialing includes payor enrollment for all insurance networks including Medicare, Medicaid, Medi-Cal and insurance networks. Don’t wait another minute, contact our terrific team today!