Doctors have rigorous days filled with a variety of challenges. The schedule is packed back-to-back with seeing patients, determining the right diagnoses, performing procedures, attending meetings, dictating letters for referrals and a multitude of other responsibilities. Not to mention, doctors are on-call one or more days a week. Dedicating sometimes between 55 and 100 hours a week, there is scarcely enough time to sleep let alone take on the task of do-it-yourself medical credentialing.
Medical credentialing can be overwhelming, frustrating and extremely time-consuming—and a doctor’s time is limited. Between the detailed application process, additional information may be required. Follow-up phone calls must be made, and delays by the insurance companies can mean missed deadlines. In that case, the process starts from the beginning. Medical credentialing is one of the most important things for a doctor to do for the benefit of his patients and the practice, but it is also one of the most dreaded tasks of all. With so many hours devoted to patients and running a top-notch practice, little time is left for the tedious process of medical credentialing.
With more than a decade of experience in medical credentialing, the experts at Thriveworks can help. The Thriveworks team will take the burden and complications out of medical credentialing. From beginning to end, Thriveworks takes care of the process of medical credentialing, so you can provide optimal care to your patients.
The Importance of Medical Credentialing for Doctors
Accepting Insurance is Vital
Medical credentialing is critical to doctors who are beginning or maintaining a practice. Many long-time healthcare providers who, in the past, have had successful, cash-only practices are now in the position of obtaining medical credentialing. Getting on insurance panels or becoming “in network” with insurance plans is important, since healthcare in the country has become more universally available. (Being on insurance panels allows doctors to be eligible to accept third-party payments from new and potential patients, which is crucial to the growth of the practice.)
Patients Demand Covered Services
Due to healthcare reform, many doctors who have accepted cash-only payments are now serving more people with insurance plans. The cost of healthcare is rising. HMO plans are becoming more popular than PPO plans, resulting in out-of-network benefits becoming obsolete. In addition, healthcare has become more balanced, making it possible for services to be covered whether the condition is new or a pre-existing one.
Patients today are not shy about asking if their insurance is accepted–in fact, they demand it. In the past, patients were willing to pay out-of-pocket for services by physicians and other healthcare professionals. Now, with the skyrocketing costs of healthcare premiums, they want to make sure their healthcare is paid by the insurance company. To keep up with the current market, doctors do not want to exclude themselves from attracting new patients, so they need to accept insurance. This means being enrolled in the insurance plans or getting credentialed.
Do-it-Yourself Medical Credentialing for Doctors is a Hassle and Extremely Time-Consuming
The difficulties of taking a do-it-yourself approach to medical credentialing can be many. If you are contemplating taking on this time-consuming task, keep in mind the typical guidelines needed for each insurance panel.
- Determine which insurance panels you want to get on.
- Take time away from patients to be on the phone researching the most updated
insurance applications, and fill them out.
- Complete the various applications, which can range from 30 to nearly 100 pages.
Attention to detail is important, because the applications require information in specific
- Follow up with each insurance company to ensure the application was received. If
applications are misplaced and are not being reviewed, they may languish in a
pile—possibly for weeks. In the time that has passed, it may mean the application has
expired, causing it to be rejected. If that happens, the process must begin all over.
- Submit supplementary documentation to the insurance companies.
- Again, spend time on the phone with each insurance company to confirm the materials
were received and are being processed.
- In many instances, more time is spent if clarification or additional information is
necessary for the applications.
- Follow up at least every other week to make certain the applications have not been lost
or forgotten and are, indeed, being processed.
- If an application is rejected, a formal appeal must be submitted in response.
The Best Choice for Medical Credentialing
Turn the hassles of medical credentialing over to a top-notch team. When medical credentialing is left to the professionals at Thriveworks, you will find impeccable service and attention to detail that makes the process a breeze. The following are the benefits of choosing Thriveworks.
- The experts assist in selecting the insurance panels that are right for you.
- You complete only one, simple form—our Master Survey.
- The credentialing team begins working on securing your insurance panels.
- It is easy to track an application’s progress whenever you want, 24/7. When you view
your credentialing account online, it is in real time. You can also call the credentialing
team anytime to receive an update on your medical credentialing progress.
- Thousands of doctors and other healthcare professionals have entrusted their medical
credentialing through Thriveworks and find it a great service that provided excellent
- Medical credentialing through Thriveworks is affordable.
Thriveworks credentialing is the reputable choice for doctors and other healthcare practitioners. The team at Thriveworks can help take the burden, complications and frustrations out of medical credentialing for you.
Let the experts at Thriveworks provide their skills and knowledge of medical credentialing, so you can focus on your patients. With Thriveworks, credentialing is effective, affordable and efficient. For more information and to get started on credentialing today, call 855-664-5154 or visit https://medicalcredentialing.com/..