Enrollment and Credentialing
What Is Credentialing And Why Does It Matter?
Credentialing is the process of verifying and assessing a healthcare provider's qualifications. The medical community as a whole falls within this category. Healthcare providers and insurance companies often mandate this procedure to ensure the safety of their patients and the quality of their services. To give the best possible care to patients and be reimbursed by insurance companies, it is crucial to get enrolled and credentialed. By registering and credentialing doctors, states and insurance companies can determine who meets their standards. It is essential for getting paid by insurance companies and giving patients confidence that they are seeing competent doctors. Aakira Info Tech is aware of the significance of credentialing and makes every effort to provide our clients with the most trustworthy service we can offer. Our staff has extensive experience in the industry and can guide you through the entire certification procedure. When you can outsource credentialing and enrollment for a low cost and rapid return on investment, you should do so. Process of Providers Enrollment and Credentialing Healthcare providers enrollment and credentialing are crucial processes in the medical billing industry to ensure that physician is qualified and authorized to deliver medical services. Here is an overview of the process Provider credentialing application Verification of provider's information Primary source verification Credentialing Committee Review Provider enrollment with payers Contract negotiations Approval and effective date Ongoing monitoring and re-credentialing