Credentialing is a process that gives healthcare practitioners their “stamp of approval.” The process involves assessing and confirming the credentialing requirements for physicians, including qualifications, skills, certifications, and licensing, to make sure that the quality of patient care is regulated. With improved healthcare provision, your medical practices build credibility with patients by having the best medical practitioners in the healthcare facility.
Learn how physician credentialing services improve credibility, helping facilities and medical practitioners as well as patients to make sure that those providing patient care are qualified for the job.
Why is Credentialing Needed?
Following are the reasons why all physicians need to be credentialed:
- Improves patient trust in the physician.
- Lowers any risk of medical errors.
- Prevents the healthcare facility from losing revenue.
- Improved physician and facility business.
- Fewer restrictions by insurance companies on pre-existing conditions.
- Improved practitioner reputation.
- Increases cost savings.
- Protects healthcare facilities from potential lawsuits.
Physician Credentialing Checklist
The initial process in the physician credentialing checklist is to learn and understand the regulations in your state. This process can take anywhere from 90 days to 150 days to complete. It is recommended to start early because it can be time-consuming and allows for a quick verification of practitioners’ credibility.
1. Submitting the Pre-Application
Credentialing of physicians can become stressful; it’s a lot of paperwork! Sometimes, you need to prepare for pre-application to get a quick update on your eligibility for the application. These background checks likely include your criminal records, any disciplinary violations, and your certifications. The process is usually smooth, but sometimes, you need to provide extra information just to get your application to the next step.
2. Application Submission
Submit your official application right away, with all requirements fulfilled, providing all necessary information supported by documents and signed forms.
Make a physician credentialing checklist for the necessary requirements and get your application approved without missing out on any required documentation:
- Educational history and transcripts.
- Current medical license, DEA registration, and board certification.
- Work history.
- Evidence of continual malpractice coverage.
- Personal immunization records.
- Personal health history.
- Professional and personal references.
- Explanation of any gaps in work history.
- Hospital privilege or hospital affiliations
- CAQH enrolment
You must provide relevant documentation, letters of recommendation, and a copy of your CV to fulfill all credentialing requirements for physicians and return your application for approval.
3. Verification of Receipt and Follow-Up
Once your application is submitted and goes through the verification process, it is recommended to get a follow-up on the status as well as receipt confirmation through an email or call. If required, you will be contacted by the credentialing board to provide more information for application approval. When applying for approval, make sure you have all copies of documents with you to quickly address any issues with the credentialing board.
Choose Precision Hub for a Smooth Credentialing Process
Whether you need help with the physician credentialing process or require guidance on how to get approval on your application, Precision Hub is here to help. With our reliable support, you can navigate all the hardships of medical credentialing. Don’t bear the hardships alone – reach out to us for a smooth process.
Make your credentialing journey easy with Precision Hub to address your credentialing needs!
