What Is Medical Credentialing?

Medical Credentialing

It’s incredible to think that medical credentialing goes as far back as 1,000 years as a practice! We have records from Persia that show us that physicians needed to show their training and skills before they could start working all that time ago.

In the last couple of decades, medical credentialing has evolved to be more sophisticated and complex. In this guide, we will take a look at the basics of medical credentialing. We’ll talk about what it is and why it is crucial for healthcare providers to get it right from the start! 

Read on to learn more about medical credentialing as a practice today.

What Is Medical Credentialing?

Medical credentialing is a process where a credentialing specialist scrutinizes medical practitioners’ ability to practice medicine. In simple terms, it means such specialists check on doctors and other healthcare providers to make sure they are up to the task when dealing with patients. 

The idea is, that with solid medical credentials, you can maintain good medical standards. And this is not only good for the medical professional, but also for the patient who can feel more assured about getting treatment from that provider.

What Do Credentialing Specialists Check?

It’s typical for a credentialing specialist to check a healthcare professional’s: 

A credentialing specialist checks on all of these things when a medical professional moves to a new practice and state. The process is also connected with medical privileging. This refers to the privileges that a medical practice gives you once you have gone through your credentialing.

Advice for Healthcare Providers

As a healthcare provider, you should understand that medical credentialing is important for insurance. You should also understand that credentialing can take some time. In many cases, you’re looking at 90 or more days for you to see the process complete.

Furthermore, you must get all the details on your paperwork exactly right. For instance, be detailed and accurate about your work history with the correct dates and position titles.

You will need to complete attestations as well, to confirm everything. If by any chance you need to change your original paperwork, then you’ll need to create new attestations for resubmission.

How to Lighten the Burden 

If the whole concept of medical credentialing sounds overwhelming, you’re not alone. There are plenty of healthcare providers out there who feel the same. After all, if you are a medical professional, the last thing you want to be doing is preoccupying yourself with reams of admin work rather than treating patients.

The solution is to search for a medical credential service to help you. A medical credentialing company can help you with all the complexities involved. They may also be able to help you with lab billing, too. We recommend you check out Med USA lab billing for this.

Medical Credentialing Made Easy

You can make medical credentialing a real burden for yourself, or make it easy by getting expert services to help you out. We recommend the latter.

For info on similar topics and more, check out our homepage on this website.

The views expressed in this article are those of the authors and do not necessarily reflect the views or policies of The World Financial Review.