Medical Credentialing is Important to Building a Successful Practice — What else do I Need to Know?
Medical Credentialing is the process of becoming affiliated with insurance companies so that you (the medical provider) can accept third party reimbursement.
While important for the success of a clinical practice, for many health professionals, medical credentialing is an unwelcome distraction from providing quality care to their patients. (It doesn’t need to be!)
Today’s Patients Want to Use their Insurance
While many years ago, health professionals considered medical credentialing an option, today it has become more necessary than ever for providers to be “networked” with insurance companies, as more patients in the USA have health insurance than ever before, and because patients desire (even demand) to use their health insurance when seeking out health care services (in leu of out of pocket payment).
Insurance Plans are Covering more Services (Pre-existing conditions, Mental Health, etc.)
In addition, medical credentialing is becoming more important as health insurance plans are becoming broader in the scope of treatments that they cover. Mental Health / Behavioral Health parity, less restrictions on pre-existing conditions, and the coverage of supplement services such as physical therapy, massage therapy, acupuncture, and other holistic health services.
Insurance Panels are Getting Full and Closing!
Unfortunately, insurance panels (for providers) are becoming increasingly full — meaning the process of medical credentialing is becoming more difficult every day, as insurance companies close provider panels, and make the barrier for physicians, counselors, or any health professionals, higher and more difficult to climb.
Medical Credentialing Help
This website will provide helpful articles and tips for becoming credentialed with insurance panels. Alternately, if you’re looking for a medical credentialing service who can take the burden of credentialing off your plate, we can do that too. We’d love to talk with you about full-service medical credentialing that guarantees success. Please feel free to call us at 1-855-4-THRIVE (1-855-484-7483).
Sincerely,
Your Friends at Thriveworks
Thanks for the excellent work getting me onto insurance panels. I’ll be telling other counselors I know about your excellent service!
Janet, you’re so welcome! And congratulations for getting credentialed!!
I have been thinking about trying to get on panels, but colleagues have told me that the panels in my area are closed. Is your service able to help with that?
Hi Chris! That’s a great question. We find that many panels that people believe to be closed are not 100% closed, but are simply being very selective about who they are accepting. We have very good success at getting providers on excellent panels, even in areas that are “saturated” with health providers. Chris, we’d love to talk with you more about this–please feel free to call us a 1-855-4-THRIVE.
Warmly,
Your Friends ar Thriveworks Credentialing
Dr. Centore:
I continue to read your articles about insurance panels, ethics, and other related behavioral health matters. I hope that you or someone at Thriveworks will contact me at ##### to discuss how our clinic can move forward to become credentialed to provide CSP, InHome Therapy and Therapeutic Mentoring through the 5 panels we listed in our initial application. We now have a clearer understanding of level of licensure required that enable providers to deliver out-patient services. We are preparing this updated information that will be resubmitted as soon as we receive a response from Thriveworks.
We look forward to hearing from you and continuing the process,
Best regards,
Patricia
RMSC
Absolutely Patricia!
Do you do credentially for dental offices?
Sharon,
We can credentialing dentists, absolutely! Feel free to call us anytime at 1-855-4-THRIVE x-3!
I want to start a mobile x-ray services to patients in my communitry who do not have easy access to a traditional radiology or imaging centers. Can your service help someone like me get credentialling from major healthcare Insurance companies?
Yes, very possibly! We’d love to hear a bit more about what you’re hoping to accomplish. Would you like to call us at 1-855-4-THRIVE x-3?