Practitioner Credentialing Challenges

Practitioner Credentialing Challenges – Medical Credentialing Practitioner Credentialing: What Are the Biggest Challenges Facing Practitioner Self-Credentialing? The number one challenge that has always been and always will be is time. Attempting to manage your practice and jump through all the loops those insurance panels put you through can and will be a nightmare if you […]

Step-By-Step Process of Medical Credentialing

Step-By-Step Process of Medical Credentialing Medical Credentialing: Equipping Yourself For health care providers, medical credentialing is the process of getting networked with insurance companies (this is often described as “getting on insurance panels”). Medical credentialing is a popular term among health care providers these days, especially among counselors, chiropractors, and even massage therapists who, only […]

Can I Do It Myself? Challenges of Self-Credentialing (Updated)

Can I Do It Myself? Challenges of Self-Credentialing (Updated) What is the #1 Challenge of provider credentialing? Time. If a provider is trying to run their private practice and be credentialed at the same time, it can overwhelm them to the extent that they are missing deadlines for the applications, or missing appointments filling out […]

Will medical credentialing work when insurance panels are closed? (Updated)

Will medical credentialing work when insurance panels are closed? (Updated) Closed Panels in Medical Credentialing: A Dead End? From big cities to small towns, we receive many calls from healthcare providers who have contacted insurance companies, only to hear that insurance panels in their area are closed. Is this a final dead end? Not necessarily! […]

Medical Credentialing for Registered Nurse Practitioners

Medical Credentialing for Registered Nurse Practitioners As an RN, you have many options in regards to where you work, the type of patients you help, and whether you even want to go into practice for yourself. If you are interested in the latter, you already know the importance of being able to accept your patients’ […]

17 Reasons Why Insurance Claims Get Denied (Updated)

17 Reasons Why Insurance Claims Get Denied (Updated) Healthcare providers are busy enough without having to stress about insurance claims, which is why so many of them struggle to recoup all that they are owed. The rule of thumb is that your practice should reasonably expect to receive between 96% and 99% of all monies […]

How Much Does Medical Credentialing Cost?

How Much Does Medical Credentialing Cost? How much does medical credentialing cost? We take care of the full medical credentialing process for you—which means we accomplish the task of getting you networked with the insurance companies you desire. Our rates for medical credentialing are simple and affordable, as low as under $200 per panel. For this, our […]

How Long Must I Have My License Before I Can Be Credentialed? (Updated)

How Long Must I Have My License Before I Can Be Credentialed? (Updated) Provider Credentialing: How long must I have my license before I can be credentialed? The majority of the insurance panels will allow you to apply right after you received your license. But there are a few that want a year, two years, […]

Medical Credentialing for Certified Advanced Alcohol and Drug Counselors: Is It An Option?

Medical Credentialing for Certified Advanced Alcohol and Drug Counselors: Is It An Option? Question: Is it possible for a Master’s level Certified Advanced Alcohol and Drug Counselor to get on insurance panels? If not, is there any way for me to bill insurance within a private practice where others are licensed psychologists and social workers (i.e. […]

How Much Does Insurance Credentialing Cost? (Updated)

How Much Does Insurance Credentialing Cost? (Updated) If you are an individual provider exploring the possibility of insurance credentialing, there’s a good chance you’ve either recently decided to make the change from part-time to full-time clinical practice, or that you’ve recently set off to start your own practice. If this is the case, congratulations on making […]