6 Incredible Tips For Medical Credentialing Success - PowerPoint PPT Presentation

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6 Incredible Tips For Medical Credentialing Success


The best practices recognize that medical credentialing is urgent in healthy RCM. Here are the 6 fantastic tips for effective medical credentialing. – PowerPoint PPT presentation

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Title: 6 Incredible Tips For Medical Credentialing Success

  • www.capminds.com

  • The most successful practices recognize that
    medical credentialing is an important step in
    healthy revenue cycle management.
  • Regardless of whether you are adding another
    healthcare specialist or opening your practice,
    you have to begin the credentialing cycle earlier
    to keep away from possible issues.

1. Start Credentialing Earlier
  • Start your credentialing process earlier without
    making any delay.
  • Start the process with reference document
    collection, CVs, updated contact details
    records, and all other important paperwork.
  • As the medical credentialing process is lengthy,
    the chances are high that it may directly impact
    your cash flow and reimbursement.

2. Keep All Physician Information Up to Date
  • Without direct contact, dealing with
    credentialing or re-credentialing issues can take
    longer than it should.
  • So make sure your office manager or credentialing
    coordinator maintains complete, up-to-date
    contact information for every physician.

3. Assigning a Credentialing Coordinator 
  • Some may prefer to outsource their medical
    credentialing services and some may take care of
    them in-house.
  • It doesnt matter which one you prefer, but
    assigning a credentialing coordinator will help
    you to complete the entire process before
    deadlines and expirations.
  • He/she can send out timely reminders to ensure
    that nobodys credentialing expires.

4. Understand Your States Regulations
  • Your state may have its laws for physician
    credentialing, and it may have reciprocity
    agreements based on payer and other state
    credentialing organizations.
  • It means if you are registered with a payer in
    one state, the same payer can expedite your
    credentialing in another state.
  • You can look into getting professional medical
    credentialing services that can take care of the
    process for you.

5. Advanced Software For Monitoring
  • No need to depend on the administrative staff in
    tracking your compliance manually.
  • A Cloud-based billing software allows you to
    track your credentialing status easily from
    anywhere and at any time.
  • These platforms give you an option to set up
    alerts that inform you if any task is about to
    expire or is due in your RCM cycle.

6. Outsource Medical Credentialing services
  • While the medical credentialing process can be
    difficult to implement and maintain, you must get
    it right.
  • This will guarantee a successful RCM that
    maximizes your practice revenue.
  • Thats the reason most of the advanced healthcare
    organizations are started outsourcing their
    medical credentialing process to the best
    healthcare service provider like CapMinds.

  • Whether you need help with medical credentialing
    or your entire RCM process, CapMinds experienced
    billing professionals are available to help you

  • Read More About Medical Credentialing
  • _at_
  • CapMinds Blog

CapMinds Credentialing Services
  • Contact us
  • CapMinds Technologies
  • 42240 Mason Ridge Ct, Brambleton, VA 20148
  • 1 571.213.3245
  • info_at_capminds.com
  • https//www.capminds.com
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