Get credentialed quickly and efficiently with our expert team. Focus on patients, not paperwork.
A healthcare practice is only as strong as its weakest link. In addition to ensuring excellent patient care, it is crucial to thoroughly review the credentials of healthcare providers. Credentialing services validate healthcare professionals, providing assurance that insurance companies, hospitals, and healthcare organizations are in good standing. When we verify healthcare professionals’ credentials, we interact with credentialing services. Proper credentialing ensures patient safety within the medical village and helps us comply with various healthcare regulations.
You can obtain healthcare credentials by joining expert or professional associations, graduating from an accredited medical school, completing an internship or residency program, passing a licensure exam like the USMLE, successfully completing fellowship training, and undergoing peer review.
Credentialing verifies healthcare providers qualifications and backgrounds before permitting them to provide any medical services to patients. This guide will delve into the importance, process, and benefits of credentialing services.
Credentialing is the process of ensuring that a health professional has the required credentials by verifying such details as proof of education and training, licensure, work experience, training and fellowship completion, and board certification.
Credentialing is crucial for several reasons:
Quality Assurance: Ensures that healthcare providers meet the required standards of practice.
Patient Safety: Protects patients by verifying the competency of providers.
Regulatory Compliance: Meets legal and accreditation requirements, avoiding penalties and maintaining good standing with regulatory bodies.
TymMed Solutions simplifies the credentialing process for you. Here’s what you can anticipate when working with us:
1. Initial Consultation: During this initial consultation, we scope out your unique needs and credentialing requirements, including what types of providers you need credentialed (MDs, DOLs, hospitals), the different insurance networks you’d like to join, and other state-specific requirements.
2. Application Gathering and Review: Our team will work with you to collect all of the submitted documentation. For each provider, we need copies of their licenses, certifications, resumes, CVs, and malpractice insurance information. We will then thoroughly review all of the documentation for its completeness and authenticity.
3. Application submission and tracking: We send your application electronically to every insurance company you are applying with, as well as to every hospital. We will monitor each application’s progress to ensure prompt processing.
4. Communication and follow-up: As discrepancies and missing information arise, we communicate with the insurance company and/or hospital regarding any discrepancies and missing information as they arise and keep you informed of the process.
5. Credentialing Completion and Ongoing Support: Upon approval of your credentials, we will furnish you with all the necessary information to commence your journey. We can also continue to assist you by maintaining your credentials and helping you through any re-credentialing requirements.
Reduce time and effort: Put your energy and resources in the right place. Let our team handle the lengthy, laborious effort of credentialing.
Improved efficiency: Our streamlined approach ensures a faster and more efficient credentialing experience.
Increased Accuracy: Our thorough document review reduces the likelihood of disputes or errors.
Enhanced Communication: Stay informed throughout the process with our proactive communication and progress updates.
Peace of Mind: Rest easy knowing that experienced professionals are handling your credentialing needs.
while TymMed Solutions takes care of your credentialing requirements. Contact us today to discuss your specific needs and get started!