All Posts in Category: Health Basics

Physician Credentialing Services

The Advantages of Using Physician Credentialing Services

When it comes to the medical world, medical credentialing has opened doors that were earlier not so helpful for medical providers. More and more patients opt for insurance and try to benefit themselves with reimbursement from the insurance companies. Thus, the medical practitioners can deliver their services to a number larger than ever.

Let us look at how physician credentialing can benefit the physicians searching for credentialing services and offer them privileges through an insurance company.

Assuring quality

Medical credentialing offers quality assurance in the healthcare industry. It’s a means of review for the medical field. In other words, it makes sure that the medical sector regularly provides quality standards to the patients.

To keep the prices down, insurance companies are attracted only towards well-off medical physicians. Also, they look at those who have shown the ability to showcase their specialties.

Physician Credentialing Services

Keep up patient’s safety

Credentialing helps to keep patients safe as it ensures continuous practices. It makes sure the physician has the skill, capability, and experience needed to perform procedures on their patients. This process helps reduce the chances of medical errors, usually caused due to incompetent providers.

When all this background is available, physician credentialing helps rebuild the lost trust between medical practices and the patients. Patients who are aware of their physicians’ merit and qualifications to be the chosen providers place their faith in their capabilities. 

Save losing revenues

Proper credentialing helps medical practitioners save thousands of dollars in revenue in the form of reimbursement. This is either denied or delayed. If there are errors in the process or receive improper attention to receive proper credentialing, it may lead to insurance companies failing to reimburse the medical bills for the treatment.

In scenarios where medical practice lets a physician give services before or between the credentialing process, the insurance company can advise the patient for the complete reimbursement to cover the expenses of the treatment.

Enhances your patient base

Physician credentialing gives medical practices access to those patient bases that were not earlier available to them. With this, they can accept patients covered under health insurance. Most Americans use health insurance plans.

As per 2019 data, 90.8% of people were covered under health insurance. This helps medical practices to raise their clients and significantly boosts their revenue.

Increase practice reputation

The number of patients researching healthcare practices and the physicians before choosing them has seen unprecedented growth. These include knowing their background or going through a patient’s review online.

One of the best ways to improve your online reputation is to undergo medical credentialing. While potential patients research your medical practice, looking at your credentials conveys that your practice is reputable, merited, and trusted.

Improves the hiring process

Physician Credentialing Services

If a physician is credentialing, they need to go through a full examination process that studies their educational background, residential history, work experience, and any other merit.

If your medical practice wants to hire a medical practitioner, who should be credentialed, this process helps verify whether they are capable enough to perform the given job tasks.

Conclusion

Though it is important to access the new patients, the medical credentialing process can be time-consuming and lengthy. To speed it up, learning how medical credentialing works will help you simplify all credentialing requirements. For more information, you can visit Medical Healthcare Solutions Inc.

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How the 2016 Election Could Impact Your Practice

How the 2016 Election Could Impact Your Practice

Sure, you may have a personal opinion on who should win the upcoming 2016 presidential election, but take a minute to think of the professional ramifications of the candidate who wins next week. A lot rides on the winner of the election, particularly when it comes to healthcare and how it affects your practice, whether you’re in the dental, surgical or medical industry. Healthcare is a hot-button issue with both candidates, and how they approach our national healthcare system will have far-reaching effects over the next four years and beyond.

Affordable Care Act: What Now?

The Affordable Care Act, implemented by current president Obama, and what happens to it after this election, lies uniquely in the hands of each candidate. If Hillary Clinton takes over, the act will stay largely intact, utilized as a basis for continuing the program. She wants to expand program coverage through the use of tax credits and reductions in out-of-pocket costs, plus she wants to include uninsured families no matter what their immigration status may be. Should Donald Trump be elected, he will ask Congress to repeal the Affordable Care Act, replacing it with new proposals that focus on free-market competition to keep costs down. He wants to get rid of governmental mandates that say every person must purchase health insurance or face fees. He also wants to allow inter-state competition among health insurance companies, provided their plans comply with each state’s regulations.

Impacts on Medicaid

This is another area of concern for many people across the country. Hillary Clinton wants to continue to allow states that request Medicaid expansion to get a total match for the first three years. Expanding Medicaid, in her view, would bring about full coverage for the ones who need it most. Donald Trump wants to enlist block-grant funding for Medicaid, meaning appropriate funding would be doled out to each state, with each state then deciding how best to spend that amount based on the needs of their residents. The aim is to cut down on federal involvement, boosting the power of each state instead and thus reducing corruption of the system.

Pharmaceutical Prices

With the cost of prescription drugs constantly on the rise, many people simply cannot afford the drugs they need to get well and stay well. Clinton wants to crack down on pharmaceutical companies for hiking up their rising prices, instead rewarding them for research investment, promising to lower the cost of prescription drugs for middle-class families and senior citizens. Trump plans to reduce pharmaceutical costs through a free-market approach by removing barriers to entry into free markets and giving people better and easier access to lower-cost imported drugs from overseas.

Medical professionals know all too well how fast the industry is changing. It practically takes a PhD just to keep up with them all! The vote you cast on November 8 will impact your healthcare practice now and in the future, so vote wisely. Take the time to research each candidate’s position, making a bullet list of each factor that you feel would most impact your practice. Good luck and get out and vote next week!

Contact Medical Healthcare Solutions

For more information on what we offer to make your healthcare practice easier to operate, contact us today or fill out our convenient online form. We apply the latest medical billing technology in order to meet and exceed even your most challenging medical billing needs, from electronic health records and practice management services to ASC Revenue Cycle Management services. If you have questions on further ways the 2016 election will impact your practice, give us a call.

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