Physician credentialing is important to build a patient network.

No matter what specialty and caliber you have, in order to gain a good patient volume you need to be listed on the insurance panels.

Healthcare insurances will only refer their patients to you if you are one of their participating or in-network medical provider.

You revenue cycle depends on physician credentialing.

Patients are the most basic need of a your medical practice so to make sure that you are not losing a single patient you should get into every insurance plan that is available in your area.

In simple words, it’s all about your cash-flows, if you have an existing medical practice or planning to start one, you should be well aware that all your plans run around cash-flows, which is dependent on proper provider enrollment process execution.

Right provider credentialing services enables you to accept more patients.

Provider credentialing with insurance payers is the first step to generate continues & healthy cash-flows.

Provider Credentialing ensures that you accept all the patients.

You will not have to say “NO” to any patient as you don’t accept that healthcare insurance they have.

In-network contracting helps you build strong brand.

Provider credentialing paves your way to payer network contracting, which means you will be get patients from other physicians from same network, this helps strengthen the relationship and build reputation with other providers & more patients.

Payer in-network contracting ensures more revenue for in-network providers Insurance credentialing has direct impact on your business plan.

If you will not get yourself or new hires credentialed in timely fashion, you will not be able to bill the insurance payers.

It may push you to plan cash arrangements from other resources.

While creating your medical practice business plan, always keep in mind the time it will take to get your in-network reimbursements for patients treated by newly credentialed providers.

Outsourcing physician credentialing process to right company can help you make best estimate.

Further you should also consider from what date newly hired medical providers can start seeing patients as if you will start billing for their patients on a future date, You need to know the cutoff date from where the payer can cover your past bills.

Commercial plan contracts do not have any retroactive billing provisions, so you will only be able to receive full reimbursement after your effective date.