What is Credentialing
Credentialing is an essential part of becoming a trusted healthcare provider by the endless list of insurance company venders out there in the marketplace. Given that credentialing is a precursor to contracting, it can be incredibly important given many patients refuse to visit a physician not in their insurer’s network.
Credentialing, also called primary source verification, is an intensive process whereby the insurance company conducts a background check on the physician. They verify the healthcare provider’s education, competencies and legal authorization to practice medicine.
If a physician you want to hire is from a different state, Medicus Management will get your physician credentialed with your home state medical board. If your practice does not have an in-house biller and collector, Medicus Management offers a service where we bill and collect payments from insurance companies for you. For additional details, please contact us to schedule a consultation.
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