Guidelines for Ophthalmology Medical Billing & Coding
September 27, 2022
- Starting at as low as 2.95%
- 866-886-6130
- info@imedclaims.com
- Downers Grove, IL, USA
Your medical billing credentialing is considered the first step toward your medical practice making a mark in the healthcare sector. Without proper and accurate credentialing and enrollment, your healthcare practice is likely to suffer the adverse impacts that can get your practice sued as well. This is why it is high time you find a professional credentialing and enrollment company that not only takes care of all documentation but also provides you with a complete revenue cycle management system for medical billing and coding credentials.
This is why, we at I-Med Claims LLC, are offering medical practices a complete package when it comes to their credentialing in the revenue cycle process along with proper credentialing and enrollment consultancy for the best results. We have a number of billing and credentialing services available for various types of medical practices. For instance, if you are a psychologist looking for a credible credentialing service, our custom credentialing and billing specialist for psychologists would be highly affordable and cost-effective for you. This will eventually save you a lot of time & money and put you in a position of stability and peace of mind when it comes to focusing on patient care.
What does it take for one to be a qualified credentialing expert? Well, scientifically speaking, a person has to spend almost 10,000 hours doing a specific job to become an expert in that domain. This is why we, at I-Med Claims LLC, have some of the most experienced credentialing experts with us in the business. These veterans have spent the major part of their lives with medical billing and credentialing companies, providing both large-scale and small-scale medical providers and healthcare practices with credentialing and recredentialing services to make sure that these practices are serving patients without having to worry about the intricate and hefty documentation processes associated with credentialing and enrollment.
Our credentialing experts are always available for medical practices to provide 24/7 customer service support.
As a medical practice, your job is to look after the patients and let the experts handle all your documentation.
Our credentialing staff is trained to stay up-to-date with all credentialing rules and standards while working.
Our credentialing systems are designed in a manner to cover all your re-credentialing needs on time.
Our credentialing and billing consultants are available 24/7 to provide you with cost-effective credentialing services at highly affordable rates. So contact us without wasting any more time and see your medical practice growing in revenue collections instantly.
The first step is to gather all the background information necessary for the credentialing process.
The second step pertains to enrolling for CAQH by thorough profile maintenance and record keeping.
In the third step one prepares and rechecks all documentation before submitting them to payers.
The fourth step requires proper verification and communication with the concerned payer organization.
Once the applications are submitted, we prefer the credentialing system to be entirely transparent.
Lastly, we provide a dedicated customer representative to cater to your questions regarding the credentialing process.
Let’s take a look at the necessary requirements for proper credentialing of your practice. Although the essential requirements may vary based on the standards of insurance companies, the most typical ones are the following:
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Fundamentally, credentialing refers to the formal validation of a medical or healthcare provider in a specific private health plan and enabling the provider to get the approval to join the network. On the other hand, the act of enrollment refers to the process through which a provider requests participation in a health insurance network.
The standard duration to complete the credentialing process takes on average 90 to 120 days. However, if you hire credentialing experts from the billing sector, you can reduce the time frame to less than 90 days as well.
Privileging includes a health care facility, for instance, a hospital authorizing providers to practice specific kinds of medicine and carry out procedures accordingly on the premises of the facility. As opposed to this, the credentialing process involves regulating and checking the licenses and certificates of the medical providers. The goal here is to check whether the credentials are in good standing or not, and evaluate if the medical practitioner is licensed to practice in the health care facility.
A credentialed provider in the healthcare sector is someone who has been vetted by insurance companies or networks with all background information along with verification of the required credentials that enables the provider to offer a specific healthcare service in the industry.
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