Uploaded on Jan 4, 2022
The credentialing and re-credentialing processes are significant elements of your health plan quality management program. The credentialing and re-credentialing processes serve to ensure that qualified professionals in your health plan provider network are capable of meeting the needs of those seeking and receiving services. Credentialing and re-credentialing is an ongoing evaluation process that ensures practitioners’ current competency by confirming individual practitioners’ training and ability in specific specialty areas. This level of review is designed to ensure that individual practitioners have demonstrated the necessary training, experience, qualifications, and ongoing competence for the services they deliver.
credentialing and recredentialing
INFO HUB SERVICES HAVE YOU INITIATED CREDENTIALING/ RE- CREDENTIALING FOR YOUR PRACTICE? Email Us : [email protected] Call Us: (888) 694-8634 Email Us : [email protected] 2 Call Us: (888) 694-8634 Have You Initiated Credentialing/ Re-credentialing For Your Practice? The credentialing and re-credentialing processes are significant elements of your health plan quality management program. The credentialing and re-credentialing processes serve to ensure that qualified professionals in your health plan provider network are capable of meeting the needs of those seeking and receiving services. Credentialing and re-credentialing is an ongoing evaluation process that ensures practitioners’ current competency by confirming individual practitioners’ training and ability in specific specialty areas. This level of review is designed to ensure that individual practitioners have demonstrated the necessary training, experience, qualifications, and ongoing competence for the services they deliver. Email Us : [email protected] Call Us: (888) 694-8634 3 THE APPLICATION PROCESS Accomplishing in-network status starts with an application. When applying, make sure you use the most recent version or copy of the insurance carrier’s application form. Using an out-of-date version can cause application delays, if not outright rejection. Also, make sure that all of the sections are filled out. Email Us : [email protected] 4 Call Us: (888) 694-8634 Why Credentialing/ Re-credentialing is Important? Many people, including those in the medical billing services industry, are unaware of the significance of credentialing. As a result, industry leaders have fought for the authority to improve competency standards for healthcare professionals by requiring provider disclosure and accurate recordkeeping. Read More @ https://bit.ly/3sEUGaa Email Us : [email protected] Call Us: (888) 694-8634 5 Outsourcing Credentialing and Re-credentialing Services Our healthcare consultants may assist with rapid and accurate credentialing or re-credentialing services as needed, in addition to all of the medical billing services, training, and support available at Info Hub. Outsourcing these services can help your in-house medical billing department reduce effort and speed up the certification process for new and existing providers. Email Us : [email protected] 6 Call Us: (888) 694-8634 Key Points ⊡ All licensed individual health care practitioners must be credentialed to participate in the Info Hub networks and see Info Hub members. ⊡ Info Hub adheres to industry standards for credentialing and re-credentialing of healthcare workers. ⊡ The National Committee on Quality Assurance (NCQA) and the Centers for Medicare & Medicaid Services (CMS) set credentialing standards (CMS). Email Us : [email protected] C7all Us: (888) 694-8634 About us Info Hub Services was founded in 2010, and is now one of the leading service providers of highly motivated, certified coders, and billers in the US medical billing industry. Contact Us: US Address: Info Hub,1280, Patterson Ter,Lake Mary. Florida 32747 India Address: Info Hub,Sf No 558/2, Udayampalyam Rd, Nava India, Coimbatore, Tamil Nadu 641028 Email Us : [email protected] C8all Us: (888) 694-8634
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