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Life without Health isn't Valuable

The Importance of Using a Medical Credentialing Service

General Article

We trust doctors with our lives, which is why it’s important that your doctor is properly trained and qualified, you do not only trust them with your life but the lives of your family. This is why it’s important for those who work in the medical industry to use various Medical Credentialing Services to allow them to ensure their doctors have the proper training, education, and licensees or any sort of certification needed. Physicians have been using credentialing services for hundreds of years; it’s the only reliable way of finding a good doctor. You can also use a credential service to find out if a doctor has a previous history of medical malpractice claims or use it to see if your doctor has a history of complaints or any license suspensions, this will make sure your patients have the most qualified doctors.

There are an estimated two-hundred and fifty thousand deaths a year contributed to medical error; this is why it’s important for people in the industry to use credentialing services. Many in the medical industry use electronic credentialing that can perform enhanced background checks, and view any past complaint or disciplinary action, and also provide a detailed history. Having the proper credentials is essential for medical professionals. Electronic credentialing is a lot more reliable and easier to keep track of than using paper documentation, these credentials are important, you’d never want your nurse to be authorized to perform services they’re not capable of. You also would never want to hire a physician whose license had expired, not doing a proper background check could have serious ramifications, not only harming the reputation of your practice but also it could lead to legal repercussions.

Most credentialing services partner with other hospitals and healthcare organizations to make sure their medical staff has the proper credentials. Using a credentialing service will provide information about the doctor’s state license, DEA license, Board Certification, making sure their malpractice insurance is current and providing a detailed history of their prior education and training. Obtaining the proper credentials can take months; hiring a medical staff without the proper credentials could cost you thousands of dollars. Insurance carriers do not reimburse medical providers unless their staff is properly certified making sure they have the correct credentials. No medical practice should employ doctors unless they’ve gone through a thorough credentialing process. If a practice allows their doctor to perform services before completing the credentialing process, the insurance provider will usually reimburse them once the process is complete. There is a time limit in which you can claim your reimbursement, using an electronic credentialing service in advance will save your medical practice thousands of dollars.

Imagine you went into the hospital to have the right side of your brain operated on and your surgeon accidentally operated on the left, leaving you paralyzed from the waist down. The worst thing is, the doctor is able to surrender their license in that state and escape any sort of disciplinary action, and now the doctor is free to practice medicine in any other state. The doctor will eventually face a malpractice suit in the state in which it occurred. Using a reliable credentialing service will provide you a detailed history of the doctor, and you will be able to see any past malpractice claims. Proper training is hugely important in the medical world, it’s essential to implement proper credentialing to ensure medical professionals hire only the finest doctors and nurses.