5 Benefits of Outsourcing Credentialing and Provider Enrollment Services

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5 Benefits of Outsourcing Credentialing and
Provider Enrollment Services
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• Generally speaking, third-party medical billing
  and coding companies play an integral role in
  provider credentialing services.
• Given how stringent some of the standards set by
  insurance companies and health plans can be, it
  goes without saying that small practices without
  an in-house team the size of larger healthcare
  providers are going to find it pretty challenging
  to handle the entire credentialing and enrollment
  process without a few errors.
• Fortunately, though, small medical practices
  dont need to dedicate a significant amount of
  their resources to hiring and educating new staff
  members outsourcing to a reputable service
  provider can make all the difference without
  disturbing any of your daily operations.

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The Credentialing Process and Its Importance

• Before we take a closer look at why small
  healthcare providers should consider outsourcing,
  lets take a moment to understand what actually
  happens during the credentialing process and why
  its so important.
• Put simply, credentialing is a relatively
  rigorous verification process for healthcare
  providers -systematically checking whether things
  like your qualifications, experience, and
  background are all in check so you can know for
  sure whether youll meet the various standards
  required by insurance carriers.
• Naturally, this is a fairly critical step in the
  wider enrollment process since it essentially
  allows providers to become in-network and offer
  any of their services to a much broader patient
  base.

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Why Outsource to PMN?

• So, for practice owners who recognize they may
  need the support of a company with over 20 years
  of experience aiding small medical practices
  whether its by handling their A/R days or by
  conducting monthly reports on your practices
  financial health come see why PMN would be a
  great option to partner with
• Expertise in Credentialing Services
• The team of professionals over at PMN fully
  understands how intricate things
  like physician credentialing, medical
  credentialing, and the overall enrollment process
  can be, so outsourcing to them gives you a great
  opportunity to leverage this level of expertise.

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2. Streamlined Enrollment Process

• Generally speaking, youll find that the whole
  enrollment and credentialing process is not only
  incredibly complex, but it can be quite
  time-consuming, too. PMN, on the other hand, is
  able to employ a much more efficient process
  thatll help you streamline credentialing and
  enrollment in general, ultimately leading to
  healthcare providers becoming in-network a lot
  more quickly.
• Of course, this kind of efficiency essentially
  means your practice is going to get access to
  various insurance plans much sooner not to
  mention how much easier itll be to provide
  affordable quality healthcare to more customers.

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3. Accurate Provider Data Management

• Any small medical practice looking to achieve
  some level of success needs to understand the
  importance of maintaining accurate provider data,
  and PMN plays a fantastic role in provider data
  management ensuring that all of your practices
  information is not only completely up-to-date but
  also always compliant with the various types of
  requirements that are imposed by health plans and
  insurance providers.
• Youll always want to make sure your practice is
  in good standing with these various different
  health plans, so bear in mind how crucial
  accurate data management is to conducting an
  all-around smooth contracting process.

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4. Increased Patient Referrals

• Its without a doubt that becoming an in-network
  provider opens a lot more doors to
  additional patient referrals, so while you allow
  PMN to handle the insurance credentialing
  process, all of the physicians at your small
  medical practice are able to prioritize the main
  strengths you have, i.e., delivering quality
  medical services all the while expanding your
  patient base.

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5. Compliance with Medicare Enrollment and
Insurance Carriers

• Its not particularly uncommon to find walking
  through all of the different intricacies involved
  in Medicare enrollment/dealing with various
  insurance carriers pretty daunting especially
  when youre a small practice that may not have
  much experience yet.
• With PMN, though, you dont need to worry
  theyll ensure that your practice is always
  staying compliant with the various Medicare
  enrollment requirements, as well as dealing with
  the different insurance carriers on your behalf.
• Obviously, this kind of compliance is going to
  simplify a lot of your administrative tasks, but
  its also going to help enhance the overall image
  of your practice and demonstrate that your
  practice can be trusted.