Avoiding Common Mistakes during Physician Credentialing

Avoiding Common Mistakes during Physician Credentialing www.iPatientCare.com

Mistakes during the physician credentialing process can put you under serious consequences, such as 01

Financial losses

02

Delays in claim reimbursements

03

Fines or penalties

04

Exclusion from federally funded programs

05

Harm to patients & even more

Therefore, understanding the depth of the credentialing process and avoiding common mistakes is vital knowledge.

What is Physician credentialing ?

It is the process that validates physicians for delivering clinical care.

What goes under verification?

Education License to practice Experience of various organizations Certifications Affiliations Medical Training, etc.

What are some common physician credentialing mistakes made by physicians?

Applying to the wrong organization

Submitting outdated or expired credentials

Incomplete applications

Lack of communicat ion

Treating Patients before Credentialing

Not completing re-credentialing or revalidation

What are the common physician credentialing mistakes made by healthcare organizations?

Not conducting primary source verification

Relying on paper credentialing

Not having a system in place

Not performing regular audits

Physician credentialing is an important process for both the physician and the healthcare organization, therefore it should not be taken lightly.

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