WE OFFER CONTRACTING AND CREDENTIALING SERVICES TO

PHYSICIANS hospitalists chiropractors

Contracting Providers logo

40+ STATES  40+ YEARS OF EXP  |  400+ PROVIDERS

The High Costs of Provider Credentialing: What Makes it So Expensive and Time-Consuming?

If you’re a healthcare provider, you know that the process of credentialing can be both costly and time-consuming. But what makes it so expensive and cumbersome? In this blog post, we’ll take a closer look at the various factors that contribute to the high costs and long wait times associated with provider credentialing.

One of the main reasons provider credentialing is so expensive and time-consuming is the sheer number of organizations that need to approve your application. In addition to your state medical board, you’ll also need to get approval from insurance companies, hospitals, and other healthcare providers. This can take months or even years, depending on the complexity of your application.

If you are the provider, submitting the application may or may not take much of your time because it will all depend on the availability and completeness of the documents or requirements that you are to submit for credentialing. In another blog – we were able to provide you with a checklist of those needed documents to enable provider’s enrollment and credentialing. Bur credentialing as a process takes some time because of the need to complete the following tasks.

  • initiate background checks
  • collect and verify credentials, provider reputation ad case history
  • collect and review claims, privileging and board history
  • check sanctions with the Office of Inspector General (OIG)
  • begin primary source verification such as American Medical Association (AMA), medical boards and education history
  • present files to credentialing committees, executive committees and facilitate stakeholders
  • establish the delineation of privileges and provide an appointment letter

And unfortunately, this process has to be done every time a provider is credentialed and each facility will collect the same information. Each facility concerned would have its own way of doing it, creating redundancy and causing further delay in the whole process.

Why does it cost the provider so much? Slow credentialing costs providers, facilities, and the industry in general a lot of money. Lost income for the provider, less revenue for the individual facilities and an aggregate for the industry as a whole. Imagine how much better patient care could be if that wasted money was reallocated toward buying better equipment, hiring more providers, and opening more facilities. This could lower wait times, improve patient satisfaction, and ultimately lead to a quicker, more accurate diagnosis.

While there’s no easy solution to the high costs and long wait times associated with provider credentialing, there are a few steps you can take to make the process a little bit easier. First, make an effort to find a good provider credentialing company that can assist you in the whole process beginning from the application process until the renewal of your credentialing. Second, seriously work your way to complete all the required documents for submission to complete the enrollment process. And finally, be proactive and patient.

In spite of its many challenges, provider credentialing is a necessary process that helps ensure the safety and quality of healthcare. By understanding the factors that contribute to its high costs and long wait times, you can take steps to make the process a little bit easier on yourself.

We offer a variety of resources that can help you through the process. And if you have any questions, our Team of Experts is always happy to help. Reach out to us at 855-3676559. Be sure to regularly check our website for greater content.