Medical Credentialing Service – Know The Purpose, Timelines, & Tips To Expedite

It is common knowledge that providers despise paperwork. However, digital credentialing for medical licenses cannot be avoided in this case. By confirming a provider's education and experience, credentialing safeguards the patient. You can speed up the process if you are ready. ProLocums has a few suggestions for helping the process move forward. Before that, let's examine its nature and the reasons for its lengthy duration.

What is credentialing?

Before a healthcare professional is granted permission to work at a facility, their professional records must be verified through digital credentialing for medical licenses. Credentialing serves many purposes:

  1. It demonstrates your abilities.

Medical credentialing service is used by businesses to make sure that a healthcare professional has the legal right to practice. The credentialing process provides a safety net to prevent unqualified practitioners from working at a facility, although the majority of providers have excellent reputations.

  1. Patients feel more secure

The procedure also looks at a practitioner's experience and skills to see if they meet the legal requirements to practice medicine. This helps lower the likelihood of medical mistakes made by providers who aren't as skilled. Patients want to be able to trust their medical professionals. Maintaining high safety standards in the medical field necessitates credentialing.

  1. It aids in your payment.

Before a practitioner can interact with patients, private health insurance companies, Medicare, and Medicaid require proof of medical credentialing. Medical procedures will not be reimbursed by these organizations until digital credentialing for medical licenses is complete. Hospitals can't pay you unless they have this billing system.

You will need to complete the credentialing process whether you are hired for a permanent position or working shifts as a locum tenens.

Medical Credentialing Service - Time Duration And Planning

Each office is unique, so timetables to finish the credentialing system can differ extraordinarily. Credentialing can be completed in as little as a few weeks at some facilities. Different offices can require as long as 180 days. The accreditation, requirements, and bylaws of an organization, among other things, influence the credentialing timeline.

Keeping credentialing deadlines in mind is critical when working on locum tenens assignments. For instance, if you want to be ready for the fun of summer, you should probably start getting credentials by Christmas.

Here are some approximate credentialing timeframes, arranged from shortest credential to longest credential, to give you an idea of how long it can take:

Locum positionTime to credential
Emergency physician4-6 weeks
Anesthesiologist30-60 days
CRNA30-60 days
Hospitalist APP45-90 days
Nocturnist NP6-9 months

Helpful Hacks For Navigating Paperwork For Medical Credentialing Service

You can't speed up approvals or make the application shorter unless you can change the time. However, you can control some things.

  1. Prepare a response list of readily available references.

Be ready to list four expert references who can confirm your work insight, work propensities, character, and abilities. Inform your references that they can anticipate receiving an email or phone call asking them to be a reference for you. It might take days or even weeks!

  1. When requesting paperwork, be prompt.

Contact medical credentialing services regularly. To avoid delaying your start date, send any required paperwork and documents as soon as possible. The credentialing process will frequently halt while waiting for your response to requests.

  1. Emergency medicine requirements

The majority of facilities will require BLS (Basic Life Support), ACLS (Advanced Cardiac Life Support), ATLS (Advanced Trauma Life Support), and PALS (Pediatric Advanced Life Support) if you work in emergency medicine. ATLS and ACLS are the most common certifications, but not all facilities will require them. The requirements for a certificate vary by facility and specialty. In the Midwest, emergency medicine doctors and Advanced Practitioners must be certified in ATLS. CALS, or Comprehensive Advanced Life Support, is used in place of it in some states.

  1. Malpractice requirements

It is the act of causing harm to a patient by a healthcare professional. This can be the aftereffect of carelessness or ineptitude. Misdiagnosis and errors in surgical procedures and prescription drugs are two of the most typical forms of malpractice. Any claims made against a service provider must be known to facilities.

Malpractice information will be included in Certificates of Insurance (COI). All COIs should be kept for at least ten years. If you have ever filed a malpractice claim, some facilities may go back ten years, but most facilities will only go back five years. The information about residency malpractice coverage and other post-graduate malpractice coverage should be included for recent graduates.

  1. Continuing Medical Education (CME)

Providers benefit from continuing medical education to keep up with advancements in their field and maintain professional competency. The last two years' worth of CMEs will be requested by facilities. The best way to keep track of this information is to use an online tracker. You can send your transcript or all of your CME certificates, which is better. CMEs are not required for new graduates until two years after graduation.

Medical Credentialing Service With Prolocums

The ProLocums team works with our partner providers to streamline the credentialing process. They coordinate the provider's and facility's entire credentialing, including the initial paperwork and repeat appointments. Although obtaining credentials is never a pleasant process, our knowledgeable staff is responsive and dedicated to ensuring your success and expediting your digital credentialing for medical licenses.

We know how difficult and time-consuming it is to keep track of credentials, so our team will gladly walk you through the process step by step so you don't have to worry.

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