Tips to speed up Physician Credentialing

Are you struggling with healthcare credentialing and looking for a solution to fasten the process?

Medical credentialing is an essential yet important documentation that every physician must have. Although essential, this process can take a lot of time.

While every healthcare facility looks out for ways to ease its job. In this blog, we will cover tips to speed up physician credentialing.

However, before we understand the tips let us first understand the challenges faced by healthcare facilities during the credentialing process.

What are the challenges faced by healthcare facilities during Credentialing?

Credentialing is a daunting and time-consuming process that requires a lot of precision. Around 70% of healthcare fail to fill out the form correctly on the first attempt. Frequently these facilities fails to add certain information or add some outdated, or incomplete information. This failure and incomplete information can cause notable delays in credentialing.

The most overlooked data that physicians fail to add in their credentialing form are work history and current work status, hospital privileges, malpractice insurance, and attestations.

Most doctors in the U.S. have embraced medical credentialing services. These services help them process their credentialing documents without significant delay.

Before credentialing physicians must understand and follow their respective state’s credentialing regulations. Each state has different regulations for credentialing.

Several states in the USA have reciprocity regulations, which means that if a physician is credentialed in one state by a payer, their credentialing in another state by the same payer can be time-saving.

How can you speed up physician credentialing?

Speeding the credentialing process is a dream of every healthcare service provider. Here are a few tips that can help you to speed up physician credentialing, include:

  1. Do not delay in starting the process. Generally, a healthcare facility is aware of a new physician coming on board. Since you know about this new appointment make sure that you start the credentialing process as soon as your company selects them for the job.
  2. Make use of the latest technology to streamline the credentialing process and minimize any errors.
  3. While onboarding a new physician, ensure to set a series of hard deadlines related to the medical credentialing process. These hard deadlines ascertain that the credentialing process stays on track.
  4. Make sure that the newly appointed physician’s Curriculum Vitae (CV) is updated.
  5. Ensure that all the supporting documents are electronically accessible.
  6. Check with the medical credentialing laws as they tend to vary from state to state. Therefore it is important to check for updates and changes every year.
  7. Go through each payer’s application closely. About 85 percent of healthcare credentialing applications contain missing, outdated, and inaccurate information.


Generally, physician credentialing workload can deluge hospitals. The difficulty furthermore increases because the laws and regulations associated with credentialing frequently change and differ from one state to another. If a healthcare facility delays the credentialing, then the reimbursements can be delayed or denied.

To stay compliant and to continue helping your patients with the best care, contact ProLocums to learn about their trusted credentials verification platform. With ProLocum you can rest assured about the credentialing process.

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