Best Medical Billing And Revenue Service -Medicare Credentialing - Practice Management


Best Medical Billing and Revenue Service -Medicare Credentialing - Practice Management

Maximized Revenue is an innovative Dental, Medical Billing, Practice Management & Consulting Company dedicated to providing Dental Claims Resolution. If you’re planning to Save Time and Money, consider Practice Management for your Dental Billing Service. Practice Management is a leading provider of Dental Billing Services. We focus on maximizing your revenue and reducing payment delays using advanced compliant techniques.

Medicare Credentialing is the single most important task necessary to keep cash flowing for new, changing and growing practices.

Creating a patient financial policy can be a nightmare. For each rule, there seems to be an exception, and keeping everything in mind when creating terms is almost impossible. The best approach to creating a workable patient financial policy is considering the complexity of the patient population.  Learn about four distinct groups of patients and their unique needs when it comes to making payments.

Hospital credentialing is the most intensive credentialing process for medical providers, repeated more frequently than other credentialing standards and involving more organization contacts and supporting documents. The amount of staff time and the expense of researching every medical provider can be heavy, draining resources from other administrative functions, and requiring experienced staff and access to research resources. Yet hospitals have been slower than other medical organizations to outsource the credentialing process, despite potential benefits: faster turnaround time, cost-effectiveness, and savings in staff time and training.



Hospital credentialing covers the most detailed questions of any credentialing standard, from medical school through the provider's complete career. The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) creates manuals outlining the credentialing processes for all different medical providers within an institution. The proscribed areas have to be verified in ways that meet JCAHO standards. This entails direct contact with organizations associated with the provider, as well as receiving copies of all certificates and licenses.

Most hospitals still do credentialing verification internally. If they have full access to information resources and available money and man hours to dedicate staff, as well as having experienced personnel to do it, then in-house credentialing can be as fast and thorough as outsourcing it. Most hospitals do not have those resources or need to assign those resources elsewhere. Moreover, hospitals bear the liability of any mistakes or oversights made during the credentialing process, and those mistakes can affect the results of future audits, resulting in reprimands or penalties.

Credentialing verification organizations (CVO) allow hospitals to outsource the credentialing process for all medical providers, such as physicians, respiratory therapists, X-ray technicians, nurses, and mental health specialists. CVOs dedicate resources and training to credentialing, meaning personnel have experience, comply with appropriate standards, and have access to verification resources. Hospitals can better utilize their staff and finances, while lowering hospital liability for mistakes. Additionally, CVOs can offer support services in addition to credentialing which can make managing audits, renewing licenses, and other processes more efficient.


Keywords: medicare credentialing,dental billing services


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