Medical credentialing

What Is Medical Credentialing, and Why Is It Important?

Medical Credentialing  is the process that refers to the quality check of all the medical professionals by hospitals, insurance companies, and related authorities. It is of fundamental importance for the betterment of both patients and society. It has been seen that many times some fake disguised medical professionals dupe a lot of people, and only due to their so-called treatments, patients suffer a lot in the near future. So, keeping all these aspects in mind, here are the reasons why Medical Credentialing is important: – 

 

1- A healthy bond between patient and medical professional 

In the medicine field, trust is of utmost priority, and medical credentialing helps preserve and grow this trust. If the patient knows that their doctor is well educated, well experienced, and has all the qualities needed to be a doctor, he will trust the medical professional more. He will also not hesitate in telling the real problems to his doctor because he believes in him. Most of the patients are shy, and they fear disclosing their private medical conditions to a less trusted doctor, so their treatment can be affected. That’s why hospitals are recommended to maintain physician credentialing  for better treatment prospects.  

 

2- Prevent revenue losses 

Most hospitals and medical professionals’ partner with insurance companies for their medical office bills. Insurance companies go through a medical credentialing process to get that insurance done. If the medical professionals do not go through this process, they will incur huge financial losses. So that’s why  physician credentialing  is recommended for getting medical office reimbursement bills from insurance companies. 

 

3- Reduced Medical Errors 

There are approximately 98,000 reported cases of medical errors only in the United States. Actual unreported cases maybe even more in number. These errors occur only due to negligence and ignorance by the medical professionals. If they had gone through a proper physician credentialing and provider credentialing  process, their standard of operating the patients would be at par, and these silly mistakes would not have been reported. These mistakes cost life to many patients, and these can be avoided in the future by proper credentialing service. Because timely check and balance control the fall in the standards of medical professionals as well, which is a necessity in medical science. 

 

4- Improves the practitioner’s business 

Every single patient wants a professional and capable doctor or medical professional. They always look for a doctor who has established business and has some set of standards on which he stands. If the doctor has gone through medical credentialing, then surely he has some expertise and experience. And due to this, people will visit his office rather than go to an unrecognized doctor. So ultimately, the business of the doctors and medical professionals booms if they get through a good credentialing service or provider credentialing.   

 

5- Protects the healthcare professionals from lawsuits 

To err is human, and this applies to doctors and medical professionals. When the medical professionals get medical provider credentialing, even if they commit an unwanted mistake or some error, it is believed that it was not his intention, and it happened in an accident. So the lawsuit against a recognized professional who has passed the physician credentialing process will be of small weight. But if the medical professional or doctor is unrecognized and has never been through the medical credentialing process, and somehow he made some mistakes in doing surgery or giving some medicines, he will have to face dire consequences. The case and lawsuit against him will be very strong, and he will ultimately suffer a lot. So it is always recommended to get medical credentialing through some good credentialing service. 

 

6- Streamlined hiring process of doctors made easy by credentialing 

There are many talented doctors available in the country, and every one of them has the capacity and capability to treat the patients. But the hospital administration has a limited number of vacancies for doctors. So they have to choose the best out of best, and that’s why they select and give preference to those medical professionals who have passed the physician credentialing process through a trusted credentialing service. It saves both time and money for the hospital administration. When hospitals are forced to reduce their cost of hospitalization and medicines, this amount of saved money will help them a lot, and time matters a lot in the medical field, every second can change the condition of the patient.  

 

7- Credentialing is necessary for future evaluation as well 

In medicine, it is always said that doctors are practicing. They are never fully satisfied with the current study of the complex human body. To maintain the set of standards, credentialing is very useful. It is used to check whether the medical professional has improved over time or has depreciated himself in the field. Suppose a doctor passes the physician credentialing process from time to time, which means that his determination to serve the patient is intrinsic. He is still growing his knowledge, but if a medical professional who has passed the medical provider credentialing earlier but now has failed, he is no longer capable of treating the patients in the required way. So Credentialing helps a lot in understanding how the doctor is improving himself. 

 

8- To sustain the medical sciences 

It should not be forgotten that medical science is for treating and curing people. It is for maintaining the public order in medicine and not merely for the financial benefits. To sustain the medical sciences, it is essential to keep standards for its researchers and students. Doctors are also included in the list of researchers. If they are not capable accordingly, they will not play their role in improving the medical sciences but only demolish the basic pillars on which medical sciences stand. It should be the utmost priority of the hospital administration and the medical professionals like nurses, doctors, surgeons to go through the medical credentialing process themselves with the help of a trusted credentialing service because it is ethical and morally correct. 

 

So, these are some of the important things about going through the medical credentialing process. One more thing to note is to go through the credentialing process. Medical professionals should always hire good physician credentialing services, provider credentialing services, and medical credentialing services. So that the credentialing is up to some standards and is not merely formalities.