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Provider Credentialing and Enrollment

Healthcare facilities are vulnerable to an abundance of liabilities and litigation, and your business success depends on mitigating these risks. While a competent legal team can overcome lawsuits, and medical malpractice insurance can help protect against claims of injury and medical negligence, your goal should be to avoid these risks in the first place. This is why provider credentialing and enrollment is so important. AllThings Must Have Consulting is proud to offer initial and ongoing provider credentialing as well as provider enrollment services. Continue reading to learn how we can help your practice thrive.

What Is Provider Credentialing?

Healthcare providers bear incredible responsibility when taking on customers. It is no secret that the healthcare industry is regulated by a variety of complex laws. As a business, you must make sure you are in line with these rules and regulations. You must also ensure your healthcare providers are in line.
Provider credentialing refers to the process of exploring and verifying the training, education, licensing, and proven skills of healthcare providers. It also involves investigating any legal issues they may have faced. In short, it is a key part of the hiring and onboarding process for healthcare facilities. It is also used by insurance companies to determine whether to accept a provider into their network. 
If you plan on expanding your business, whether that is by hiring new healthcare providers or joining new, larger networks, then provider credentialing is crucial.

What Is Provider Enrollment?

While credentialing is a crucial component of joining a new health insurance network as a provider, it is only a fraction of the enrollment process. The process also involves requesting participation, filling and submitting supporting documents, and negotiating and signing the contract. Provider enrollment is also important if you plan to join a public health plan, such as Medicare and Medicaid, and bill respective agencies directly.

Why Choose AllThings Must Have Consulting?

AllThings Must Have Consulting is an established business with over 10 years of experience working with health insurance companies, government agencies, and healthcare providers. Our success can be owed to our holistic approach to business. While some businesses are results-oriented and others are process-oriented, AllThings Must Have Consulting pays special attention to both. We focus on building efficient processes and strong foundations to achieve long-lasting, dependable results.
We work with you to make sure everyone is on the same page. We will schedule your weekly conference calls with a familiar face who knows your business and requirements. They will regularly update you on the goings-on and address any questions and concerns.

You don’t have to worry about paying for services you don’t need either. We don’t sell unnecessarily bundled packages. We tailor services to your practice so that you only pay for the services you need. Contact AllThings Must Have Consulting today to find out more. You are welcome to give us a call, shoot us an email, or write us through this website. We look forward to helping you fortify and expand your practice.