he prime motive of every physician is to provide un-compromised medical services to his/her patients. It is based on the quality of the services that patients decide whether to visit the same physician or change for good.

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2. The prime motive of every physician is to provide un-compromised medical services to his/her
patients.
It is based on the quality of the services that patients decide whether to visit the same physician or
change for good.
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3. • Only a well-trained and experienced physician can render
high-quality services and to attest his/her merit, provider
credentialing is necessary.
• Physician credentialing is a process through which
Providers are validated for their educational qualification,
certification, work history, and conduct.
• It is done every time a medical practitioner joins a
hospital. Also, re-credentialing is performed each year.
• There is yet another process called privileging through
which a physician is authorized to render a certain scope
of clinical service based on his/her credentials.
• All these processes are complicated and consume too
much time, affecting the normal functioning of medical
billing companies and their revenue cycle.
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4. • It is highly essential that the data entered in a
medical billing company’s provider credentialing
system matches the data entered into the Payer’s
credentialing system.
• If there is a mismatch, the revenue will
eventually get affected.
• Therefore, do a thorough check on the
Provider’s background information before
entering into the physician credentialing
system.
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5. • Documenting Provider information is essential and real-
time data is the best bet.
• To enable it, medical billing companies should integrate
their systems with a cloud-based platform for efficient
provider credentialing.
• This way, documenting, accessing, and sharing data will be
easier.
• Constant reviewing and updating data into the cloud
systems is crucial to avoid errors during submission.
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6. • As physician credentialing is a time-consuming
process, traditional data systems will only delay
it further.
• Using high-end automated systems can really
enhance the process.
• These systems automate critical credentialing
tasks to send reminders and requests for timely
submission of applications or reviewing of red
flags.
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7. • It is a good practice to keep tabs on insurance
companies once the provider credentialing process
starts.
• By staying in the loop and following up on regular
time intervals will let you know the status of the
application as well as hasten the process.
• Meeting every Payer’s individual set of rules and
regulations is essential.
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8. • Implementing best practices will improve the
physician credentialing process. One of them is
tracking and reporting.
• Keeping a track on the provider enrollment days,
department & provider processing times, and
multiple payers’ rules set is essential.
• The staff must submit weekly or monthly reports
with the tracked data to the higher authorities for
review.
• Necessary steps should be taken if there are areas
of improvement.
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9. • Most medical billing companies are preoccupied with
major medical billing functions, overlooking provider
credentialing. Therefore, they lack the aforementioned
streamlining properties.
• In that case, outsourcing would be the best
bet. Offshore medical billing companies are equipped
with high-end data systems and cloud-based software
to enhance the physician credentialing process.
• They also come with experienced professionals who
are adept in rendering error-free credentialing.
• Last but not least, they ensure faster turn-around
times and better revenue generation at low costs.
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10. 10
 If you are on the lookout for a good offshore medical billing
company, then choose e-care India.
 This experienced vendor has been serving exceptional medical
billing services including quality provider credentialing
services for more than 18 years.
 It prepares, maintains, and monitors Managed Care summaries.
 E-care resolves enrollment issues and track Managed Care
contracts more effectively than the other leading offshore
companies in the industry.
 To know more about e-care and its services, log on
to www.ecareindia.com.
www.ecareindia.com

11. Phone:
813-666-0028
Email:
info@ecareindia.com
Website:
www.ecareindia.com