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Medical credentialing, also known as the process used to evaluate the qualifications and practice history of a doctor, is a key factor in a medical professional’s career. Losing credentials or failing to get credentialed could not only affect a doctor’s reputation but could also carry serious financial consequences.
The Federal Practice Group understands how important it is for you to secure credentials in HMOs, PPOs, and other provider networks. If you have become or are in danger of becoming disaffiliated from a payor network, we encourage you to contact our firm as soon as possible. With over 100 years of combined experience, our team is well-equipped to handle your medical credentialing concerns.
THE PROFESSIONAL MEDICAL CREDENTIALING PROCESS
Credentialing plays a large role in a medical professional’s association with insurance companies and approval from the state they practice in. The process is designed to verify information about staff and physicians to ensure legitimacy and appropriate experience. Both private practices and hospitals will undergo medical credentialing to ensure that they meet the proper requirements. Medical credentialing can be a very extensive, time-consuming process depending on associated state laws and the applicant’s history.
The following factors will be carefully reviewed and verified in the process:
- Completion of residency programs
- Authentication of services
- Certified areas of specialty
HELPING YOU BUILD A SUCCESSFUL PRACTICE
Whether you are unsure of the process or want to appeal to a panel, we can assist you. The medical credentialing procedure can be a daunting task, especially in competitive areas with a large number of providers. For this reason, it is crucial that you have the best counsel on your side through each and every step.
While medical credentialing is essential to building a successful practice, we understand that this process can seem like an unwanted distraction from providing the care your patients need. Our team of attorneys is here to provide the counsel, support, and guidance you need for medical credentialing matters.
If you are ready to start the medical credentialing process or need further legal assistance, contact our professional legal staff today.