For healthcare providers across the country, getting credentialed with insurance companies can be a daunting and arduous process. However, facility credentialing makes individual provider credentialing look like child’s play.
(Our credentialing specialists can help! Call us at 1-855-664-5154 .
Facility credentialing is the process by which a health plan (insurance company) evaluates and then approves a facility to be “in network” with the health plan, and a participating provider of specific healthcare services. Don’t confuse a “facility” with a “group practice.” A group practice has a different, and much simpler, credentialing process.
To complete the process, your facility must complete and submit a variety of forms including a facility credentialing application, as well as other documentation like the applicant’s education, experience, licensure, certifications, accreditation, and more.
To be credentialed as a facility, a healthcare organization will need to meet various and numerous standards, which often including a JCAHO certification, CARP certification, or an equivalent. The type of organizations eligible for facility credentialing often include:
A facility should begin the credentialing process at least 120 days prior to when they wish to accept 3rd party payments (that is, payment from insurance companies).
Guess what? You can avoid all of the headaches and the frustration that come with the credentialing process. How? You can hire a team of individuals who are experts when it comes to credentialing. Our credentialing specialists have the education, the training, the experience, and the knowledge needed to get you on insurance panels. They know exactly how to get the job done—you just have to let them do it! To hear more about our services, just give us a call at 1-855-664-5154 and we’ll be happy to answer any questions. We’re excited to hear from you and to assist you in the credentialing process.