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What is Medical Credentialing
Feb 24, 2020
2 minutes

What is Medical Credentialing

The health care industry is motivated to provide the best medical care to thousands of patients visiting hospitals every day. These hospitals are equipped with the latest medical equipment to carry out various numbers of medical tests, have best of the outpatient facilities, enough beds for the critical patients, medicine counters, emergency care with the apt number of staff members, etc. Though these factors are necessary to maintain a hospital that offers all kinds of medical facilities; but without doctors, no hospital can become functional. Without doctors, there won’t be anyone to treat the patients visiting hospitals with different kinds of medical issues or health problems. It is, therefore, hospitals are obliged to hire doctors. This is where you need a medical provider credentialing company.

But what is medical credentialing?

Before hiring a doctor or physician hospitals prefer to verify their credentials. The process of credential verification is referred to as medical credentialing. The purpose of medical credentialing is to check the legitimacy of a doctor’s medical qualification. The medical qualification is established true only after reviewing educational qualifications, medical training, and skills, licensing and career history. It may also verify the doctor’s membership across various medical organizations (if any) and review the authorship of papers published by him/her in any medical journal. All of these factors contribute equally for creating a doctor who is an expert in his/her field.

Medical Credentialing for Various Specialties

Every medical specialty requires a different kind of knowledge and skill set. This means every doctor is trained to diagnose and treat a particular kind of health issue targeting a particular specialty. Therefore, we have dermatologists, oncologists, general physicians, anesthesiologists, etc. Considering this, hospitals outsource medical credentialing services from medical billing companies. It is the job of the medical billing companies to assign a team of experts who are familiar with all the major factors that are vital in performing the medical credentialing.

Advantage of Medical credentialing

Medical credentialing allows hospitals to hire the best doctor for all the specialties. It ensures that candidates applying for the posts of doctors in various specialties hold a medical degree from prominent institutes. They are highly trained and have a good career history proving their skills. It helps in verifying their eligibility to be part of acclaimed hospitals ensuring of high-quality medical services.

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