Dermatologist Credentialing Services for your Independent Practice

One of the most important decisions that a dermatologist can make is choosing who will perform his or her procedures. When considering which elective surgery or treatment a patient will undergo, it’s important for the physician to take time to ensure that they select individuals well suited for the job. Dermatology is a rapidly growing field, but it still has a lot of fundamental elements that make it unique. For example, every year thousands of patients are diagnosed with conditions ranging from simple dry skin to serious skin conditions such as acne rosacea and psoriasis. Because of the increasing need for qualified physicians, today’s market is filled with numerous cosmetic clinics that offer these types of services. The selection process for selecting a good provider can be overwhelming for many individuals, and this is why it’s important to look at dermatologist credentials before deciding which practitioner to bring in to do your treatment. It is recommended that patients familiarize themselves with all of the steps involved in the credentialing process. A Dermatologist Credentialing Services professional will have specific information regarding the process that will help you make a more informed decision about who will provide you with excellent care.

Credentialing Process

• The Background control and drug screening is crucial to the authorization procedure.

• All documents requested are maintained and transmitted to customers’ premises with a safe system at a secure registered office.

• The maintenance of the files includes updating and adding proof of ongoing educational credits as they’re accumulated regularly with current certificates and licenses.

• In addition to updating each client facility with the most recent paperwork for each licensed provider, processes are taken to fulfil the accrediting body’s credential standards. Surgical institutions typically choose one of a number of national accreditation agencies. This includes the Association for Accrediting Ambulatory Health Care (AAAHC), the United States Ambulatory Surgical Accreditation Association (AAASF) and the Joint Committee. Each organization must satisfy and manage its own distinct supplier credentials.

Why it is important

First, it is important to understand that all Dermatologist Credentialing Services professionals are required to obtain special board certifications. Each state will have a list of certified service providers available. When looking for a competent professional, it is recommended that patients check out the entire list of board certifications in order to find the one that best fits your needs. By doing so, you’ll be able to spend more time researching individual Dermatologist Credentialing Services in your area.

Requirements for credentialing

• Complete and current CV

• Medical education diploma

• ECFMG certificate

• Board certificate(s)

• Training certificates (internship, residency, fellowship, etc)

• State License(s)

• DEA certificate

• Certificate of Insurance (“COI”) for your current malpractice coverage

Our service includes managed-care/Medicare/Medicaid provider registration

• Financial reporting in great detail

• Administration by a third party

• Follow-up and management of claims

• We are HIPPA compliant in every way.

• Ensure that third-party claim management is of the highest quality.

• Our service includes physician credentialing.

• Development of remuneration for your specific geographic location

• Integration of technology

• Receivables Management \Coding

• Billing

• Relationships with payers

Our dermatology knowledge covers, but is not limited to:

• Dermatology (Medical)

• Dermatology Surgical

• Dermatology in Children

• Dermatology for Cosmetics

• Dermato-immunology

• Photo medicine is a type of medicine that uses light (Phototherapy & Photopheresis)

• Relationships with patients

• Collections

• Reporting to clients (detailed monthly custom financial reporting to your exact specification)

• Our service includes Medicare credentialing.

• Comprehensive Health-Care Management is a term used to describe the management of one’s

Benefits of credentialing

Following are the benefits of credentialing.

• Specialized type of credentialing for all 50 states

• To help you through the paperwork, we’ve assembled a team of professionals.

• Cost Saving so you and your team can focus on what you do best: caring for your patients!

• Within 24 hours, you will receive an update on your credentialing progress

• Let us handle the paperwork so you don’t have to.

• Assistance with panel closure appeal

• Enrollment in major medical providers; group and individual Medicare and Medicaid registrations

• Third-party payments arrive significantly more quickly.

• team of medical credentialing

Other Advantages of Credentialing

The organization can’t bill for a professional’s services unless that professional has gone through the credentialing procedure and been approved by all payers. Because delivering services that cannot be paid is not practicable or viable for the business, medical provider certification becomes a core responsibility.

The credentialing process guarantees that the provider fulfills the organization’s and payers’ criteria, allowing risk factors to be identified early and poor consequences to be avoided. As a result, credentialing increases patient trust in their physician and healthcare organization, safeguards hospital revenues, reduces the danger of potential loss, and improves the practice’s overall reputation.

Although credentialing takes time, delaying new provider onboarding and needing facility resources to process and assist, the advantages always outweigh the risks.

FAQ's

What steps must be taken to complete credentialing?

(1) You must thoroughly fill out the application. A representative from the House of Outsourcing will contact you if you do not complete the application completely or if extra information is requested. We will not be able to process your application until you respond to those demands as quickly as feasible. (2) The “main source” is cross-checked with particular data points by House of Outsourcing. This includes the state licensing board, as well as your professional training and education. (3) After the source verification, your application is presented to a committee of your peers, who will assess whether you fit our requirements. (4) If your application is accepted, you will get a welcome packet as well as instructions in the mail.

How long will it take you to process my application?

House of Outsourcing strives to have credentialing applications completed in 60 days or fewer. If you submit an incomplete application or do not include specified attachments with your application, it may take longer.

When is it necessary to re-credential providers?

Beginning with the date of their initial credentialing, providers must renew their credentials every three years (unless their state has other requirements). A provider must pass re-credentialing in order to remain a participating provider.

What happens throughout the process of re-credentialing?

You will be alerted for re-credentialing after around two and a half years on the network. The notification will include your specialty-specific instructions. If your application is on CAQH and is kept up to current, you may not even need to take any action at the time of re-credentialing.

What if either my first participation application or my re-credentialing application is rejected by the Credentialing Committee?

You may be offered the chance to provide further information and file an appeal depending on the reasons for the committee’s decision. Your rights as well as the deadlines you must follow will be explained in your denial or termination letter.

Can I apply for a state license in the state where I work?

Yes. All of the state-mandated application guidelines are followed by House Of Outsourcing.

What is a National Provider Identification Number (NPI) and how can I obtain one?

National Provider Identification (NPI) is an acronym for National Provider Identification (NPI). If you have questions about how to get an NPI, you should contact your state licensing board.

Is it required that I have a Medicare number in order to work with House of Outsourcing Care Solutions, LLC?

You’ll need a Medicare number if you’re intending to deliver services to Medicare recipients. House Of Outsourcing prefers that you have one in order to be eligible for all health insurance plans. To use any of their products, certain health plans need you to obtain this number.

What is a CV, and why is it necessary?

Curriculum vitae are the abbreviation for curriculum vitae. It comprises a summary of your school background, employment history, professional license, and any other particular training you’ve acquired, comparable to a resume. The House of Outsourcing does not ask you to submit a CV. Fill out the application questions instead.

According to a letter I got, my credentialing application was declined owing to a lack of information. So, what should I do now?

You must adhere to the given directions. Please contact the individual who made the request if you have any questions. Please respond as soon as possible to these requirements so that House of Outsourcing can continue to process your application.

Why do I have to submit you the same information every time I need to re-credential?

If you have a CAQH application and have kept it up to date, House of Outsourcing will obtain the information. If you haven’t already done so, you must fill out a CAQH application. You must keep your records up to date once you have finished the application. You must also submit a second “group” credentialing application if your clinic is accredited as an organization.

I'm not sure why my network access was denied (or cancelled).

You should have a name and a phone number on the letter where you can acquire further information.