Frequently Asked Questions about Provider Enrollment, Credentialing, and Primary Source Verification
How much do Provider Credentialing Services from Medusind cost?
Provider credentialing services from Medusind are extremely affordable and competitively priced. There is an a la carte fee based on a per provider rate that also takes into account the number of insurance carriers with which a provider is contracted. Or, based on your organization’s needs, credentialing services can be bundled into a revenue cycle management rate.
Is Primary Source Verification a separate charge?
No, our provider credentialing service rate is inclusive primary source verification services.
Why should I outsource provider credentialing?
Healthcare organizations, regardless of size, benefit from the elimination of the administrative burden tied to chasing paperwork, contacting and waiting on 3rd parties to provide documentation, and managing a multitude of carrier portals to keep credentialing and enrollment up to date. Additionally, outsourcing credentialing to Medusind provides the peace of mind that you’ll avoid the fire drill of a last minute enrollment and the revenue crunch of a missed re-enrollment.
How long will it take to credential one of my providers?
The only correct answer is ultimately “it depends.” Work begins immediately on the Medusind side but the overall length of time from submission to acceptance is based on the speed with which insurance carriers (including Medicare and Medicaid) handle their end of the process. This fact makes it important to stay on top of deadlines and to leverage the expertise of a revenue cycle organization like Medusind.
What is the difference between provider credentialing and provider enrollment?
Often the terms are used interchangeably but technically there is a difference. Provider credentialing refers to the process of verifying the education, training, licensing, and more of an individual provider. (This is closely linked to primary source verification.)
Provider enrollment is the process of providing these credentials to an insurance carrier so that they may make a decision to accept the provider into their network and ultimately provide payment to them.
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