Has your first reaction ever been “ugh, credentialing” when faced with a new application or re-validation request?
You're not the only one. The credentialing process can feel overwhelming, and for good reason—it’s complicated, time-consuming, and constantly changing.
All you want is to be enrolled with insurance networks and provide quality care to your patients. So why all the hoops? Between shifting regulations and requirements from organizations like the NCQA, it’s easy to feel buried in red tape.
Streamlining the Process
At Modified Solutions, we understand the challenges of credentialing and offer services designed to simplify the process. But first, let’s look at some of the common pitfalls that make credentialing even more difficult:
Common Credentialing Pitfalls
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Loss of paperwork
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Missed re-enrollment deadlines
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Expired credentials, licenses, or malpractice coverage
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Poor communication with the medical staff office
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Incomplete applications or missing documentation
Each of these can delay your application by months. Considering that credentialing alone can take anywhere from 30 to 120 days, adding preventable delays creates a recipe for frustration.
Planning for Successful Enrollment
Want smoother credentialing? Start with a plan. Ask yourself:
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Are all credentials current and tracked?
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Do you have a dedicated enrollment specialist as a single point of contact?
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What’s your follow-up and status tracking process?
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What systems do you have to ensure ongoing compliance?
Credentialing may not always be a top priority, but being proactive can save time, reduce denials, and keep your practice running smoothly.
Need Help? Let’s Talk.
If credentialing takes up more time and energy than it should, consider outsourcing. Modified Solutions offers tailored credentialing support to help you stay on track and in compliance. Connect with us today to learn how we can support your practice.
Since 2001, Simone Harris has developed a solid foundation in administrative healthcare services and business development. She has 20+ years in the healthcare sector and is the Executive of Business Operations and Compliance Officer. Modified Solutions has professional medical administrative resources firmly rooted in compliance, integrity, and experience. To learn more here.