Credentialing Corner

# The Benefits of Outsourcing Medical Credentialing

- April 26, 2023
- Posted by Kristen Edwards

26 Apr

The process of medical credentialing is an important one in the healthcare business since it guarantees that healthcare practitioners have the appropriate credentials and are in compliance with regulatory requirements so that they may give treatment to patients.

In addition to the pre-licensure requirements, the healthcare professionals’ work history, education, and training will be reviewed as part of the process This certification is necessary to fulfill licensing requirements. The medical credentialing process can be time-consuming and cumbersome for organizations in the healthcare industry; So many of these healthcare institutions have now opted to outsource medical credentialing to a reputable company to cater to the associated challenges.

In this post, we will be discussing six benefits of Outsourcing Medical Credentialing and how it helps healthcare businesses in maximizing their efficiency.

## Six Benefits of Outsourcing Medical Credentialing

Here are the six key benefits that outsourcing medical credentialing has to offer to healthcare institutions:

- Saving Time and Resources

Outsourcing medical credentialing can save healthcare professionals significant amounts of time and resources. Credentialing can take weeks or even months to complete, and the process can be tedious and time-consuming. Outsourcing this task allows healthcare professionals to focus on providing care to patients, rather than administrative tasks. Additionally, outsourcing medical credentialing reduces the burden of hiring and training staff to handle the process in-house.

A healthcare organization in Ohio that outsourced its credentialing process was able to reduce credentialing time by fifty percent. The organization was subsequently able to allocate more resources to patient care, resulting in increased patient satisfaction.

- Ensuring Compliance with Regulatory Requirements

Outsourcing medical credentialing can ensure compliance with regulatory requirements. Credentialing is a crucial process that ensures healthcare providers meet industry standards and are qualified to provide care. Outsourcing this task to a reputable company ensures that the process is done correctly, reducing the risk of non-compliance and the associated legal and financial consequences.

After outsourcing its credentialing procedure, a California healthcare organization reported a 70 percent decrease in credentialing errors. The organization was subsequently able to avoid fines and other legal consequences related to non-compliance.

- Access to Advanced Technology and Resources

Outsourcing medical credentialing can provide healthcare professionals with access to advanced technology and resources. Reputable credentialing companies have access to advanced software and databases that can help streamline the credentialing process, reducing errors and delays. They also have trained professionals who specialize in credentialing and are up-to-date with the latest regulatory requirements.

A healthcare facility in New York that outsourced its credentialing procedure saw a considerable drop in the number of errors and holdups as a consequence of better technology and resources. Following that, the organization was able to enhance both the quality of its services and the patient experience.

- Reduction of Costs

The process of obtaining credentials may be costly due to the costs associated with recruiting employees, purchasing software and databases, and paying for training. By using outsourcing, healthcare companies are able to circumvent these expenditures and pay solely for the services that are directly relevant to their operations. In addition, outsourcing may lessen the likelihood of experiencing mistakes and delays, which, in turn, can cut down on the expenses associated with non-compliance.

Real-world instances of cost reductions include a healthcare company in Texas that outsourced its credentialing process and saved more than $250,000 yearly as a result of the move. After that, the organization was able to direct those monies into providing patient care as well as addressing other areas of need.

- Improving Quality of Care

The quality of treatment that is offered to patients may also be improved via the use of medical credentialing outsourcing. It is possible for healthcare companies to guarantee that their clinicians are competent and satisfy regulatory criteria when they outsource their patient care, which may result in improved results for patients. In addition, outsourcing may lighten the administrative load placed on healthcare personnel, freeing them up to concentrate on providing patients with treatment of the highest possible standard.

Real-world examples of improved treatment quality include a healthcare provider in Florida that outsourced its medical credentialing specialist services to a healthcare organization. As a result, patient satisfaction increased and malpractice lawsuits against the organization decreased.

- Enhancing Provider Mobility

Outsourcing medical credentialing can also enhance provider mobility. Providers who are credentialed through a reputable company can move from one healthcare organization to another more easily, as their credentials are already verified. This can save time and resources for both the provider and the healthcare organizations involved.

Real-world examples of enhanced provider mobility include a healthcare organization in Colorado that reported a 30% reduction in the time it takes to onboard new providers after outsourcing its credentialing process. The organization was then able to attract and retain top talent in a competitive job market.

### The Bottom Line

When it comes to medical credentialing, outsourcing to a trustworthy company may give major advantages to individuals working in the healthcare industry. Some of these benefits include the ability to save time and money, ensure compliance with regulatory standards, and have access to more modern technology and resources.

Medical credentialing being outsourced is becoming an increasingly common trend and may give healthcare businesses a competitive edge as the healthcare industry continues to grow. It is in the best interest of healthcare companies to think about outsourcing their medical credentialing so they may enjoy the advantages and provide better care to their patients.

### Related Links

> What Is CAQH Credentialing? Why Is It Required by The Provider in Credentialing?

> Can Doctors Collect Deductibles Upfront? – Point-Of-Service Collections

> How Long Does Credentialing Process Take?

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