Answers to Frequent Questions About Credentialing
For most dental practices, large and small, reimbursements from insurance and Medicaid are a significant part of their overall revenue.
To get the most of out each relationship, practices typically apply for credentialing, which can help them secure the most favorable rates for patients they see under each company’s plans. However, the application process isn’t as simple as you might expect, and if you aren’t prepared for it going in, it can quickly become overwhelming.
Is applying different for every insurance company?
Every insurance company is different, and their applications and credentialing process can differ in some areas. This is especially important to realize when completing multiple applications at once, as certain parts may seem similar but are not. If you’ve just started your practice and this is your first time ever applying for credentialing, then you may benefit from having a professional help you throughout the process to ensure optimal accuracy the first time around.
How can you streamline the process for your practice?
No matter where you’re applying for credentialing, knowledge about the process isn’t the only thing to be concerned about. It takes a significant amount of time to complete each separate application process, and it’s time that can take away from your duties running a dental practice and team of dental health professionals. To dedicate the time necessary to the application process while still having time to properly serve your patients, consider hiring an expert or team of experts with the knowledge and experience to complete the entire process for you.
Should your practice seek credentialing for Medicaid?
In addition to applying with different insurance companies, dental practices also benefit significantly from being credentialed to serve Medicaid patients. The application process is also similar, but may require more information. Like insurance credentialing, the process can take several months and dozens of hours to complete, and it must be complete accurately. The advantages of Medicaid credentialing often outweigh this burden, however, so it’s worth getting help from an expert to complete the process successfully.
Get more help with PPO and Medicaid credentialing
Applying for PPO and Medicaid credentialing can be tough, but you can prepare for it by seeking help from a dedicated team of professionals. To learn more, or to let us streamline the process by handling it for you, contact PPO Experts today!