If you are planning to hire a new doctor or establish your own practice, it is crucial to initiate the credentialing process ahead of time to prevent potential issues. Neglecting the importance of medical credentialing services could lead to delayed cash flow, challenges in scheduling due to patient restrictions, and frequent communication with insurance providers.
This article aims to list 10 effective tips for successful medical staff credentialing. Before getting into that topic, let us first understand the significance of credentialing.
Provider credentialing is the process of confirming a physician’s attendance at a medical school and their possession of a state license. It also entails verifying their employment history and examining malpractice insurance carriers that are associated with them.
Additionally, credentialing requires conducting a background check on the provider's criminal and financial records, as well as a review of their social media background, which is becoming increasingly important. The references provided by the physician will also be checked. Since this is a complex procedure that often takes longer than anticipated, it is crucial to start preparing early. Here are ten helpful tips to ensure a successful provider credentialing process.
1. Connect with a medical staff credentialing partner
If you intend to delegate credentialing responsibilities, it is important to engage with a medical credentialing service such as ProLocums to effectively manage deadlines and expiration dates. By receiving timely reminders, you can guarantee that no one's credentials lapse, preventing any denials of reimbursements.
2. Make sure to allocate sufficient time for the credentialing procedure
It is recommended to budget around 150 days for the credentialing process, although it is expected to take approximately 90 days. It is important to be aware that each payer has its own timeline for credentialing. By assuming a longer time frame, you can ensure that you are prepared for the process, and if it takes less time, it will be a pleasant surprise.
3. Keep informed about the credentialing program offered by the Coalition for Affordable Quality Healthcare (CAQH)
Payers are widely embracing the Coalition for Affordable Quality Healthcare (CAQH) uniform credentialing program. Physicians who consistently update and verify their information through CAQH experience smoother and more effective credentialing and re-credentialing processes, making it highly beneficial to engage with this program.
4. Link the start date of a new provider to the submission of their credentialing forms
Some practices require credentialing paperwork to be submitted immediately after extending an employment offer, while others tie the starting date of a new physician to the submission of paperwork. For instance, you could set the starting date no earlier than 120 days from the receipt of their credentialing information.
5. Develop a credentialing process that is sustainable
Establishing a credentialing workflow may pose difficulties, but it proves beneficial in the long run. Regardless of whether the credentialing process is outsourced, your workflow must ensure the retention of all necessary forms and documents. In a practice with multiple physicians, re-credentialing constantly arises, making it highly advantageous to have a workflow that can effectively handle this task.
6. Do not make the assumption that all payers permit billing a new physician as locum tenens.
You have the option to bill a new physician as locum tenens with certain payers if their credentials are not yet complete. However, not all payers allow this practice. It is advisable to complete the physician's credentialing process in order to bill normally. If that is not possible, it is recommended to contact the payers to determine their policy on locum tenens billing.
7. Ensure that you regularly update all contact information for physicians
Ensure that your credentialing coordinator keeps accurate and current contact information for all physicians. It is crucial to have direct contact in order to efficiently handle any credentialing or re-credentialing matters. Additionally, the credentialing process requires submitting multiple forms, and it is vital to maintain clear communication throughout.
8. Ensure that every physician has a clear understanding of the obligations and expectations placed upon them.
It is essential for every provider to be aware of their obligations regarding credentialing or re-credentialing. Upon extending a job offer, it is important to clearly communicate to the new employee the specific information required, such as their work and education history, certification and license details, as well as malpractice liability certification, among other necessary documents.
9. Perform a personal background check at the outset
Numerous practices opt to perform independent background checks on prospective physicians, ensuring their training, licensure, and employment records are accurate before extending a job offer. While it may seem excessive, this precautionary measure effectively prevents any potential complications stemming from licensing issues after hiring.
10. Gain a complete understanding of the regulations in your state
Physician credentialing laws may vary by state, and some states may have reciprocity agreements with payers and other credentialing organizations from different states. If a physician is already credentialed with a payer in another state and plans to join your practice, the payer may expedite the credentialing process for their new position.
Having a clear understanding of credentialing processes can greatly improve the efficiency of practice and accelerate cash flow. Issues with medical credentialing services can be costly and hinder productivity, highlighting the need for a well-established procedure to ensure credentials are always up to date. To ensure you experience a seamless credentialing process, connect with ProLocums.
The time has come for physicians to investigate different opportunities either during medical residency or after multiple years of practice. Locum jobs provide physicians with the opportunity for flexibility, diverse experiences, and better work-life balance, consequently drawing medical professionals to seek these benefits.
The Latin word ‘Locum tenens’ refers to the term "to hold the place of". It describes the temporary physician practice model addressing healthcare facility physician shortages caused by vacancy gaps or staff absenteeism or higher care needs. Each locum care provider employs independent contractor status through staffing agencies such as ProLocums without changing the healthcare facilities for their work.
Through locum positions, medical practitioners can find numerous possibilities that span between different specialties as well as regions and healthcare environments. Through locum physicians gain the flexibility to design their professional journey by pursuing jobs in various geographical areas and work schedules which include both full-time positions elsewhere and part-time jobs in nearby locations or supplemental work along their existing employment. Locum assignments remain available to residents and fellows although permitted and allow them to gain experience alongside additional compensation.
Results between locum roles and permanent roles include unique sets of advantages and difficulties. Flexible employment through locum positions allows doctors to decide their places of work and their working schedules yet permanent roles grant long-term stability through established locum job roles and regular work hours. Expanded mentorship connections along with health care site variety become available through locum roles but permanent positions provide better opportunities for long-term career development within one healthcare organization. The temporary nature of locum positions produces increased pay because healthcare facilities urgently look for staff while permanent employment provides dependable salaries through structured compensation packages.
Staffing agencies handle travel expenses together with housing costs for their locum physicians yet permanent positions sometimes cover moving costs although the commitments often extend several years. Locum assignments provide stretched breaks after assignments but employers must contribute to employee rest periods through their official policies in permanent positions. The main draw of locum work involves minimal administrative tasks that lead to more patient contact but permanent jobs impose organizational obligations which restrict direct patient care.
Your short-term locum positions contracted work offers both exploratory time in new locations and potential continuations that let you assess a new area as a future residency. Permanent positions force individuals to make a long-term job commitment yet this commitment may become troubling if the job situation proves unsuitable. Locum physicians are responsible for securing their own health insurance and retirement plans because permanent employees receive this coverage through their employer. Introducing a new option in healthcare staff solutions because locum staffing agencies deliver malpractice insurance to their workers while permanent roles from various employers might have different malpractice insurance coverage.
The evolution of medicine proves that no career position exists permanently thus your professional development should adjust accordingly. The locum system works excellently as a professional transition solution during various stages of life.
Your initial career stages present uncertainty regarding practice settings so locum position starts as a solution. Experiences in various practice settings will help you develop your career goals.
The extra income generated from locum physician jobs helps healthcare professionals settle their student loans while saving funds for major expenses. The locum physician job model provides exceptional payment packages to its medical professionals.
Locum physician serves as an ideal career transition tool during times of permanent locum job search before starting a new challenge or when life necessitates change. Through locum practice, you maintain clinical work while deciding what lies ahead.
You want to retire partially without complete cessation from work. Through locum physician practice, you can handle medical responsibilities on flexible hours while traveling for patient care duties.
Through locum practice, you acquire the ability to plan your medical career according to your preferences. With ProLocums in place, you can choose flexible career opportunities that span short-term and long-term timescales across many locations in the United States along with professional assistance through each step of the process.
The time has come to start benefitting from working as a locum physician. Existing applicants at ProLocums can launch their medical career path through current job openings.
03/19/2025
When doctors temporarily fill an empty position it is known as locum doctor service. The medical terminology ‘locum tenens’ serves as a ‘placeholder’ description that characterizes this position. Medical practitioners who take locum positions step into doctor roles to fill in assignments beyond primary physician duties. It also enables them to explore various medical setups and meet multiple patient communities while visiting various destinations.
Regardless of your plans to work as a locum, you must prepare first. This checklist provides you with the necessary steps to follow along the path of locum work.
Locum roles operate on short timeframes which grants healthcare professionals the ability to plan their schedules as they wish. The locum lifestyle enables you to decide when to work for several months before taking a rest between assignments. Your desire for work-life balance can be achieved through locum doctor work since the market demands doctors constantly.
Locum professionals have the advantage of traveling thanks to locum assignments. The healthcare needs of the world provide locum physician jobs through their compliant border-crossing procedures. Working in multiple locations can prove to be difficult. Locals must understand that each job needs adaptation to different workgroups and technological systems along with schedule arrangements and payment procedures.
Before committing, conduct thorough research:
After finding locum work matches your objectives you should start seeking open roles. Online job sites particularly target temporary medical physician jobs. Specialized recruitment agencies like ProLocums can match you with medical positions that suit your preferences.
Application & Interview Process:
Execute these steps after you obtain your position to achieve a successful transfer.
A written agreement provides clarity about the job requirements along with employee duties. It should outline:
The arrangement contains important administrative elements about keys as well as parking arrangements and building procedures.
Administrative Preparation:
The preparation process in advance makes the movement smoother.
Before starting locum work you need complete preparation since it's the essential factor for achievement. The medical care provider who follows this checklist will achieve both success and fulfillment during their locum assignment.
The combination of proper preparation along with confidence and adaptability makes you ready to achieve excellence in your new position. For more details, visit www.prolocums.com.
02/14/2025
As organizations seeking healthcare staff, it becomes important that your organization chooses the right agency to address your staffing needs. Healthcare recruiters have a host of locum tenens agencies they can engage with who promise to provide the best providers and services. But a good healthcare staffing agency does not merely connect you with qualified providers; it makes the jobs easier by assessing your organization and getting you solutions.
Below are the fundamental criteria that should be used when comparing the various entities in the healthcare staffing agencies and why ProLocums is the best partner for you.
Current and future staffing may work very differently in different specialties, it depends on the position’s urgency, and the number of available positions. The right agency should give a wide range of candidates across various specializations in a way that they can qualify your needs. Many providers increase the probability of identifying suitable candidates for provided openings.
ProLocums has the ability to place providers of all specialties in different healthcare facilities throughout the country. This is why our service can provide you a match within short time and confirm your cooperation with our candidates.
Even the number of providers is not sufficient; it is the quality of the provider that is also very important. It is also easy to find such an agency which has a very strict scrutiny done during the screening of the candidates for the healthcare providers’ employment.
Quality is our flagship at ProLocums. Our credentialing process internally is very stringent in ensuring that the candidate who is to be employed meets standards of competency as well as professionalism thus assuring the clients.
Vacancies can result in costs, undermined staffing strength and dissatisfied customers. A recruitment company that is effective in proceeding to meet a company’s needs for staffing without neglecting the important aspect of quality is essential.
The recruitment process is fast, efficient and accompanied by extensive networks that ProLocums employs to ensure that staffing solutions are met. This allows us to reduce interruptions and maximize the efficient operation of your organization.
Your organization might require coverage of intermittent locum tenens positions, or permanent ones, or may have requirements for both types. There are agencies which specialize in a given type of staffing, whereas offering fewer choices for your business might complicate the recruiting process. Having a single source of consultant that can provide temporary and permanent staffing makes it easy since it saves time.
Established as one of the first providers of locum tenens staffing services, ProLocums also specializes in permanent placement. This flexibility allows us to meet both your immediate and perpetual staffing requirements while assisting you in maximizing your revenues and patient outcomes.
In the case where a given facility needs more than one type of healthcare professional, staffing capacities of an agency must be considered. Whether you are looking for physicians or allied health staff, using different types of provider opens the door to a more efficient hiring process.
Among them, physicians and allied health professionals are included in the ProLocums pool. This flexibility provides a convenient opportunity for us to meet your needs in the most efficient manner.
New sources of telehealth have emerged and virtual visits account for 17% of all patient visits in 2023. In the future, such an agency should serve not only to support staff for telehealth programs but also to assist organizations in the establishment of effective virtual care systems.
We specialize in telehealth staffing and offer consultation for organizations on the establishment and effective management of telehealth services which positions us as the go to solution for organizations in modern health care delivery.
ProLocums is not just a staffing service provider, but the solution you need to turn your staffing problems into innovative staffing solutions optimized for quality, speed and agility.
This means that it is essential to spend time to evaluate the various healthcare staffing companies as the first proportion in directing your staffing organization in the most appropriate direction.
Finding a right partner will change your staffing process, relieve all the stress and improve the quality of service being provided. Get in touch with ProLocums today.
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