Of all the things you do to practice medicine, credentialing with insurance companies is likely not on your list of favorites; am I right?
Of course, there is no law that says you have to. If you go to a full cash practice, you don’t need to worry about insurance at all.
But if you decide to accept patients with insurance coverage, you need to get credentialed and even re-credentialed.
And here’s the problem.
Credentialing can be a pain. It is tedious, difficult, and time-consuming. And it can be expensive!
And that’s why most of us dread it.
If you’re employed, chances are it’ll get done for you. But if you’re self-employed you need to get it done or hire someone to do it for you.
But is relying on someone else a good idea?
It can be, but unfortunately, it’s not always.
Over the years, NPs have shared with me that the company they hired and paid to do their credentialing, either:
- didn’t do it right
- never finished or
- never even started at all, leaving them in a pickle.
In all fairness though, companies like this are the exception, not the rule.
But when you’re entrusting someone else with your credentialing, you’re stepping away from the driver seat. You’re handing control over to someone else, for an outcome that has the potential to affect your life in a big way.
Yet, it’s you who has to pull together every last document so that the company can even start the process. If you don’t finish your part, credentialing will never even start.
Think about that… you have to do a lot of work yourself!
And here is something else, getting credentialed by third-party can be expensive… very expensive. Providers routinely pay hundreds or even thousands of dollars to get credentialed.
So why not do it yourself; get it right the first time and save a bundle?
With “DIY” credentialing, you stay in the driver seat. You’ll be able to respond to every request for information in no time.
And as an extra bonus, you’ll be saving hundreds, if not thousands of dollars over the life of your career.
“But it’s complicated and too hard…”
No. Not once you understand and know what needs to happen; which is what I’ll show you in “DIY Credentialing.”
In my new program, I’ll show you step-by-step how to do your own credentialing. I’ll explain the entire process from start to finish.
You’ll know what information you’ll need to pull together so that you’re ready to start. And you’ll know what you need to do to get the job finished.
Are you interested in learning how to your own credentialing? Without handing over control to someone else or draining your bank balance by hundreds of dollars?
If so, then “DIY Credentialing” might be what you’ve been looking for. But go here and find out for yourself.
In the state of Texas as an RN I’m opening up my own outpatient clinic mental health. I’ll have two therapists and a nurse practitioner. I’m starting to do credentialing, I don’t have employees yet, can I, as a registered nurse, go ahead and be credentialed at this time, and add my employees when they are hired.
That’s difficult to say. First of all, I’m going to assume you have been advised that you can own this clinic. It will probably be difficult to start the credentialing process until you have providers you’ll be credentialing.
I’m in the process of developing my business plan for a primary care practice. I’m in the early stages and starting to look ahead at credentialing. I live in AZ and will be an independent practitioner. To clarify, does Medicare credential NPs who own their own practice? Additionally, are there any insurance companies you know of that absolutely do not credential independent NPs?
Thank you.
Absolutely, Medicare credentials NP practices! As far as commercial third party payers, it varies all the time. I’ve heard that some have trouble with Blue Cross in AZ. That said, try them all.
I am currently credentialed bu is now opening my own practice, can I just call and get it transferred or do I have to redo everything from scratch?
You must do it under your own practice numbers (Taxid and NPI2). The payers may or may not (not-likely) transfer your info.
I have had the unfortunate experience of hiring a Credentialing service and paying up to 3000.00 to have payers credentialed at 250.00/payer but not delivered. 5 months later and only one application completed and one payer responding made me curious. I found out the hard way when I called on some the prospective payers and found out directly from them that many applications were not started, or only started 1/3 of the way and left unsubmitted. This was an eye opening experience and since then had to apply to the payers myself which is what I should've done from the beginning because it's not that difficult or time consuming if you work on it 12hrs straight daily. My advice, save your money and do it yourself.
Michael Davila MSN, APRN, ANP-C, FNP-C
I’m so sorry to hear you had a terrible time Michael! It’s unfortunate that I’ve heard this all too often. That’s why we created our credentialing course. I trust you were able to finally get it done.
I am interested in learning DIY Credentializing
All of our courses and offerings are at https://npbusiness.org/shop
Thanks for asking.
Can you tell me more?
Is this a free or paid service?
Juliana, this is not a credentialing services. It’s a course that teaches you how to do it yourself. Very cost effective. Here is that link again. https://www.clinicianbusinessinstitute.com/diy-credentialing