4 Healthcare Practices That Can Benefit From Credentialing Services

Credentialing helps practices hire qualified medical staff to enhance patient care and safety. The process can involve verifying medical providers’ current licenses, clinical qualifications, and work histories to validate their competency. From hospitals to long-term care facilities, professional credentialing services can benefit a variety of healthcare practices, regardless of their size or specialty. Here are some practices that can benefit from credentialing services:

1. Hospitals 

Hospitals are complex healthcare practices that contain numerous specialties and offer a wide range of services. Verifying each employee’s credentials can be challenging because of the diverse workforce. Some insurance companies and accreditation bodies like The Joint Commission require employers to verify employees’ qualifications before privileging. This is often necessary for continued facility accreditation and insurance enrollments.

Credentialing services can help hospitals streamline verification processes for healthcare providers, medical staff, and facility vendors. They can collect the initial information for each individual or organization and conduct background checks. Service providers may have relationships with educational institutions, certification bodies, and medical institutions to verify providers’ qualifications and records more quickly.

2. Mental Health Clinics

Mental health practices like counseling and psychiatric centers can benefit from credentialing because of the sensitivity of their services. Mental health patients typically require experienced and qualified therapists, counselors, and psychiatrists to get the help they need. Credentialing assesses a provider’s qualifications while also reviewing their behavior in previous work environments. It can reveal red flags like doctor-patient confidentiality violations and lawsuits, preventing practices from hiring such providers who may adversely affect patient care.

3. Dental Practices 

Credentialing services can help dental practices verify the licensure of dental professionals like dentists and oral hygienists. Your service provider can confirm whether your dentists completed dental school, acquired clinical experience, and passed their licensing exams. They can also verify whether the dental professionals underwent specialty-specific training if you offer specialized services like orthodontics or cosmetic dentistry. This process can help promote patient safety, as there may be a lower risk of errors when qualified professionals provide dental care. Credentialing can also help dental practices that accept insurance maximize their insurance contracts.

4. Long-term Care Facilities 

Long-term assisted living facilities and nursing homes have an obligation to provide high-quality care to their patients. Patients in these facilities may be vulnerable because of their age or medical conditions. They typically require round-the-clock care from qualified and compassionate providers. Credentialing can help make sure the providers in these facilities have the expertise to cater to their patients’ unique needs. Your service provider can interview a potential hire’s professional references and past employers to understand their work history and performance. They can provide comprehensive reports and documentation for long-term care facilities to use when making hiring decisions.

Find Reliable Credentialing Services

Credentialing services can benefit many healthcare facilities and providers, including mental health clinics and dental practices. They can assist with checking provider qualifications, verifying regulatory compliance, and maintaining thorough records for clinical audits. Contact an experienced credentialing company today to learn how they can help promote compliance and reduce administrative burdens at your practice.