Credentialing

Physicians/providers must credential themselves enrol and attest with the Payer’s network and authorized to provide services to patients who are members of the Payer’s plans. Get credentialed faster with all significant payers, reduce claim denials and improve cash flow, and get more patient referrals from the network.

Credentialing in revenue cycle management typically refers to obtaining professional certification or credentials related to the field of healthcare revenue cycle management.

Healthcare revenue cycle management refers to the process of managing the financial aspects of healthcare services, from patient registration and insurance verification to claim submission and payment collection.

There are several professional organizations that offer credentialing programs for revenue cycle management professionals, including the Healthcare Financial Management Association (HFMA) and the American Association of Healthcare Administrative Management (AAHAM).

These credentialing programs typically involve completing a certain number of education and training hours, passing an exam, and meeting ongoing continuing education requirements to maintain the credential.

Some common revenue cycle management credentials include the Certified Revenue Cycle Professional (CRCP) offered by HFMA, and the Certified Revenue Cycle Specialist (CRCS) offered by AAHAM. Obtaining these credentials can demonstrate a high level of expertise and knowledge in revenue cycle management and can be beneficial for career advancement in the healthcare industry.