Cheryl Toth, MBA
Credentialing a physician for Medicare and private plans is a detailed and timeconsuming process, but it must be completed before a plan will reimburse a practice’s billed services. Assign a person with the right skills for this project, and insist on regular progress reports to be certain credentialing has been successfully completed. Submit credentialing applications three to six months ahead of opening your practice doors, moving to a new location, or merging with another organization. If you’re considering outsourcing the credentialing process to a service, verify its reputation and work products with its customers.