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What does Credentialing service do? A guide with a complete checklist

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What does Credentialing service do

Due to numerous reasons, hospitals and private practices normally dedicate their credentialing chores to private professional billers and coders for credentialing. This is why credentialing services are the most important part of the practices and healthcare providers in a private and public setting. To know what credentialing service is all about and how do they work? Keep reading.

What is a medical credentialing service?

Through medical credentialing, healthcare organizations authorize and review practitioners and physicians by which they are able to provide the services within their networks. Credentialing is one of the essential safety healthcare components. This is because the credentialing services verify that the physician or the healthcare provider is eligible and qualified enough to provide healthcare services.

For practice and healthcare providers, credentialing should be included in the revenue management cycle. This is because the insurance companies are only liable to pay for the qualified practitioner.

A credentialing application would require a practitioner in order to be qualified;

  • Complete work history
  • Complete education history with transcripts
  • Immunization certificates & records of updated medical health history
  • Board certification, medical license, & DEA registration
  • Proof of malpractice coverage
  • Explanation of the gaps in the educational history with any other anomalies
  • Professional and personal references

These are some of the pre-requisites of the credential process. Several other documentation and proofs could be needed according to the service and practice.

What do credentialing services do?

Credentialing service manages and organizes credentialing applications for stakeholders and physicians to make sure that the progression of the medical credentialing process remains steady in an efficient way.

This is because the professionals at the credentialing services are resourced enough with the credential knowledge to make sure that the physician that they are reviewing is capable enough to meet the medical needs. They know their work because they are focused on the given tasks and are not multitaskers. Medical credentialing service providers are more equipped with knowledge compared to office staff and practitioners and respond to delays and denials in a more efficient manner.

This particularly means that credentialing specialists take lesser time to resolve the claim errors and billing errors. Therefore, instead of hiring a team and extra staff to do the least time-consuming job will cost physicians extra.

Hiring professionals for any services not only saves the time but the investment that one might be thinking to save. Also, this will also let physicians turn the billing cycle at an earlier date.

Credentialing services actually are committed to providing these three services to medical practitioners.

  • Initial credentialing services
  • Re-credentialing services
  • Management of “expirable”

These services depend on the level of practice a practitioner needs the credentialing services for. However, as it is stated earlier that credential services are an important part of the medical healthcare practice, so even if you are just starting your career in the healthcare world, you must go through a credential service application.

On the other hand, if you have been in the industry for quite a while, then these needs might be related to renewals and maintenance.

Types of services that credentialing services provide

Initial credential service;

If you’ve just stepped into the healthcare service and have not credentialed yourself in the specific entity, then you must acquire the initial credentialing service. This will be implemented if you;

  • Move to a new state or country
  • First graduate from school & begins practice
  • Move from one employer to another
  • Open a new practice
  • Move from employment to private practice
  • Return to practice after a period of time not practicing
  • Want to accept new insurance from patients

Re-Credentialing services

As the name suggests, re-credentialing is performed to make sure that the practitioners are still qualified enough to practice in the specific domain of the network being a particular entity.

Re-credentialing is somewhat different from initial credentialing. It is important to know because you may become qualified after the initial credential process. Once the re-credentialing is performed, it reviews the services you have provided by the time you have been first reviewed. Any issue in re-credentialing can affect your future ability for healthcare reimbursement.

To re-credential and review the services of a practitioner, the following documents would be needed;

  • Review of any malpractice claims or other issues
  • Work history
  • Sensitive documents (referred to as “expirable”) certifications,
  • Attestations
  • Licenses

Expirable Management Services

The attestation, license, attestation, and certification required for credentialing include;

  • DEA license
  • Proof of insurance coverage
  • Board certification
  • State medical license
  • Council for Affordable Quality Healthcare (CAQH) attestations & profile

Types of credentialing service

Credentialing service falls into two categories;

  • Hospital credentialing
  • Insurance credentialing

These types of credentialing services are much overlapped in terms of understanding. But there is a wide amount of differences that segregate between the two.

Insurance credentialing

The reason for credentialing with the insurance companies are many. But to mention here is that they allow a practitioner to see the patients depending on the patients’ insurance companies and bill for his service. If accurate and proper credentialing and billing are not submitted timely, the physician would not be paid. There are three main insurance credentialing service providers;

  • CAQH payers
  • Government payers
  • Non-CAHQ payers

Hospital credentialing

Hospital credentialing is the process of credentialing with a hospital system that allows a healthcare provider to see patients within the hospital territory. Their credentialing services will be managed and organized by the hospital staff. However, physicians who are affiliated with the hospital and not employees of a particular hospital must seek individual credentialing services so that they can be paid for the services they provide.

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Lifestyle Tips To Increase Your Life Expectancy

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Lifestyle Tips To Increase Your Life Expectancy

When you look at the world in general, you’ll see that people tend to live longer these days than they ever have in the past. This is thanks to better healthcare, more knowledge about how to be healthy, and more technology to enable us to do the things we need to do.

However, we can’t just rely on other people to ensure we live longer. It’s important to ensure our lifestyle is a good one so that we can make the most of the time we have and prolong it where possible. With that in mind, here are some useful lifestyle tips to help you increase your life expectancy.

Spend More Time Outside

How much time do you spend outside right now? Although some people do go outside whenever they can, the fact is that many people are indoors for most, if not all, of their days. That’s because they are working at a screen or they are being cautious – after all, sunlight can lead to skin cancer, burns, sunstroke, and other problems. We’re told to stay away from it where we can.

The problem is that’s not healthy. Just as too much sun is bad for us, not enough is equally unhealthy. So there has to be a balance, and being outside, breathing in the fresh air, is important. It strengthens our immune system, just as getting enough vitamin D from sunlight will. So, we should go outside, but we need to take care; wear sunscreen, wear a hat, and ideally wear long sleeves, and you should be able to take advantage of the goodness.

Have More Sex

Although we don’t quite know why it is – studies are taking place – the fact is that it seems those who have a more active sex life live longer. We’re not saying you need to be reckless and go and have a lot of sex with a lot of strangers, but if you can be safe, and especially if you are in a committed, long-term relationship, it’s important to have more sex.

This can be difficult. We’re very busy, we get tired, and in some cases, stress and other unhealthy lifestyle decisions can cause a lack of libido, and men can suffer from erectile dysfunction. If any of this is the case, it’s all the more reason to have more sex – it improves self-esteem, reduces stress, and strengthens relationships. If erectile dysfunction is the main issue, it’s wise to seek advice from a doctor who can prescribe sildenafil 100mg tablets to help you.

Reduce Stress

We’ve mentioned that stress can cause problems in your sex life, but there is much more to it than that. Chronic stress can cause heart failure, ulcers, high blood pressure (potentially leading to stroke), and mental health problems, among other things. Each of these health issues can be life-shortening, but if you can reduce your stress levels, you can improve your life in many ways, including the length of it.

It’s not always easy to simply ‘be less stressed’, but if you can look at what your triggers are and what is causing you the most problems, whether it’s financial, health, relationships, work, or anything else, you can start to work towards making things better. Ask for help if you need it; there is no shame in that.

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Are Vein Finders Easy to Use?

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Are Vein Finders Easy to Use

Any medical professional will tell you that one of the most important things in their line of work is being able to locate veins quickly and easily.

After all, when working with needles, it is vital to be able to find a vein on the first try in order to minimize discomfort for the patient.

In recent years, a number of devices known as vein finders have been developed to make this task easier. But are they really as easy to use as they claim to be?

This is exactly what we’re going to take a look at in this article. We’ll explore how vein finders work, whether or not they’re easy to use, and what the pros and cons are of using them.

So, let’s get started!

What are vein finders and what do they do

Unless you’re a vampire or a medical technician, you probably don’t spend a lot of time thinking about veins. But these tubular structures play an important role in your body, carrying blood and other fluids to the organs and tissues.

Veins can sometimes be difficult to find, especially if they’re located deep beneath the skin. That’s where vein finders come in handy. These devices use infrared light to identify veins, casting an image of the veins on their screen, making it easier to insert IVs or draw blood.

Vein finders are becoming increasingly common in hospitals and clinics, and they’re even being used by some cosmetic surgeons to help with procedures like Botox injections.

How They Work:

Vein finders emit a low-energy beam of infrared light. When this light hits a vein, it’s absorbed. The surrounding tissue reflects very little light, so the veins appear darker on the screen of the vein finder.

There are two different types of vein finders:

  • Transilluminators: Transilluminators use a bright light to illuminate the skin. The technician then looks for the shadow of the vein on the surface of the skin.
  • Infrared Vein Finders: Infrared vein finders use infrared light that penetrates the skin. This makes it easier to see veins that are located deep beneath the surface of the skin.

Are They Easy to Use

Vein finders are easy to use and only take a few minutes to set up. Most devices come with clear instructions on how to use them.

You just have to hold the device against your skin and wait for the light to show you where the vein is. Then, simply insert the needle, and voila-you’re done!

There are a few things you need to keep in mind when using a vein finder:

  • The skin needs to be clean and dry before using the device.
  • The light beam should be perpendicular to the skin.
  • The device should be moved slowly over the area of the skin where the vein is located.

It’s important to keep in mind that not all veins will be visible on the screen of the vein finder. Factors like skin tone, body fat, and dehydration can all affect whether or not a vein is visible.

If you’re having trouble finding a vein, don’t be afraid to ask for help. Vein finders are designed to make it easier to find veins, but they won’t work if they’re not being used correctly.

Are they worth the investment?

There’s no denying that vein finders can be a real lifesaver in a medical setting. Whether you’re trying to find a vein for an IV or simply looking to check someone’s vitals, these devices can save you a lot of time and trouble. But are they really worth the investment?

There’s no simple answer to that question. On the one hand, vein finders can be very expensive, and they’re not always 100% accurate. On the other hand, they can definitely make your life easier and may even help save lives in some cases.

Ultimately, it’s up to you to decide whether or not a vein finder is worth the investment. But if you work in a medical setting, it’s definitely something to consider.

Pros and cons of Vein Finders

As we all know, nothing in life is perfect. The same can be said for vein finders. These devices have their pros and cons, which you should consider before making a purchase.

Pros:

  • Improved accuracy when injecting IVs or taking blood samples
  • Can help save time in a medical setting
  • Can be used on patients of all ages
  • Avoid any unnecessary health complications
  • Fast and accurate way to detect veins
  • Great tool for nurses, doctors, and other healthcare professionals.

Cons:

  • Can be expensive
  • Not always 100% accurate
  • May not work on people with skin issues

Where Can You Get the Best Vein Finder

There are many different brands and models of vein finders on the market, so it is important to do some research before making a purchase.

One option is to talk to your doctor or nurse to see if they have any recommendations. Another option is to read online reviews from other consumers.

Once you have narrowed down your choices, you can then compare prices and features to find the perfect vein finder for your needs.

However,

If you need an expert’s opinion, then we would recommend checking out the AimVein Vein Finding device as it has been the top choice for many healthcare professionals.

This device is designed to make it easy to find veins, and it comes with a number of features that make it worth the investment. This device uses Near-Infrared Transmission (NIRT) technology to create a real-time image of veins up to 15mm deep.

It’s also FDA-cleared for use on all skin types, making it a versatile option for use in a variety of healthcare settings.

Takeaway

Vein finders are easy to use and can be a great help in the medical field. We hope that this blog post has helped you understand how vein finders work and their many benefits. If you have any questions or would like more information, please don’t hesitate to let us know.

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Health

True or False: There is a Correlation Between Poor Posture and Neck Pain

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Have you ever thought about this true or false statement before? Let’s break it down. If you think about it, it’s very common to experience neck pain on a daily basis. There are a lot of ways that you can start feeling neck pain. Now don’t think about stretching your neck! If your neck pain becomes too extreme, contact our neck pain specialists at Pick PT in eastern Idaho to schedule a consultation. 

Since 2020, the workforce has changed forever. The COVID-19 pandemic has opened many doors of opportunity for countless employees to have the option to work from home instead of in an office. It is likely that poor posture is more common with having a more relaxed work environment. It’s very easy to rest your laptop on your legs and look downward toward the screen or even sit across the couch and do work on your laptop but your neck will probably be hurting after a couple of hours.

Common causes

Cell phones

What are some common causes of neck pain that come to mind? Well for starters, we live in a technology-centered society where almost every person has a cell phone. While phones can be an asset to our daily life, they can also be a hindrance and waste of time. It is not uncommon for people of all ages to spend hours at a time on their phones. This is one of the most common ways to get neck pain.

Awkward sleeping positions

Although you cannot have much control over how you sleep, you can control some outside factors. This includes your pillow, mattress, the temperature of your room, etc. Awkward sleeping positions can result in loss of feeling in limbs or pain in the neck or other parts of the body.

At-home treatment

It may be difficult to find time in your schedule to meet with a physical therapist. So the next best thing is to figure out a treatment that you can do right from the comfort of your home. Stretching is one of the best ways to rid yourself of neck or any other body pain. Daily stretching can be therapeutic and good for your mind too.

 

Ice packs or heat packs are another great way to treat neck pain. You can also change your pillow if you are sleeping on your neck poorly. Safe pain relievers, typically over the counter medicine are another option you can use. Make sure that you read the labels and take the recommended dosage. Another helpful treatment is to be mindful of your posture, especially when you are in one position for a long period of time.

Professional treatment

If you feel like you’ve tried every home remedy and are seeing no progress, then it’s probably time to see professional help. Pick PT has certified specialists whose main focus is to help you without needing to get surgery to fix your pain. This includes exercises and support that provide aid in preventing future neck pain.

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