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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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The Hidden Dangers of Dehydration: How It Affects Your Body

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The Hidden Dangers of Dehydration

Dehydration is more than just feeling thirsty; it can significantly impact your body and its functions. Staying hydrated often takes a backseat with summer heat waves, strenuous activities, and busy schedules. Understanding how dehydration affects your body and discovering effective solutions, such as IV therapy, can make a world of difference in maintaining your health and well-being.

The Effects of Dehydration on the Body

Water is essential for nearly every function your body performs. When you don’t consume enough fluids, your body begins to experience a range of adverse effects. Here are some of the key ways dehydration impacts your body:

Reduced Cognitive Function: Dehydration can impair brain function, affecting concentration, memory, and mood. Even mild dehydration can cause headaches, dizziness, and fatigue, making it hard to focus on tasks.

Physical Performance: Dehydration can significantly hinder physical performance for athletes or those who engage in regular exercise. When the body lacks sufficient water, muscle cramps, decreased endurance, and a higher risk of heat-related illnesses are expected.

Digestive Issues: Water aids in digestion by helping break down food and absorb nutrients. Dehydration can cause constipation and other digestive discomforts, as your body struggles to process food without adequate hydration.

Kidney Function: Your kidneys rely on water to filter waste from the blood and produce urine. Chronic dehydration can lead to kidney stones and even kidney damage over time.

Skin Health: Your skin is the largest organ and needs water to maintain its elasticity and suppleness. Dehydrated skin can appear dry, flaky, and more prone to wrinkles.

Cardiovascular Health: Dehydration reduces blood volume, making it harder for your heart to pump blood efficiently. This can lead to increased heart rate and low blood pressure, potentially causing serious complications.

Combatting Dehydration with IV Therapy

While drinking water is the most straightforward way to stay hydrated, there are times when our bodies need a more immediate solution. IV therapy offers a fast and efficient method to rehydrate and replenish essential nutrients.

What is IV Therapy?

Intravenous (IV) therapy directly infuses fluids, vitamins, and minerals into the bloodstream. This method allows for 100% absorption of these vital substances, bypassing the digestive system and providing immediate hydration and relief.

Benefits of IV Therapy for Dehydration

Rapid Rehydration

IV therapy from IV Minnesota delivers fluids directly into the bloodstream, allowing for quick and efficient rehydration. This is especially beneficial for severely dehydrated individuals or those unable to consume enough fluids orally.

Electrolyte Balance

Dehydration often leads to an imbalance of electrolytes like sodium, potassium, and magnesium, which are crucial for various bodily functions. IV therapy can include these electrolytes, helping restore balance and prevent complications such as muscle cramps and irregular heartbeats.

Enhanced Nutrient Absorption

IV therapy can include vitamins and minerals that boost your immune system, improve energy levels, and support overall health. This is particularly useful for individuals with nutrient deficiencies or those recovering from illness.

Improved Recovery

Athletes and fitness enthusiasts often use IV therapy to speed up recovery after intense workouts. Combining fluids and nutrients helps reduce inflammation, muscle soreness, and fatigue, promoting quicker recovery times.

Convenience and Customization

IV therapy sessions are typically quick, lasting 30 to 60 minutes. Treatments can be customized to address specific needs, such as hydration, energy boost, or immune support.

Conclusion

Dehydration can profoundly impact your health, affecting everything from cognitive function to skin health. Recognizing dehydration’s signs and its effects is crucial for maintaining your well-being. While drinking water remains essential, IV therapy is a powerful tool for combating dehydration, providing rapid rehydration and other health benefits. Whether you’re recovering from a strenuous workout, an illness, or simply looking to boost your overall health, IV therapy can be an effective and convenient solution. Stay hydrated, stay healthy, and consider the benefits of IV therapy as part of your wellness routine.

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Benefits of Maintaining Healthy Testosterone Levels

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Benefits of Maintaining Healthy Testosterone Levels

Testosterone is a hormone that is naturally produced by the body. It’s responsible for many important functions in both men and women, including sexual development, muscle mass, bone density, fertility, and much more.

But when testosterone levels drop below the recommended range for men—which can occur due to age or medical conditions—it can lead to some serious health issues.

Testosterone hormone is essential for the development of male reproductive tissues. It also plays an important role in regulating other functions of the body such as muscle mass, bone density, and sex drive.

If a man’s testosterone levels are too low, it can lead to various health issues. There are many effective testosterone supplements over the counter that help boost testosterone production in the body.

In this article, we will discuss how healthy testosterone levels can improve your life.

Read on to learn about the benefits of maintaining healthy testosterone levels.

Benefits of Healthy Testosterone Levels

Healthier testosterone levels provide numerous benefits for men including improved mood regulation, increased sex drive, and increased muscle mass.

However, it is important for men to consult with their doctors before taking any supplements or making drastic lifestyle changes related to increasing their testosterone levels as these measures could potentially result in adverse side effects if not undertaken correctly under proper medical supervision.

Additionally, healthy lifestyle choices such as regular exercise and eating well-balanced meals can help maintain optimal testosterone levels without any additional supplementation being required!

All these steps together should ensure that you reap all the benefits associated with having healthy testosterone levels!

Physical Benefits

One of the most well-known benefits to optimizing testosterone levels is increased physical performance. Studies have shown that boosting testosterone can increase muscle mass, lean body mass, strength, power, endurance and aerobic capacity. This makes it a great option for athletes who are looking to improve their performance in the gym or on the field. It can also be beneficial for those looking to reduce body fat percentage.

Testosterone hormone has impact on almost all body function including voice frequency and voice pitch. Studies report hat testosterone may also lower your voice.

Increased testosterone has also been linked to reductions in fatigue and an increase in energy levels.

Mental Benefits

In addition to physical performance gains, there are mental benefits associated with increasing your testosterone levels as well. Studies have suggested that higher testosterone levels correlate with improved cognitive function including better memory recall and improved learning abilities.

Additionally, higher testosterone can give you a greater sense of confidence which may result in improved social interactions as well as reduced stress level.

Muscle Mass and Bone Density

Testosterone helps build muscle mass and strength. When it drops below the normal range, it can lead to decreased muscle mass and even weakness in some cases. Low testosterone levels are also associated with an increased risk of osteoporosis or weakened bones due to decreased bone density.

Testosterone plays an important role in muscle growth as it helps build muscle mass by stimulating protein synthesis within the body’s cells. Men who have higher levels of testosterone tend to have greater muscle mass than those with lower levels of the hormone due to its effects on protein synthesis.

Not only does this help them look better but also improves their performance during physical activities like sports or workouts at the gym.

Mood Regulation

Low testosterone levels can cause depression, anxiety, and irritability in men. Studies have shown that men who have higher testosterone levels tend to be more relaxed and confident. This can lead to increased productivity at work and better relationships with family and friends.

Additionally, when men are more relaxed, they are able to focus on their tasks with greater clarity and be more productive throughout the day.

Low testosterone levels have been associated with depression, low libido, fatigue, and irritability in both men and women. Studies have shown that increasing testosterone levels can help improve mood and brain productivity significantly in those who experience these symptoms as a result of low testosterone levels.

Improved Sex Drive

A healthy level of testosterone helps improve a man’s libido or sex drive. When testosterone levels are low, men may experience a decrease in sexual desire or interest which can lead to issues in relationships with their partners or even depression if left untreated.

Studies have found that when men increase their testosterone levels through supplementation or lifestyle changes such as exercise and dieting, they often report an increase in libido which leads to improved sexual performance.

Healthy Weight Management

Finally, increasing testosterone can be beneficial for healthy weight management as well as sexual health concerns such as erectile dysfunction or low libido.

Higher estrogen is associated with increased fat storage around your waistline; so by optimizing your hormone balance (including estrogen) you may be able to reduce stubborn belly fat more easily than relying on diet and exercise alone.

Improved Libido and Fertility

In men, low testosterone levels can lead to infertility due to decreased sperm production. In women, it can cause irregular menstrual cycles or other hormonal imbalances that may interfere with conception or carry risks during pregnancy. Increasing testosterone levels has been shown to improve fertility rates in both sexes.

Low libido is one of the most common symptoms of low testosterone levels in both men and women. Increasing testosterone levels has been shown to increase libido significantly in those who are experiencing this symptom as a result of their low hormone levels.

Conclusion

Healthy testosterone levels are important for maintaining good overall health for both males and females alike. It plays an important role in sexual development, muscle mass, bone density, fertility rates, libido, and even moods!

If you think your hormone level might be lower than normal for your age or gender group, speak with your doctor about potential treatments that could help restore them back into the normal range! Maintaining healthy testosterone levels is just one step towards achieving better overall health!

Improving your hormone balance can lead to a host of positive effects—both physical and mental—and optimizing your testosterone is no exception!

From physical performance improvements like more strength and less fatigue to mental clarity gains like improved cognition and increased confidence—healthy levels of testosterone have something for everyone!

For those looking for weight loss assistance or sexual health improvements you’ll likely find some relief through proper hormone balancing as well!

The best way to know if boosting your testosterone will provide any benefit is by talking with a medical professional about having your hormone levels checked today!

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Hyperbaric oxygen therapy aids in natural healing

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Hyperbaric oxygen therapy aids in natural healing

Natural healing is the process of the body through which it resists any external factor to change its internal environment. This resistance to the external  factors is done by the system called the immune system. Healing requires the growth and production of new cells and removal of old worn out cells. This  is done by the body itself but requires proper fuel for this  and the fuel is no doubt, OXYGEN!

How does hyperbaric oxygen therapy boost the immune system?

For proper natural healing, the white blood cells require a generous amount of oxygen rich blood to knock out the bacteria. This oxygen level is not met in a normal environment. Because under normal conditions very little oxygen is carried out by the red blood cells.

This will lead to slow or sometimes no natural healing. In such circumstances, bacteria overcome the body and lead to infection. Such infections are really common especially in wounds. Then, high doses of antibiotics are indicated.

To prevent such circumstances, hyperbaric oxygen therapy is a good option. As we all know, oxygen is supplied under high atmospheric pressure. This will  cause a tenfold increase in oxygen concentration of blood plasma, leading to the rush of oxygen rich blood to the affected site and thus strengthening the immune system.

HBOT provides adequate oxygen to the white blood cells and also flushes out the toxins out of the body, which leads to the strengthening of the immune system thus accelerating natural healing.

How does it supports in healing of the body:

Immune system only stops and kills bacteria but the damaged cells also need to be repaired. Our bodys have a natural tendency to repair itself. This is done through cell division and apoptosis (programmed death of worn out cells). All this process needs a proper supply of oxygen rich blood to the targeted site.

The damage of the cells is always followed by the inflammation of surrounding blood vessels which comprise the blood supply and cause delayed healing. The high oxygen saturation from HBOT enhances the ability of red blood cells to change their shapes. This allows them to pass through the inflamed vessels thus accelerating the healing process.

The research evidence is still not very strong but most of it supports this. The oxygen fluctuation due to HBOT therapy causes the release of growth factors in the body. These growth factors help to grow the new cells which replace the older worn out cells. Thus helps in growth and healing.

A study published in 2008 showed that hyperbaric oxygen therapy is helpful in the healing of diabetic foot ulcers. The mechanism behind it is similar to natural healing.

Is it safe?

HBOT is preventive and supportive therapy. It is non-invasive and painless and brings comfort to the user, so it is safe to use. The use of HBOT for rejuvenation, healing and preventive purposes is usually harmless. However, the timing of the sessions should be within normal limits because “excess of everything is bad. You can have your own HBOT chamber in your house and can have your session anytime. They are user friendly so you can use them easily.

What are the protocols ?

HBOT is a simple therapy which is most commonly used for the preventive and rejuvenating purposes. The protocols of HBOT are following:

  • The duration of each session ranges from 30 minutes to 120 minutes. It totally depends upon the goal.
  • In general, for health optimization the duration should be 60 minutes.
  • The pressure ranges are 1.5 to 3 atm
  • For central nervous system benefits, the pressure should be from 1.5 to 2 atm
  • For other health benefits higher pressures can be used.

Which is the best HBOT chamber in the market?

Which is the best HBOT chamber in the market?

This might be the next question popping in your mind. The answer to this question is Oxyhelp Hyperbaric Chambers. They produce the most luxurious and reliable oxygen chambers that money can buy today.

They are user friendly and pocket friendly. The internal environment is designed according to the comfort of the user and is completely antiseptic. The sealed doors and internal controller are also marking features.The size of the chamber is also accommodating so you don’t need to worry about the space. In a nutshell, Oxyhelp chambers are all in one deal so grab yours ASAP!

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