Creating a successful urgent care facility requires various strategies, including investing in credentialing services. By outsourcing insurance credentialing, urgent care centers can collaborate with insurance networks and receive compensation for services rendered. Here are more tips for creating a successful urgent care center:
Consider Provider Credentialing
Provider credentialing is the process of validating a healthcare provider’s competence and qualification to participate in insurance networks. The process involves gathering and reviewing information about a provider’s education, licensure, training, and professional history. A credentialing organization contacts institutions where providers completed their medical degrees, training, and residencies to collect and substantiate the documentation. Credentialing companies can also contact licensing agencies and certification boards to verify certificates and licenses. Credentialing can also catch and address issues like incorrect diagnoses, unqualified doctors, and fraud to reduce the risks of future lawsuits and injuries.
Complete Provider Enrollment
Provider enrollment is the process of enlisting a single provider or urgent care facility in a health insurance network or plan. The process is part of insurance credentialing and entails submitting applications and documents like a provider’s DEA registration, resume, malpractice coverage, licensure, education, and training accreditations. A credentialing company can help providers get certified with the Urgent Care Association of America (UCAOA). UCAOA accreditation helps urgent care facilities stay in-network with specific payers. Each insurance provider may have different credentialing requirements, but the experts can help you navigate the process smoothly. Prompt provider enrollment helps prevent revenue loss since providers must be enrolled with insurance carriers to get reimbursed for their services.
Outsource Re-credentialing
Also known as credentialing maintenance, re-credentialing is a continuous process of checking whether a provider’s qualifications are relevant and current. Re-credentialing looks into a provider’s past lawsuits or criminal charges to protect patient safety. The goal of credentialing maintenance is to make sure that an urgent care practice meets the National Committee for Quality Assurance standards and regulations. During re-credentialing, payers review regulatory requirements and conduct financial checks on urgent care providers. Re-credentialing can boost patient trust in urgent care facilities as the process shows the providers’ compliance with payer regulations.
Choose the Right Location
Choosing the right location for an urgent care practice can involve determining proximity to residential and commercial areas to increase patient convenience. Experts can conduct market research to help you assess the level of competition and whether there is a market gap or unmet demand for urgent care services in a specific location. Professionals can also explore the accessibility of the facility in terms of proximity to major roads, highways, public transportation, and parking availability. This location analysis can also give providers a cost estimate for leasing or purchasing the property and other overhead expenses.
Use Website Design Services
A good website can streamline your practice’s operations and engage patients effectively. Web design experts can create a responsive website that patients can access on mobile phones and computers. The website should have a straightforward and intuitive navigation menu allowing patients to find the information they need quickly. Website sections like services offered, location details, contact information, and patient resources should be easily accessible. Providers can work with experienced web designers to create a website that complies with healthcare regulations. This involves implementing website features that prioritize patient privacy and data security.
Invest in Professional Insurance Credentialing Today
Insurance credentialing helps your urgent care center receive payment from Medicaid, Medicare, and other private insurance networks. A credentialing company can collect providers’ background information and help you accelerate the vetting process. These organizations can also re-validate your practice’s credentials to manage denied claims. Contact a credentialing company today to learn more about how they can help you create a successful urgent care facility.
