Your Practice, Your Way!
Credentialing
- This involves verifying the qualifications and experience of healthcare providers, such as physicians, nurses, and therapists, to ensure they meet the standards set by insurance companies and regulatory bodies. This typically includes verifying education, training, licensure, board certifications, and any malpractice history.
Licensing
- Healthcare providers must hold a valid license to practice in their respective fields within the state or jurisdiction where they intend to work. This involves obtaining and maintaining a state-issued license, which demonstrates that the provider has met the necessary educational and examination requirements to practice safely and legally.
Privileging
- Privileging refers to the process by which healthcare providers are granted permission to perform specific procedures or services within a healthcare facility. It involves assessing a provider's training, experience, and competence in a particular area of practice to ensure they are qualified to perform certain procedures or services safely.
In Summary
- To successfully navigate these processes, healthcare organizations often have dedicated staff or use third-party credentialing services to manage the paperwork, gather necessary documentation, and communicate with insurance companies and regulatory bodies on behalf of the providers. Lavear puts you back in charge and helps ensure that you are efficiently enrolled with insurance payers while remaining compliant with regulatory requirements.