The Hidden Costs of Poor Credentialing in ENT and Pulmonary Practices
- Credentialing matters – It’s more than paperwork; poor credentialing delays payments, risks compliance issues, and drives patients away.
- What it is – Verifies physicians’ education, licenses, IDs (DEA/NPI), and history every 2–3 years or when joining new payers.
- Financial risks – Delayed/denied claims and compliance errors can cost $10k–$30k per provider annually.
- Common mistakes – Assigning untrained staff, missing re-credentialing deadlines, not updating documents, and failing to follow up.
- Impact on practices – Lost revenue, patient dissatisfaction, and potential legal penalties.
- Best practices – Use trained staff, track deadlines, verify documents monthly, and adopt tools or partners for accuracy.
- Trends – Stricter insurance rules in 2025 make credentialing more complex, especially for ENT and pulmonary providers.
- Practolytics advantage – Expert management, dashboards, error-free documentation, faster payments, and peace of mind.
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- Credentialing matters – It’s more than paperwork; poor credentialing delays payments, risks compliance issues, and drives patients away.
- What it is – Verifies physicians’ education, licenses, IDs (DEA/NPI), and history every 2–3 years or when joining new payers.
- Financial risks – Delayed/denied claims and compliance errors can cost $10k–$30k per provider annually.
- Common mistakes – Assigning untrained staff, missing re-credentialing deadlines, not updating documents, and failing to follow up.
- Impact on practices – Lost revenue, patient dissatisfaction, and potential legal penalties.
- Best practices – Use trained staff, track deadlines, verify documents monthly, and adopt tools or partners for accuracy.
- Trends – Stricter insurance rules in 2025 make credentialing more complex, especially for ENT and pulmonary providers.
- Practolytics advantage – Expert management, dashboards, error-free documentation, faster payments, and peace of mind.