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  1. Home
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  3. How Physician Credentialing Services Can Save Your Time and Money

How Physician Credentialing Services Can Save Your Time and Money

Imagine spending months diligently recruiting a much-needed physician for your practice, setting up the office, hiring staff, and eagerly scheduling patients. Everything seems perfect until the entire operation comes to a grinding halt due to credentialing issues. The frustration can be overwhelming, and the financial toll it takes can be quite substantial.

This scenario is far too common and, unfortunately, quite expensive. One industry source estimates that the loss of revenue due to physician credentialing delays can amount to a staggering $7,500 per day. It is merely the beginning, with much more beneath the surface. Practice overhead costs, including staff salaries and the doctor's income guarantee, pile up each day. On top of that, there are increased staff hours and annual database expenses. It all adds up quickly.

Here's the harsh reality: handling your own credentialing is a time-consuming and costly endeavor. Let's explore how automating this task can help you avoid wasting valuable time and resources so that you can focus on patient care.

The High Cost of Handling Credentialing In-House

Physician credentialing is a critical process that can significantly impact your practice's financial health when not handled accurately and promptly. While successful credentialing can attract new patients and increase revenue, the process itself can be burdensome and expensive.

Consider these costs:

  1. At an estimated rate of $100 per hour, credentialing work for a physician can cost approximately $20,000 per year.
  2. Additional expenses related to office staff involvement, taxes, and other overhead costs further inflate the financial burden.
  3. Incomplete or erroneous applications can lead to additional expenses.
  4. Lost revenue also factors in:
  5. Time spent on credentialing services instead of with patients
  6. Efforts to resolve application and submission issues
  7. Supervising credentialing work

The manual credentialing process typically spans about 180 days, broken down as follows:

  1. 30-60 days for onboarding and documentation.
  2. 90-180 days for primary source verification and exclusion assessment.
  3. Approximately 4-8 hours per provider/payer for tasks such as payer enrollment, facility privileging, provider profile management, CAQH profile management, payer calls, and payer market research.

Studies reveal that physicians spend a substantial amount of time on paperwork and administrative tasks, detracting from valuable patient interaction. In fact, some physicians may dedicate up to 4 hours per week to credentialing alone, not accounting for other administrative responsibilities or time spent by office staff.

In reality, the cost of in-house physician credentialing is likely much higher than the estimated $20,000 per year. So, how does this compare to automating the credentialing process? Let's take a closer look.

The Cost of Automating Physician Credentialing Services

It's important to note that the cost of credentialing services can vary based on several factors, including your current credentialing status, the number of physicians you plan to add, the pace at which your practice grows, and any additional services you require from your credentialing provider.

By connecting with a physician credentialing company like Credidocs, you can expect to pay an average of $500 for physician credentialing services. Similarly, hospital credentialing by Credidocs costs $200 only.

The utilization of the CAQH database helps streamline information collection for the credentialing process. Management costs will depend on the level of involvement your credentialing provider has and how frequently updates to the database are needed.

If you're yearning for a few extra minutes with each patient, partnering with medical credentialing services like Credidocs may be the solution you've been seeking. Let's explore four benefits for you and your private practice.

4 Ways Medical Credentialing Services Save Time and Money

  1. More Time with Patients, Less Paperwork: You became a physician to make a meaningful impact on patients' lives, not to drown in paperwork. Physician credentialing services alleviate some of this administrative burden, allowing you to focus on what truly matters – your patients. Increased one-on-one time with your doctor leads to happier patients, contributing to a thriving practice. Automating credentialing reduces redundancy and streamlines the process
  2. Expert Handling of Payments: Navigating the credentialing process requires finesse. Experienced professionals can navigate the complexities smoothly and circumvent potential roadblocks. They ensure that applications are accurate and complete, sparing you the hassle of revisiting missed sections or crucial details. With accurate submissions and efficient follow-ups, payments flow smoothly, and bureaucratic obstacles are minimized.
  3. Automatic Monitoring and Updates: Credentialing providers automatically maintain and update your CAQH profile. Credentialing software has the ability to send automated alerts, execute batch processing, and build audit trails.
  4. Integration with Other Services: Credentialing services are just one facet of practice management. Some credentialing companies also offer additional services such as FCVS setup, license renewal, IMLC state addition, etc. This holistic approach streamlines operations and ensures that your practice is being managed efficiently. You receive regular status reports and full access to all documents, providing peace of mind. Moreover, you benefit from dedicated support, promptly addressing any questions or concerns.
  5. Reduce operational costs - According to the Medical Group Management Association (MGMA), physicians spend approximately $7,618 annually to submit credentialing applications. A credentialing software solution like Credidocs can significantly reduce operational costs.
  6. Database maintenance - Maintaining physician details as an extensive database can be challenging, especially for practices with limited human and financial resources. Credentialing software offers a cost-effective solution.

Thus, automating the credentialing process can save physicians approximately $29,000 annually and free up approximately 3 hours spent regularly on credentialing tasks. This translates to more resources for patient care and infrastructure improvement.

Why Choose Credidocs?

Partnering with physician credentialing company like Credidocs offers numerous advantages:

  1. Ensuring providers stay on the certification radar, reducing the initial credentialing time from five to two days.
  2. Decreasing denials by flagging any discrepancies between physician network participation approval and insurers.
  3. Accelerating the credentialing of new providers, such as those coming from residencies or fellowships, in less than 30 days with automated intake features.

Auto-credentialing not only cuts costs but also delivers faster results. Credidocs is vendor-agnostic, seamlessly integrating with all platforms.

Final Thoughts

Ready to reclaim your focus on what truly matters? Connect with Credidocs and explore the possibilities of medical credentialing services right away!


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Arizona's Course Requirements to Renew Licenses: What Medical Professionals Should Know

Staying up to date with your Arizona medical license is crucial to practicing healthcare. The state requires certain continuing medical education and continuing education credits depending on whether you're a physician, nurse, pharmacist, or part of another healthcare field. These rules aim to help licensed professionals keep pace with changes in healthcare standards, laws, and patient care methods.

This guide breaks down Arizona's required CME and CE courses. You’ll learn their purpose and how to meet these rules while furthering your professional growth.

CME and CE Rules by Field

Physicians (MDs and DOs):

The state asks doctors to finish 40 CME hours during each Arizona medical license renewal period. Osteopathic doctors (DOs) need 24 hours every year in AOA Category 1-A credits, and 16 of those hours can come from AMA PRA Category 1™ credits.

Doctors with active DEA registration who prescribe Schedule II-controlled drugs must finish 3 CME hours focused on opioids, addiction, or substance-related disorders within each renewal period.

Osteopathic Examiners:

To refurbish an osteopathic Arizona medical license, you should log 40 CME hours permitted by the board in the two years before your license expiration.

Nurses:

Arizona does not demand continuing education hours from registered nurses or licensed practical nurses when renewing an active license. Nurses are still encouraged to stay current with clinical knowledge.

Pharmacists:

Pharmacists in Arizona need 30 hours of CE every two years. This includes:

  1. 3 hours focused on opioids, substance disorders, or addiction
  2. 2 hours covering immunization and emergency meds
  3. 2 hours related to tobacco cessation (if prescribing or giving cessation treatments under A.R.S. 32-1979.03)

The Arizona medical license renewal happens every two years and must be done by the pharmacist’s birthday.

Arizona State-Mandated CME Topics

  1. Substance Use Disorders

Healthcare workers take this course to better grasp addiction and how it affects those they treat. It looks at how addiction works in the brain how common it is, and treatments that work like medicines or therapy.

  1. Opioid Use Disorder (OUD)

The state requires this training to address problems linked to opioids. The course teaches everything from stopping misuse to handling and treating OUD. It includes therapies for behavior change and treatment with medication.

  1. Using Opioid Therapy to Treat Chronic Pain

This vital training offers methods to treat chronic pain in a safe way through opioid therapy. It covers opioid medications how to prescribe them how to reduce potential side effects, and when to look beyond opioids for other options.

  1. Combined Training on Substance and Opioid Use Disorders

This all-encompassing course tackles both general substance addiction and specific opioid dependency. It teaches about medications like Gabapentin and Pregabalin and familiarizes healthcare providers with Medication Assisted Treatment (MAT).

  1. Controlled Substances Prescribing – Pain Management

Doctors in Arizona need to follow state rules when giving controlled substances. This program explains drug laws, types of drugs, ways to reduce harm, and how to stay within legal guidelines.

Arizona CME Course Packages

Arizona provides CME course packages to help healthcare workers renew their licenses with less hassle. These packages focus on fulfilling the state’s specific requirements. A standard package often includes:

  1. Opioid Training – 1 credit
  2. Substance Use Disorders – 2 credits

Courses in the Package:

  1. Opioid and Substance Use Disorders – 1 credit
  2. Pain Management and Controlled Substances Prescribing – 1 credit
  3. CDC Opioid Prescribing Guidelines – 1 credit

These packages make it easier for healthcare professionals to cover required topics and meet standards.

Meeting Arizona’s CME or CE rules isn’t tied to keeping your license. It plays a big role in keeping care standards strong. State-required courses help you handle tough health issues like chronic pain or addiction. They also safeguard your patients and your career.

Healthcare keeps changing fast. Learning more as you go helps you stay up-to-date adjust to shifts, and do well in your job. Take time to review what your license needs and pick programs approved by the state that are well-accredited.

In Summary:

To renew a healthcare license in Arizona, professionals must meet certain continuing education standards based on their field. A doctor handling controlled substances or a pharmacist updating knowledge about immunizations needs to stay updated and on top of these requirements. This helps them follow the rules while continuing to provide quality care to their patients. For more details, contact Credidocs professionals.

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06/11/2025
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Mastering Physician Licensing Services: A Smarter Approach for Digital Health

Continuous growth of digital health companies is putting increasing pressure on health laws and regulations to catch up. Even though technologies like telemedicine and virtual care have transformed the healthcare industry, healthcare providers are still required to comply with requisition rules set by each state. As a result, organizations face increased regulatory responsibilities, spend more time managing license requirements, and are unable to allocate resources to improving patient care. Modern provider licensing requires applying innovative and technology-driven solutions. Licensing management becomes a vital tool in this situation.

Why Physician Licensing Services Still Matter

Licensing safeguards whether doctors and other healthcare providers meet the standards of practice. There are different licensing rules and schedules in every state or territory, with varying costs involved. Dispensaries need to have licenses in all states where they serve patients, a challenge for multistate companies.

There are generally two key steps in obtaining a license.

  1. Initial Licensing – Verifies education, training, and exam completion.
  2. License Renewals – Requires continuing education and regular updates.

Failure to meet licensing requirements may lead to administratively suspended licensure, fines, and the halt of patient treatment.

The High Cost of Inefficiency

Administrative expenses for licensing and credentialing amounted to nearly $950 billion for healthcare organizations in 2019. Without streamlined systems, providers face:

  1. Duplicative efforts across states
  2. Delays in onboarding and reimbursements
  3. Revenue loss from ineligible providers
  4. Increased regulatory exposure

Licensing plays a vital role in maintaining the operations and success of digital health organizations.

Common Challenges in Licensing Management

1. Inconsistent State Requirements

Managing the differing requirements for paperwork, fingerprints, and background checks can be challenging, often making it difficult for providers to operate in multiple states.

2. CME Tracking

All healthcare professionals are required to participate in CME programs to maintain their licensure. Keeping up with the various CME requirements for each state, manual methods can become overwhelming.

3. Regulatory Changes

Licensing laws evolve frequently. It’s important to anticipate changes to ensure compliance and prevent mistakes.

4. Pass-Through Fees

It's important to monitor and record expenses related to licensure renewal to manage healthcare provider licensing costs effectively.

5. Supervision Agreements

Supervising physician agreements differ from state to state and determine the extent of a mid-level provider’s independence in practice and prescription writing.

Risks of Poor Licensing Management

  1. Patient Safety – Lapses or deceptive demonstration of licenses pose safety concerns to patients.
  2. Financial Penalties – Noncompliance may lead to hefty fines, loss of accreditation, and reduced revenue for your company or organization
  3. Service Disruptions – A lapse in licensure might lead to delayed appointments, which could negatively affect patients’ relationships with providers.
  4. Reputational Damage – Losing trust with the public is a consequence of noncompliance being made public.

Technology as a Licensing Ally

  1. Organizations support their operations by incorporating cutting-edge licensing technology.
  2. Workflow automation helps reduce errors while processing licenses and speeds the delivery of documents.
  3. Visibility processes monitor updates in licensing provisions and deadlines to avoid lapses.
  4. Seamless collaboration across multiple licensing platforms and jurisdictions enhances oversight and cuts down on licensing hassles in states with many of them.
  5. Using blockchain enables quick and safe autonomous license verification.
  6. Staff are kept up-to-date with any changes through real-time alerts of regulations and standards.

What Primary Source Verification (PSV) Provides

PSV is foundational to compliance. It directly verifies the authenticity and validity of a provider’s credentials. PSV supports:

  1. Accurate and fraud-resistant credentialing
  2. Compliance with state/federal mandates
  3. Safer patient care
  4. Faster license renewals
  5. Efficient credential maintenance

How Credidocs Simplifies Licensing

Credidocs is a licensing management tool built for digital health organizations. It simplifies and optimizes the licensing process, allowing businesses to lower their risks, cut down on workload and grow more efficiently.

Key features include:

  1. Expedite hiring and onboarding while ensuring up-to-date credential status.
  2. Workflow automation includes initializing forms, sending renewal reminders, and following digital checklists at each stage of the licensing process.
  3. Centralized CME tracking, automatic regulatory warnings, and personalized recommendations for additional education.
  4. Services that continuously check license eligibility and keep all requisite documents in order.
  5. Built-in risk assessment tools to detect compliance issues and help maintain regulatory compliance.
  6. Simplified multi-state licensing with one-click access to combined state views and help to complete and manage IMLCs and other multi-state agreements.

Licensing in the Future will be Streamlined, Connected, and Secure

The effective management of licensing helps ensure the delivery of the highest quality care, safeguards patients, and empowers practitioners. Digital-first licensing platforms like Credidocs eliminate inefficiencies, help providers move freely across state lines, and allow time to be spent where it counts, delivering care without borders.

Plan for a demo with us to understand how the Credidocs platform simplifies the licensing procedure.


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05/20/2025
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The Role of FCVS in Medical Licensing: A Streamlined Path for Physicians

American physicians must follow a prolonged multistep application process to obtain their medical license when applying in multiple states throughout the country. The Federation Credentials Verification Service (FCVS) that the Federation of State Medical Boards (FSMB) created assists physicians by simplifying their licensure process. The service serves as a safe platform to confirm and maintain physician certifications, which optimizes license acquisition and reduces needless administrative steps.

What is FCVS?

FCVS operates as an electronic system that both verifies and keeps records of significant physician credentials. Thousands of physicians from 1996 to present trust FCVS which the FSMB originally established as a credentialing verification system. Physicians who maintain their verified profile in FCVS can distribute it whenever necessary instead of sending identical documents to multiple boards.

How FCVS Works

The FCVS process is organized and systematic. Here’s how doctors can get started:

Step 1: Physicians gather necessary documents such as:

  1. Medical school diplomas
  2. Examination results (e.g., USMLE, COMLEX)
  3. Postgraduate training certificates
  4. Medical licenses

Step 2: Create an FCVS account by checking the FCVS website.

Step 3: Submit all the above-listed documents, including medical education as well as training records, to FCVS.

Step 4: FCVS independently verifies each submitted document with the issuing institutions, ensuring accuracy and authenticity.

Step 5: Once verified, the credentials are securely stored in the FCVS electronic database.

Step 6: Doctors can then request their FCVS profile to be transmitted to any participating state medical board as required, streamlining the application process.

Benefits of Using FCVS in Medical Licensing

FCVS offers the following exclusive benefits for both doctors and licensing authorities:

1. Time-saving and Convenient

Physicians eliminate the task of manually providing credentials to separate state boards since their documents are available for future license applications. The verification process makes documents available for every subsequent licensure application that physicians file through the system.

2. Trusted Verification

FCVS verifications that come from official institutions directly check their accuracy, which accelerates license approvals and eliminates unnecessary verification efforts from state boards.

3. Multi-State Licensing

The process of applying for licensure in several states is simplified by having a verified FCVS profile because physicians won't need to confirm or re-validate their credentials - especially beneficial for locum work and telemedicine practitioners.

4. Secure and Organized Storage

The system securely maintains all sensitive documents under a single protected storage, which safeguards against data loss while defending against fraud and identity theft.

5. Reduces Paperwork

Digital processing dominates the certification process, which minimizes the need for paper documents in each licensing application.

FCVS and State Medical Boards

The U.S. medical boards widely recognize the Fast Credentialing Verification Service (FCVS) as a choice for the application process even though its acceptance varies by state laws. FCVS stands as an optional system for specific medical boards, although particular types of licensing applications, such as those for international medical graduates and telemedicine, must utilize FCVS. This FCVS speeds up the entire licensing procedure in states with heavy administrative requirements.

Expenses Involved

FCVS charges fees for enrollment as well as credential authentication:

  1. Initial Enrollment Fee: $375
  2. Verification Fee (per credential): $85
  3. Transmission Fees: Additional charges may apply while sharing profiles to state boards.

Medical professionals usually consider FCVS beneficial because its efficiency outweighs its expenses when they aim to apply for positions across different states.

In Summary

Through its role as a powerful support system, FCVS facilitates medical licensure handling for physicians working in complex environments. The essential credential storage systems of FCVS create time savings for healthcare professionals while minimizing administrative work to enable better state-to-state practice.

Medical professionals who establish their FCVS profile ahead of medical license applications will reduce delays from unreported documentation needs and quicken the application runtime. The service from FCVS provides trusted verification services to state boards, which results in a simpler and more predictable licensure process. A complete FCVS profile can help both applicants and medical professionals with their license needs.

For more details, contact our team at Credidocs. Our service at Credidocs enables physicians to obtain their licenses quickly despite the reduced stress levels. The first step toward medical practice starts with booking a consultation about licensure from our expert team.

Read More »

04/17/2025
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Arizona's Course Requirements to Renew Licenses: What Medical Professionals Should Know

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Mastering Physician Licensing Services: A Smarter Approach for Digital Health

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