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Home Lifestyle Health

Navigating the Nuances of Credentialing for Behavioral Health Services

mindmingles by mindmingles
June 11, 2022
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Behavioral health services are those healthcare services in which the people with mental illness are treated. The physical well-being of a person is also affected badly due to such disorders. It affects different factors such as exercise, drinking habits, addictive behavior patterns, etc. Some common examples include gambling, eating disorders, sex addiction, and substance abuse.

Credentialing plays a vital role in preventing the admission of rogue healthcare employees with dubious qualifications. It is also helpful in providing quality healthcare services to the patients. So, it is necessary to evaluate the credentialing services for physicians and evaluate their performance.

Table of Contents

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  • Purpose of Behavioral Health Services
  • Role of Credentialing
  • Why Credentialing Is Needed?
  • Credentialing for Behavioral Health Services
  • Structure of Credentialing
  • FAQs
  • Conclusion

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This guide explains the importance of credentialing for behavioral health services. Credentialing makes sure that all the healthcare service providers are licensed, experienced, and certified. It is because the experts are the only ones that can provide quality services to the patients in treating them.

Purpose of Behavioral Health Services

As we know, there are many people out there that are suffering from mental health problems such as anxiety and depression. It is the reason that about half of the clinicians are busy treating such people where the rise in addiction has been noticed in the patients.

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The purpose of behavioral health services is to treat patients suffering from mental health problems. No doubt, these problems can also affect the physical health of the patient which can be more dangerous. So, it is needed to treat such patients as soon as possible.

When you see that someone you know is suffering from any mental health problem, you should take him straight to a physician. His condition will be evaluated by the doctor and the patient will be treated accordingly. Let us tell you that such patients can be treated with medications or behavioral therapies.

Role of Credentialing

As we know, in the pandemic of COVID-19, it became difficult for many people to visit the physician in place. So, the rise of telemedicine took place that provided a new way for the patients to get healthcare services from the physicians. The people quarantined in their homes were able to get the assistance of the doctors and were also seeking care virtually.

Telemedicine has been given a lot of importance as after the pandemic, the people are still taking advantage of it. Thus, it has resulted in an increase in the need for mental health specialists. We know that all the specialists cannot be available for the patients physically and virtually.

You may have seen many physicians that do not go to a healthcare institute, hospital, or clinic and provide services to the patients from home. These are the ones that provide virtual assistance to their patients and take care of them virtually. If you want to get cognitive behavioral therapy, you can get it over a video call.

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Why Credentialing Is Needed?

As we know that the use of new practices is common and the healthcare service providers are also expanding their services, it is important to take note of these practices and services. It must be checked whether the service providers are providing legal behavioral health services or not. So, it is necessary for the providers to get credentialed.

No doubt, credentialing is not an easy task to perform as it requires a lot of effort. It is necessary to comply with the CAQH credentialing requirements to provide behavioral services to the patients. It takes a lot of time for credentialing the behavioral health service providers as compared to the traditional physicians because of the nuances specific to the industry.

Credentialing makes sure that all the healthcare workers are qualified. It means all the patients will be provided with quality services. Credentialing is also helpful to determine the healthcare workers that do not hold an authentic degree and have falsified experience.

Credentialing for Behavioral Health Services

Credentialing plays a vital role in behavioral health services and telemedicine. Due to credentialing, many physicians are permitted to practice telemedicine and treat the mental health problems of the patients such as depression, anxiety, etc.

Some physicians are also provided with healthcare institutions that have been providing behavioral health services to the patients virtually. Centers for Medicare and Medicaid Services have also credentialed some physicians to provide teleradiology and surgical care to the patients.

Structure of Credentialing

No healthcare service provider is allowed to work professionally before the completion of the credentialing process. It is also important for the healthcare institution to perform the initial credentialing process so that no service provider is left in limbo for months.

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It is important for every organization to verify credentials to expedite the process. For this purpose, external organizations must also be considered. The credentialing process is needed to be reviewed by the healthcare institutions regularly whenever the federal or state recommendations are updated.

FAQs

  1. What is the process of credentialing?

Credentialing is a process that involves checking the license, certificate, and other titles of the healthcare service providers regarding their job.

  1. What is the purpose of credentialing in healthcare?

The purpose of credentialing is to provide the patients with quality healthcare services by certified and experienced healthcare service providers.

  1. What information is required for credentialing healthcare professionals?

The healthcare professionals have to provide their name, gender, career history, mailing address, ethnicity, email address, phone number, citizenship information, and much other personal information to get credentialed.

Conclusion

You should get behavioral health services from professionals that are certified and experienced. Credentialing plays a vital role to determine the qualifications of the service providers so that they could perform their job efficiently. It also plays a vital role in determining that there is no past reported issue that shows that the providers are not capable of providing quality healthcare services.

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