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Credentialing

Credentialing

Stay of enrollment

Untangling Medicare’s New Stay of Enrollment Status & Its Impact

Practices are accustomed to enrollment and credentialing errors when it comes to Medicare, and these errors often lead to penalties, including lost pay. One way CMS is attempting to rectify this issue is with the recent debut of a new enrollment status called a “stay of enrollment.” Check out a few facts you must know […]
PECOS 2.0

Get a Sneak Peek of 5 Features That PECOS 2.0 Will Offer

Medicare’s PECOS 2.0 system for credentialing and enrolling your providers is expected to arrive this year, and if you aren’t ready for it when it goes into effect, you’ll be behind the eight ball. Check out a sneak peek of five PECOS 2.0 features you’ll need to master if you want your provider enrollment applications […]
Delegated credentialing

How Delegated Credentialing Can Help Practices Bring in Cash

Before your practice can get paid for your providers’ services, those clinicians must go through the payer enrollment process, which has multiple credentialing steps that can take upwards of six months to complete. And every day of delay when your providers aren’t credentialed means you’re losing money. The solution for many practices is delegated credentialing. […]
Telehealth across state lines

Telehealth Across State Lines: Can Professional Assns. Help?

The COVID-19 pandemic led to countless changes in how clinicians provided services, and one such change boosted the use of telehealth and increased the number of patients who were transient. When patients left one state and moved to another—whether temporarily or permanently—it created issues for many providers who wanted to keep seeing them over telehealth. […]
PECOS 2.0

6 Features You’ll Love in PECOS 2.0 When it Debuts in June

Completing Medicare enrollments and revalidations has been a headache for practices over the past several years, due to a complicated process and a slow approval system. As practices have complained, CMS has been listening, and the agency aims to fix that issue with the debut of PECOS 2.0 this June. Read on to discover some […]
Provider enrollment and credentialing

3 Provider Enrollment Barriers and How to Overcome Them

One of the simplest and fastest ways to keep reimbursement flowing at your practice is to ensure your provider enrollment and credentialing processes never face any hiccups. After all, if you don’t get your providers enrolled and credentialed swiftly, they could be terminated from payer networks and dropped from hospital admitting rolls. Plus, you’ll be […]
Medicare revalidation

5 Facts About PECOS Revalidation Practices Can’t Afford to Miss

Medicare reimbursement likely makes up a large portion of your practice’s income, which means you can’t afford to forfeit that revenue stream. One simple way to keep that income flowing into your practice is to complete your Medicare revalidations by the due date. If you miss a Medicare revalidation deadline, you’ll likely end up excluded […]
provider credentialing

5 Steps Help You Reach Payers, Speed Credentialing Processes

Getting payers to respond to your provider credentialing and enrollment questions sometimes feels impossible, but without their help, you won’t be able to process your applications, which means you can’t bill for new providers. There are, however, concrete ways you can reach insurers and get responses to your credentialing questions. Check out five expert-tested ways […]
CAQH ProView

CAQH: Comply w/Provider 90-Day Revalidation No Surprises Rule

The No Surprises Act has now made it mandatory to revalidate all provider information every 90 days – for every single payor your practice contracts with. Missing even one revalidation period could mean you risk losing your contract with a payor, without warning. To make this time-consuming task easier and less time intensive, you should […]