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Credentialing

Credentialing

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 […]

Avoid Missed Medicare Revalidation Deadlines

Please Note: Effective October 1st, 2021, CMS will restart Medicare revalidations for providers and supplies. Prior to this, revalidations were put on hold due to the COVID health emergency.  To determine if you have an pending or upcoming provider revalidation you can utilize Medicare’s Revalidation List online. medicare revalidation lookup. Although Medicare has put a temporary […]
medicare revalidation lookup

Medicare Revalidation: How to Easily Find Your Due Date

Please Note: Effective October 1st, 2021, CMS will restart Medicare revalidations for providers and supplies. Prior to this, revalidations were put on hold due to the COVID health emergency.  To determine if you have an pending or upcoming provider revalidation you can utilize Medicare’s Revalidation List online. medicare revalidation lookup. As a leader in your practice, […]
PECOS login

Accurately Choose Your PECOS Login Surrogacy Designation

CMS rules do not allow you to use your provider’s login credentials to manage their Medicare enrollment and ongoing revalidations in PECOS (Provider Enrollment, Chain, and Ownership System). There is a more efficient, compliant process you should be using to manage this. PECOS login. To be compliant, you must set up a PECOS login surrogacy […]
pecos-medicare-enrollment

Use PECOS to Speed Up Medicare Enrollment Efficiency

Whether you’re enrolling your provider with Medicare for the first time or responding to a revalidation request, knowing how to correctly utilize CMS’ Provider Enrollment, Chain, and Ownership System or PECOS Medicare enrollment system is essential. What is the PECOS Medicare Enrollment system, anyway? PECOS is an internet-based enrollment process that provides you with an […]