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Credentialing

Credentialing

Medicare credentialing

Overcome Medicare Credentialing Issues That Slow Enrollment

Getting your Medicare credentialing applications processed quickly allows you to bill for your providers’ services right away. But even one mistake could slow your enrollments and cost you significant dollars as you wait to rectify these issues and try again. If you know how to avoid the following five common Medicare credentialing mistakes, you’ll be […]
Published Date: October 7, 2024
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Medicare credentialing

Navigate Parts 4-17 of a CMS-855 Medicare Credentialing Form

Determining how to complete each section of the CMS-855 Medicare credentialing application can be cumbersome without a little help. Last week, we showed you how to complete sections 1-3 of the form so you can get your providers enrolled and paid faster. This week, take a look at how to complete sections 4-17 of the […]
Published Date: September 17, 2024
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Medicare enrollment

The Anatomy of a CMS-855 Medicare Enrollment Form: Parts 1-3

If you want to get your providers credentialed and enrolled in the Medicare program faster, then you’ll need to know your way around the CMS-855I Medicare enrollment application. Completing this for new doctors will allow you to bill for their services and add to your practice’s bottom line. To navigate the Medicare enrollment form, check […]
Published Date: September 9, 2024
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Pecos enrollment

3 PECOS Enrollment Tips to Speed Medicare Credentialing

Every practice has been there: You have a new provider on board, but you can’t bill for their services yet because their PECOS enrollment application is moving too slowly. The good news is that if you know a few insider tips, you can get your enrollment and credentialing through the process much faster. Check out […]
Published Date: August 5, 2024
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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 […]
Published Date: March 27, 2024
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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 […]
Published Date: March 19, 2024
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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. […]
Published Date: September 25, 2023
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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. […]
Published Date: August 8, 2023
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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 […]
Published Date: February 1, 2023
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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 […]
Published Date: January 11, 2023
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