Limited-Time: 3-Month All-Access Training Pass at a 50% Savings Learn More

Credentialing

Credentialing

CAQH

CAQH Credentialing Tips Every Beginner Must Know

If you’ve got new providers joining your practice, then you’re likely preparing to navigate the CAQH portal. Getting your information into this platform allows you to get your providers enrolled with insurers quickly and efficiently. The program is designed to be self-explanatory, but it can stump even the most seasoned credentialing professionals from time to […]
Published Date: July 21, 2025
Read More
Medicare credentialing

Insider Tips for Tracking Medicare Credentialing Applications

Many practices don’t realize it, but Medicare credentialing is one of the most important tools in your reimbursement toolkit. It allows you to properly enroll with your payers so you can bill for your providers’ services and collect for the procedures and visits they handle. Faster Medicare credentialing means more money coming into your practice […]
Published Date: April 23, 2025
Read More
PECOS

3 Common PECOS Mistakes (and How to Avoid Them)

Completing a PECOS application incorrectly can slow your provider’s enrollment and cause delays in your ability to submit claims for new physicians. The key to ensuring your application gets through the process correctly is to avoid some of the most common errors that medical practices make. Check these frequent PECOS mistakes, along with tips on […]
Published Date: March 4, 2025
Read More
Provider onboarding

Include These Items on Your Provider Onboarding Checklist

When it comes to provider onboarding, time really is money at your medical practice. For every day that a new provider’s credentialing is delayed you miss a full day of being able to bill Medicare for their services, which can be expensive. One tried and true way of helping move your provider onboarding along faster […]
Published Date: January 19, 2025
Read More
CAQH credentialing

5 Things You Must Do Before CAQH Credentialing

Providers who want to begin billing insurers for their services may find themselves navigating the CAQH portal. Getting enrolled with CAQH provides the clinician with a streamlined process for all later credentialing, including getting an NPI or being able to write prescriptions. In short, CAQH credentialing gives your providers a central place to store information […]
Published Date: December 17, 2024
Read More
Medicare credentialing

3 Processes to Help Speed up Medicare Credentialing

Every practice knows time is money, and that means you’re counting on your Medicare credentialing and enrollment applications to flow through the MAC system swiftly. Unfortunately, that doesn’t always happen without a few nudges. If your practice is looking for new processes to speed up credentialing, the solution may be simple. Consider using these three […]
Published Date: November 4, 2024
Read More
Medicare revalidation

Avoid These 3 Revalidation Mistakes Practices Often Make

Most providers must go through the Medicare revalidation process every five years, and if you don’t do it correctly, you could seriously harm your ability to collect from Medicare payers. CMS stats indicate that about 30-35% of applications have errors or incomplete data, resulting in delays. If you want to avoid being a statistic, you’ll […]
Published Date: October 15, 2024
Read More
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
Read More
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
Read More
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
Read More