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Credentialing

Credentialing

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 […]
Published Date: November 8, 2022
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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 […]
Published Date: October 20, 2022
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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 […]
Published Date: May 4, 2022
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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 […]
Published Date: June 10, 2021
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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, […]
Published Date: June 3, 2021
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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 […]
Published Date: May 6, 2021
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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 […]
Published Date: April 29, 2021
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credentialing and enrollment

Master the Differences Between Provider Enrollment & Credentialing

Interchanging the terms credentialing and enrollment is a surefire way for your provider reimbursement to take a serious hit. The problem is that there is definitely overlap between them. Ultimately, however, having a solid understanding of each process and knowing the differences between provider enrollment and  credentialing is the only way to more efficiently and […]
Published Date: April 6, 2021
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CAQH ProView Portal

CAQH ProView Portal: Make Credentialing/Enrollment Faster & Easier

Your patients pay for their health insurance and want to use it. This means that if you want to treat them, you need to be enrolled in their health insurance plan. Participating in insurance networks almost certainly guarantees you will be required to utilize the Council for Affordable Quality Healthcare (CAQH) ProView Portal, and it […]
Published Date: March 31, 2021
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