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 […]

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 […]
Medicare provider enrollment

Ease Medicare Provider Enrollment With Simple Prep Tips

Enrolling your new providers in the Medicare system can be tedious and time-consuming — and the responsibility usually falls to your back office staff, who are busy enough trying to maximize reimbursement. One way to streamline the Medicare provider enrollment process is to acquaint yourself with a few key strategies so you can significantly reduce […]
Provider credentialing

3 Provider Onboarding Enrollment Mistakes and How to Fix Them

Onboarding a new provider takes a lot of legwork, from recruiting to contract negotiation and beyond. So it’s common to put a tremendous amount of effort into finalizing an employment agreement. What may fall through the cracks at that point, however, is a quick provider credentialing and enrollment process that could allow your practice to […]

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 […]
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 […]

Stop Denials Due to Multiple PTANs During Medicare Enrollment

Medicare enrollment and validation processes are complicated and frustrating enough when things are straightforward (which they rarely are).  But when you run into multiple Provider Transaction Access Numbers (PTANs) attached to one of your providers’ National Provider Identifier (NPI), things can get really difficult. Failure to identify and resolve instances where additional PTANs have crept […]
Medicare Revalidation

Medicare PECOS Enrollment Revalidations Resume Oct. 2021

On October 3rd, CMS announced that it is resuming Medicare revalidations of provider enrollment information in the PECOS system in October 2021. If you are an existing Medicare provider and missed your revalidation due date because of the Public Health Emergency (PHE) deferral, CMS will be implementing these in phases. Effective October 31st, Medicare Administrative Contractors (MACs) and National Supplier […]