Author Archives: Andrew CMPE

Provider Enrollment & Credentialing Specialist Positions

credentialing services

Our dynamic provider enrollment and credentialing team continues to grow and we would love to have you as part of it. We have an immediate need for 2-3 enrollment coordinators/account managers and another team leader over the next 2-3 months.  Experience in credentialing or provider enrollment is a requirement but is not the most important […]

How Credentialing & Insurance Enrollment Can Put You Out of Business

provider enrollment services

In this article we’ll take a minute and look at the importance of credentialing and how it could cost you thousands and quite literally put you out of business. Credentialing/Insurance Enrollment refers to, the time-consuming, delay-filled, frustration-generating necessity, and is often the last thing on a physician’s mind when running a practice. Unfortunately, it is […]

Medicare Non-Par vs Opting Out- Don’t Be Deceived

provider enrollment services

Once you decide to become a non-par provider in the Medicare program don’t imagine that you’ve said goodbye to Medicare compliance. You still remain bound by certain reimbursement restrictions, subject to audits, and required to follow electronic health record (EHR) rules. Read on to learn what it means — and doesn’t mean — to be […]

Challenges of Insurance Enrollment

Insurance Credentialing
[vc_row][vc_column][vc_column_text]We wanted to take a few minutes and educate our visitors about some of the challenges you could encounter during the provider enrollment process.  These challenges apply whether you are a facility enrolling a new provider or a physician or mid-level practitioner attempting to enroll with the insurance company.  They are also challenges experienced during […]

Credentialing & Contracting Process

physician credentialing service

Insurance Enrollment and CAQH credentialing are two separate and distinct processes but one cannot happen without the other. CAQH credentialing is the first step if you would like to be enrolled in the commercial insurance companies but CAQH credentialing on its own, will not fulfill the insurance enrollment process.  When we start on an enrollment […]

Does Medicare use CAQH?

This is a question often asked by our clients and we figured it would be useful just to publish a quick  post to clear up any confusion.  CAQH is used primarily by commercial insurance companies like BCBS, Aetna, UHC, Cigna, and others.  CAQH is used by some states to aid in Medicaid enrollment but that […]

TennCare & Medcost Now Using CAQH

Tennessee Medicaid or TennCare and MedCost, a North Carolina insurance company, are now using CAQH to facilitate more timely recredentialing and credentialing processes.  This is a great decision by both plans as they each had problems keeping up with their own recredentialing requirements.  We hope that all insurance companies will begin using CAQH as it […]

Insurance Enrollment Tips

Before you can start the enrollment process you must first have a place of business, malpractice (if applicable), phone number, and organization (if applicable) unless you plan to bill as a sole proprietor.  Many people try to start the process before they have any of these items in place and insurance companies will reject the […]

CAQH Credentialing Made Easy

We have researched the options and have attempted to make this the most efficient and affordable CAQH credentialing service available.  We have developed our program with the schedules and budgets of new providers in mind.  Your time is too valuable to be wasted on chasing a process that really does not make much sense until […]

Legal Disclaimer

Provider Enrollment Services provides consulting and insurance enrollment services to providers across the country.  We are not a partner of CAQH and act strictly as a service partner to insurance companies and providers to more efficiently process their enrollment applications.  CAQH does not endorse or require you to use our service for CAQH Credentialing.