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 […]
Insurance Enrollment Advice, Provider Enrollment News
How Credentialing & Insurance Enrollment Can Put You Out of Business
22
Jan
Jan
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 […]
02
Dec
Dec
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 […]
30
Nov
Nov
Why have you been so successful in reaching some of your goals, but not others? If you aren’t sure, you are far from alone in your confusion. It turns out that even brilliant, highly accomplished people are pretty lousy when it comes to understanding why they succeed or fail. The intuitive answer — that you […]
29
Jul
Jul
[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 […]
01
Feb
Feb
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 […]
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 […]
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 […]
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 […]
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 […]
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