The healthcare industry is undergoing a significant transformation, driven by the shift from volume-based to value-based medicine. This paradigm change focuses on delivering high-quality care, improving patient outcomes, and reducing healthcare costs. As value-based medicine gains traction, it profoundly impacts various…
When it comes to running a successful medical practice, the importance of insurance enrollment and credentialing can’t be overstated. It’s one of those behind-the-scenes tasks that, if done well, ensures you get paid on time and can focus on patient care….
In the rapidly evolving healthcare industry, provider enrollment and credentialing services are crucial components that ensure efficient and reliable care for patients. These services not only allow healthcare providers to maintain their professional standing but also enable them to receive timely…
Reduced Administrative Burden Credentialing is a complex and time-consuming process that involves collecting and verifying a vast amount of information. Outsourcing credentialing to a professional service provider can help reduce the administrative burden of managing this process in-house. The credentialing service…
Outsourcing credentialing can provide many benefits to healthcare practices, including: Reduced Administrative Burden Credentialing is a complex and time-consuming process that involves collecting, verifying, and managing a vast amount of information. Outsourcing credentialing can help reduce the administrative burden of managing…
Here are some tips to help medical practices choose the right credentialing service Evaluate their Experience and Reputation When selecting a credentialing service, it is important to evaluate their experience and reputation in the industry. Look for a service provider that…
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 nurse…
The insurance enrollment process is painfully slow and can certainly be overwhelming, even for those that have done this often. This is especially true because the odds are that you are up against time constraints and the payers don’t seem to…
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…
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 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…
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….
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…
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…
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 by commercial insurance companies like BCBS, Aetna, UHC, Cigna, and others…
Save time with Our credentialing service 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. …
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…