Category Archives: Insurance Enrollment Advice

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 […]

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 […]

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 […]