Ever have a conversation with someone who starts spouting off acronyms or terms and you have to pretend you know what they’re actually saying or risk looking like an idiot. Well, before Google, most of us were there a lot more often than we’d like to admit. We’ve put together this helpful article on credentialing […]
Our comprehensive practice start up guide and checklist are available for free to anyone considering starting a new practice. These resources will provide you with a roadmap and timeline to get your practice started on a firm foundation.
As we all know, selecting the right location for your new medical practice is critical to your success and long-term growth. We’ve literally opened hundreds of medical practices over the years and while most have been successful, there have been a few occasions where the practice has failed after a couple years. We are happy to provide this comprehensive location analysis to help you select the best location for your new practice.
CAQH is ubiquitous in the medical field these days but there are still a lot of misconceptions about what it is and what it does. This article will answer all of your questions about why, when, how and what as it relates to CAQH.
The insurance credentialing process is what each provider or facility must go through in order to become a participating provider with a particular insurance company. The goal of the insurance credentialing process is to become in-network and prevent your patients from having claims go towards their out-of-network deductible.
In this article, we define some of the costs of opening a medical practice. Whether it’s what to spend on equipment or selecting the right billing/EHR vendor, we cover what to expect in terms of cost.
How long should you give yourself to start your new practice? We answer it here. Before beginning, we recommend setting up your practice as a professional limited liability company(PLLC) that is taxed as an S corp. This offers you the most protection as an entity and prevents double taxation on dividends.
It’s important for you to know how much you’ll be paid for the services you’re providing. Many people get confused by their billing system because it will show a charge amount that’s much higher than the actual allowed amount.
Retroactively billing Medicare is an important detail to understand due to how long credentialing can often take. Depending on the state, Medicare can take anywhere from 50-150 days to complete the enrollment process.
Cigna acquires Express Scripts for 67 billion, does further consolidation help lower costs or improve service to providers? We are always hearing about these acquisitions and how they help lower costs but are these savings ever passed to providers in the form of better reimbursements or to the consumers? I doubt it and would love to see a study that proves me wrong.