Nurse Practitioner Credentialing Services

NP Practice Disaster- What Not To Do When Starting a Practice

Don’t let this np practice horror story happen to you. Learn what not to do and ensure your practice is and remains compliant with your state regs.

tricare network vs non network provider

What’s the difference between a TRICARE network and non-network provider?

What is a network provider with TRICARE? A network provider is a participating “civilian”(not on the base or a military employee) provider who has completed the TRICARE credentialing process and signed an insurance contract with the TRICARE administrator for your region. Once this contract is signed and loaded, a network provider will be loaded into […]

conversion factor fee schedule tool

Tricare Prime vs Certified, which is right for your practice?

We are writing this article to help answer questions we receive on a weekly basis. Most of our clients want/need to see military patients, both retired and active duty, but only a handful of these clients actually understand the difference between becoming certified and actually being contracted. So we’re going to answer the most frequently asked questions here.

physician credentialing services

Medicare Bank Letter Template

If you are completing the enrollment process with Medicare as a new organization, you will need to also complete the EFT enrollment process using form CMS-588.  Medicare requires that you send in a bank letter or voided company check (with the correct address and name displayed) along with the CMS 588

telemedicine credentialing

Should I add telemedicine services to my practice?

As a company that has worked in the telemedicine space for the past 10 years, and actually helped found a second opinion cancer company, I feel that we’re uniquely qualified to answer this question.  Our first dive into telemedicine was actually in 2006 where we helped launch a teledermatology company.  Since then, we’ve worked with […]

temporary credentialing

Insider Tips to a Faster Credentialing Process- Part 1 of 8

In this article, I’d like to review something that’s easy to adopt and can greatly improve the speed of your organization’s credentialing department.  The first tip that I will cover is something that I would really consider to be common sense.  Unfortunately, it’s rare that we see a formal plan or policy in place to guide someone through the process.

credentialing costs

How much does physician credentialing cost?

How much does physician credentialing cost? How much is credentialing costing your company?  We answer both of these questions in this article.

DOJ’s New Health Care Enforcement Initiative

On July 13, 2017, the U.S. Department of Justice announced to great fanfare its eighth annual national health care fraud “takedown.” This “largest ever” “takedown” is not what many might imagine — swat teams of law enforcement agents simultaneously rounding up suspects around the country. Rather, it was a press event at Main Justice in […]

physician credentialing job

Provider Enrollment & Credentialing Positions

Our dynamic team continues to grow and we would love to have you join it.  We are looking to hire 2-3 enrollment specialists / account managers and another team leader over the next 2-3 months.  Experience in credentialing / provider enrollment is essential for these positions.  We will help expand your skill level but you should […]