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.
We are often asked questions about building a website and many groups attempt to save money by using a template or building a site on wordpress. One of the more important questions you should answer is: What the HIPAA requirements for a medical website? HIPAA is an unusual law in that it makes a lot […]
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 […]
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 […]
Don’t Risk Your Business With an Unreliable Credentialing Service Company This is a question that many of our potential clients ask when evaluating credentialing services. This is an excellent question and there are a number of factors to consider which we will cover in this article. In addition to the below points, you should also […]
As we all know, healthcare facilities exist to facilitate and administer medical care to their patients. While we have advanced like never before in our cure rates, infection prevention, disease management, OR efficiency and nearly every other available metric, the roadblocks to actually running a successful practice have done nothing but increase in size. Every […]
We received this correspondence and thought it was worth sharing to ensure all Florida groups are aware of the changes. Please contact us if you have any questions about this or other credentialing concerns. From Humana: Beginning April 10, 2017, claims will be denied for physicians and healthcare professionals with invalid Medicaid enrollment. To […]
t is not unusual for us to be asked 3-4 times per week about fees and how much the VA or Tricare pays for a particular procedure. The VA will typically reimburse providers at 100% of the CMAC fee schedule whereas Tricare will typically pay a percentage of the CMAC fee schedule.