CMAC Fee Schedule Tool

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. 

Provider Enrollment & Credentialing Position

We are seeking a Provider Enrollment & Credentialing Specialist to join our team! Our company is the nationwide leader in provider enrollment and credentialing services. With over 2500 providers nationwide, our team of experts is trusted by some of the leading organizations in the country. This is a work from home or work from office […]

credentialing services

Athena Health Credentialing- Rocky Mountain Youth Clinics

We are excited to announce that Rocky Mountain Youth Clinics, with clinics throughout Colorado, has selected Physician Practice Specialists as their vendor for all enrollment and credentialing needs.  In partnership with Athena Health, we are excited to take on this project and ensure RCMY receives the services and expertise they require.  PPS has been providing […]

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10 Methods To Avoid Audits

Hint: Modifiers are your friends. If you spend a lot of your valuable time processing appeals for denied claims, it’s time to fix your problems on the first claim submission so you can save time down the road and eliminate the need for appeals. Novitas Solutions, a Part B contractor in 11 states, recently shared a tremendous amount […]

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Home Robbery Prompts $90,000 HIPAA Settlement

You’ve taken every appropriate step to secure protected health information (PHI) at your medical practice, but have you done the same at home? A Connecticut hospital learned this lesson the hard way after a home robbery led to the possible exposure of 8,000 patients’ PHI. The case: A Connecticut hospital hired a subcontractor to work […]

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Why Contracting is Still Critical When Starting a Practice

When advising clients, we strive to put ourselves in their shoes as we believe that we can’t truly help without thoroughly understanding the situation.  Over the past 10 years, we’ve had the privilege of consulting with hundreds of provider groups across the country about revenue cycle challenges, practice start-ups, payer contracting issues and payer enrollment […]

ObamaCare’s Threat to Private Practice

The payment system is forcing doctors to sell out to hospitals. The trend, and the law, will be unstoppable without reform. Here’s a dirty little secret about recent attempts to fix ObamaCare. The “reforms,” approved by Senate and House leaders this summer and set to advance in the next Congress, adopt many of the Medicare […]

credentialing services

Bigger Regulatory Challenges in Diagnostics Than in Therapeutics, Industry Expert Says

December 8, 2014, 08:19:38 AM Mary K. Caffrey For makers of cancer therapies, the regulatory environment in Europe is likely to become more like that of the United States, and the FDA may extend its reach to areas such as next-generation sequencing. That’s what an industry expert told attendees gathered Sunday at a joint symposium […]


Electronic funds transfer upgrades to the Internet-based PECOS system

Over the last year, the Centers for Medicare & Medicaid Services (CMS) listened to your feedback about Internet-based provider enrollment, chain, and ownership system (PECOS) external link and made improvements to increase access to more information. PECOS is easier to use than ever with electronic funds transfer (EFT) upgrades that are now available. If a […]