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Understanding Hospital Credentialing: Definition and Requirements

Hospital Credentialing Hospital credentialing plays a crucial role in ensuring patient safety and maintaining the reputation of healthcare facilities. It involves verifying the qualifications, experience, and competency of healthcare professionals to ensure they meet the required standards. In this blog, we will provide a comprehensive overview of hospital credentialing, its significance, and the essential requirements involved. What is Hospital Credentialing? ...
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4 Tips to Boost Your Payor Enrollment Efficiency

The payor enrollment process can be a back-breaking exercise for healthcare providers. A lot of time and effort goes into filling up a tall stack of forms. Getting medical practitioners enrolled in the insurance network is important so you can claim reimbursements for their services. There are various ways in which healthcare providers can expedite this process and save a ...
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Dental Sleep Medicine: A New Perspective on Enrollment

More dental practices are billing medical plans today than ever before. This is due to the crossover of several procedures that are medically necessary yet require a licensed dentist to perform. Most notably is the oral appliance to treat obstructive sleep apnea, often referred to as “oral appliance therapy”. This treatment is an alternative to traditional CPAP and covered by ...
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Credentialing a TeleHealth Company

Credentialing a TeleHealth Company – Medical Credentialing can be a very intimidating phrase if you aren’t familiar with it, or just getting started and you don’t know where to begin. So, let’s dive into it to help make the credentialing process a little less stressful. What is Credentialing? Credentialing is a process of objectively evaluating and verifying a practitioner’s current ...
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What can increase Credentialing Cost?

What can Increase the cost of Medical Credentialing? Has anyone noticed lately the cost of living going down? I mean, I know the gas prices are changing constantly, they go up, and then they go down. Not to date myself, but I can remember when I was in High School that I could receive $20 dollars for the week; $10 ...
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Top 5 reasons to outsource Credentialing

Anyone that has been in the healthcare business knows there are some challenges to overcome. The time it takes to conduct interim credentialing and then full medical credentialing can be a lengthy and time-consuming process. In today’s business, it is challenging to be an expert in all aspects of your industry. Companies offering Medical Credentialing Services are trained to vet ...
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How long does Credentialing really take and why?

STAT Medcare has been in the business for over 14 years now, and what do you think the most common question is that comes up? “How long does Credentialing really take and why?” Well for the ones that are in a rush, the answer is 90-120 days. Granted, this is just on average though, there are some payors that can ...
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Obamacare: The Pros and Cons Revealed

Obamacare or Affordable Care Act: The Pros and Cons Revealed Obamacare or Affordable Care Act: The Pros and Cons Revealed is a comprehensive article that discusses the advantages and disadvantages of the Patient Protection and Affordable Care (Obamacare) Act of 2010. It highlights the lower overall health costs, the 10 covered essential health benefits, and the fact that children can ...
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Top Changes to Provider Enrollment You Should Know About

The changes in payor enrollment for 2017-2018 have been revealed and it seems that mid-level practitioners, independent nurse, and occupational and physical therapists will be affected the most. The amendments were proposed in April of this year and are scheduled, if all goes well, to go into effect in August of this year. It’s important to get yourself, or your ...
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A Sound Credentialing Program is Like a Well-Designed Building

By Dilsa S. Bailey, CPMSM Architects first get a view of the land. Before they envision a building, they envision what would fit into that landscape. The architect then considers what occupies the surrounding space. It is then they start pulling it all together with drawings and photos and notes. That itypically how a credentialing or provider enrollment program should ...
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