
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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Leadership Dynamic
Are You Ignoring Your Superstars? Did you know that around 70% of employees are being reported as “not engaged” or “actively disengaged” in their work? Many of these workers are causing problems in terms of productivity, motivation, workplace conflict and a whole list of other things. With that being said, it is not hard to see why most managers end ...
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In Network vs. Out of Network
Ding-Ding-Ding. The fight of the century is about to take off. The battle of two different heavy weights. In the left corner we have the “In Network” coming in with low cost, and easier to manage and delegate. In the other corner we have Out sourcing (Out of Network), which is known for expertise, and efficiently. Let’s see how who ...
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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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4 Steps to Follow for a Rate Increase
In today’s world, you hear about colleagues who have sold their practices to a hospital system or an ACO (Accountable Care Organization) and you wonder if you’ll be next. Why? Because shrinking reimbursement rates and stricter guidelines have made it difficult to practice medicine in a solo or small group setting. However, there are things you can do as a ...
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26 Questions to Ask When Opening a New Practice
Should you be an entrepreneur and start your own practice or should you be hospital (or group) employed? For some physicians, the answer is crystal clear – you want to start your own practice. The process of starting a practice is quite extensive and should begin before a physician finishes his/her residency or before the decision to leave a hospital ...
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CALLING ALL Medical Billers and Medical Billing Firms!
Why aren’t you outsourcing the credentialing and provider enrollment process to a professional credentialing company? For today’s practicing provider’s, there is so much to do and the “business of the practice” needs special attention. Keeping abreast of the multitude of new coding requirements, billings standards, payor enrollment and payor policies, credentialing, contracting and federal mandates can be expensive and overwhelming ...
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The Top 5 Reasons You Should Outsource Locum Tenens Credentialing
As a Locum Tenens recruiter, it can be challenging to build a healthy candidate pipeline and then have to vet each candidate. The time it takes to conduct interim credentialing and then full credentialing can be a lengthy, time-consuming process. As a recruiter, you are trained to recruit candidates for your clients. Credentialing companies are trained to vet candidates; so ...
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10 Key Considerations: Outsourcing Credentialing, Enrollment and Contracting
An increase in the number of closed networks and reimbursement changes are just two of the factors making the credentialing, payor enrollment, and contracting processes more complex and more time consuming. Small healthcare organizations could certainly manage these processes in-house if they have the money, expertise and staff. However, large healthcare organizations, especially those that are growing, expanding or experiencing ...
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