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07 STATMED Blog Thumbnail 16th March 1 300x223 | Category   Payor Enrollment | STATMedCare Payor and Physician Enrollment and Credentialing

4 Tips to Boost Your Payor Enrollment Efficiency

ayor 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 ...
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Dental Sleep Medicine: A New Perspective on Enrollment

dental sleep medicine 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 ...
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CVS is Buying Aetna Insurance

CVS is buying aetna Insurance ! There is a big shape up going on in the news.  If you haven’t heard, CVS is buying Aetna Insurance company.  If you don’t know what these companies represent, well CVS is a retail pharmacy store.  Aetna is one of the healthcare providers for insurance.  They say this merger will make it so one ...
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Thanksgiving Games

Thanksgiving Activities – STAT! If the Healthcare Field wasn’t already busy enough, we’re headed into the busy-ness of the holidays too.  If you’re hosting a family thanksgiving, consider it an opportunity to create a fun family environment that helps children understand the importance of thankfulness, and reminds the adults of this as well. Since Thanksgiving comes just before what many ...
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Top Changes to Provider Enrollment You Should Know About

top changes to payor enrollment 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 ...
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A Sound Credentialing Program is Like a Well-Designed Building

sound credentialing program 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 ...
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Put down the pen and paper: It’s Time to go digital with credentialing & provider enrollment!

digital with credentialing & provider enroliment As more and more practices are employing providers, medical credentialing and provider enrollment have become THE priority in revenue cycle management! Enrolling providers correctly and quickly is the most important step in getting providers in-network with insurance plans. The quicker provider enrollment is completed; the quicker practices can be reimbursed for their provider’s services ...
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Have You Ever Renegotiated Your Payor Contract & Fee Schedules?

Have you ever wondered if renegotiating contracts is really worth the time and effort? Is an increase in payment even possible? Will payers consider changing your contracted rates? According to The American Medical Association, doctors are working harder and earning less.  So much of what physicians’ face in their budgetary shortfalls is directly related to the reimbursements they receive from major ...
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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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The Importance of CAQH

importance of caqh An essential aspect of provider enrollment and credentialing is CAQH setup and maintenance. With rising healthcare costs, enrolling in CAQH can help relieve some of the healthcare administrative costs. A benefit of enrolling in the CAQH database/registry is having your credentials and demographic information in a centralized location. However, the initial setup of the registry is very ...
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