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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
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
! 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
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
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
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
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
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.
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,
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