Category – Outsourcing

credentialing for solo practitioners Hey solo practitioners! Are you feeling overwhelmed by the credentialing process?? Don’t worry, you’re not alone. Today we’re breaking it down into manageable steps to make it stress-free.. Let’s get you on the path to a thriving practice! Why Credentialing Matters Before we get started, let’s quickly review why Credentialing is essential: It enables you to ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...