Blog6 | Top Changes to Provider Enrollment You Should Know About | STATMedCare Payor and Physician Enrollment and Credentialing

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 health care provider business, enrolled before the deadline so that you are in compliance with the proposed changes.
The changes that have been proposed include enrollment for the following providers.

  • Physicians assistants
  • CRNA’s
  • PNCS’s
  • CNS’s
  • Certified Nurse Midwives
  • And more


It’s important for providers to submit the updated version before the deadline, including any supporting documents to start the payer enrollment process ahead of time. Below you can find some of the reasons that medical billing is so important as well and why you should keep abreast of the payor enrollment changes and enroll early.


The Importance of Medical Billing 

Many professionals are finding it hard to manage the day-to-day affairs of a medical office, especially when it comes to administrative duties. In today’s world of constant medical issues and computer problems, it’s hard to manage it all. One of the main concerns is medical billing.

The coding and billing rules and requirements seem to be constantly changing and the payer enrollment rules change on a yearly basis as evidenced by this article. However, medical billing is extremely important and can’t be skimped on or overlooked if you want to be paid for your services from insurance companies, as well as Medicare, and Medicaid providers.

Good billing software is essential if you have a hope of staying on top of billing your patients and insurance companies for services rendered. One of the biggest things to look for in the billing software you choose for your office is the software’s ability to calculate billing efficiently and accurately as well. Make sure that the billing software you choose is not only efficient but available on the internet as well.

As evidenced by this article, things for billing and payor enrollment are constantly changing in the medical field. The best thing you can do is keep abreast of the changes, enroll ahead of time to comply with those changes, and have a great billing software program in place to bill your patient’s insurance companies efficiently and effectively every time.{Source: www.sybe.com}


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Jennifer Coburn, STAT’s Director of Marketing, is a U.S.-based, national provider of credentialing, payor enrollment, rate negotiation, and other credentialing related services.