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Hospital Credentialing: What to Expect as a Physician

Hospital Credentialing: What to Expect as a Physician

by Zessa Chin Delossantos | Sep 22, 2021 | Credentailing

It doesn’t matter whether you work in private practice or work for a hospital group. Almost every physician has to go through credentialing and privileging at some point in their career. These two terms are used interchangeably in the medical community, but do you...
Understanding Your Provider Contract Fully

Understanding Your Provider Contract Fully

by Zessa Chin Delossantos | Sep 15, 2021 | Provider Contracting

Provider Enrollment (Initial and Re-credentialing) – this is the process of enrolling a group or a provider with the insurance payers, also called payer enrollment or credentialing. It can often be a lengthy process depending on the payer and can sometimes take about...
Credentialing, Provider Enrollment, Privileging – isn’t it all the same?

Credentialing, Provider Enrollment, Privileging – isn’t it all the same?

by Zessa Chin Delossantos | Sep 1, 2021 | Credentailing, Provider Contracting

Not really. While these 3 terms are often used interchangeably, they actually have different meanings: Credentialing, as defined by Joint Commission, is the process of obtaining, verifying, and assessing the qualifications of a practitioner to provide care or services...
Credentialing during Covid-19; How’s it like?

Credentialing during Covid-19; How’s it like?

by Zessa Chin Delossantos | Aug 25, 2021 | Credentailing

Credentialing efforts should be minimally burdensome to providers while expediting their ability to care for members during this unprecedented time. That’s why we are here to share with you the Credentialing/Recredentialing Standards during COVID-19 Emergency...
Outsourcing Credentialing and Provider Enrollment

Outsourcing Credentialing and Provider Enrollment

by Zessa Chin Delossantos | Aug 20, 2021 | Credentailing, Provider Contracting

When we meet with potential clients, some hesitate to externalize their credentialing and enrollment processes. Outsourcing, however, provides various perks and benefits that help your organization function at optimal levels, gain market share and increase profit....
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Recent Posts

  • CAQH: Definition, Explanation, Importance
  • Maintaining Credentials
  • Hospital Credentialing: What to Expect as a Physician
  • Understanding Your Provider Contract Fully
  • Credentialing, Provider Enrollment, Privileging – isn’t it all the same?

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