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...
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...
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....
by Zessa Chin Delossantos | Aug 13, 2021 | Provider Contracting
Managing payor contracts is one of the main hurdles that every healthcare provider meets. From changing reimbursements to issues accessing networks and managing hidden clauses, contracts represent a significant hurdle that affects every provider, regardless of size....
by Zessa Chin Delossantos | Aug 4, 2021 | Provider Contracting
As a healthcare provider, it’s essential to consider your opportunities when considering provider contracts for health care services. Unfortunately, not all provider contracts are created equal. Different types of Healthcare Provider Contracts have major differences...
by Zessa Chin Delossantos | Jul 28, 2021 | Credentailing, Provider Contracting
The provider contract is a vital element for any health care provider who wishes to operate a smoothly run facility with high patient satisfaction and on-time payments. However, there are many different types of healthcare provider contracts. Each is filled with lots...
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