by Zessa Chin Delossantos | Apr 14, 2021 | CAQH, Credentailing, Provider Contracting
Provider credentialing and enrollment with the payers is becoming more demanding and strenuous every single day. With most insurance panels getting a bulk load of work, due to the burst in membership applications. And a lot of them being particular about enrolling...
by Zessa Chin Delossantos | Apr 7, 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 | Mar 31, 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 | Mar 24, 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 | Mar 18, 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...
Recent Comments