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...
by Zessa Chin Delossantos | Jul 21, 2021 | Credentailing, Provider Contracting
Healthcare providers venturing out into private practice often are unsure about establishing their procedures for third-party billing networks for services. The process of billing and reimbursement refers also called the “Revenue Cycle.” The first step in...
by Zessa Chin Delossantos | May 25, 2021 | CAQH, Provider Contracting
One of the first steps in medical billing is making sure the provider has been credentialed and enrolled by insurance payers and the Council for Affordable Quality Healthcare (CAQH®). On average, the provider credentialing process can take between 60 to 120 days, so...
by Zessa Chin Delossantos | May 17, 2021 | Provider Contracting
Risk is anything that can result in an unexpected outcome or a loss. You can find risk in just about any industry—the financial sector, transportation, even the health care sector. While all forms of risk can’t be avoided, there is a way they can be...
by Zessa Chin Delossantos | Apr 28, 2021 | Provider Contracting
The first step in any successful provider contract negotiation occurs long before you reach out to the payer with demands. Before engaging in formal negotiations, you should arm yourself with as much knowledge as possible. Familiarize yourself with your current...
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...
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