CAQH: Definition, Explanation, Importance

Council For Affordable Quality Healthcare Defined And Explained CAQH: The Council Defined CAQH, or the Council for Affordable Quality Healthcare, is a non-profit organization of national healthcare networks and plan providers whose objective is to improve the quality of healthcare and its accessibility. It’s primarily designed for providers and their staff in order to eliminate […]

Payor Contracting for Providers

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. This is why we wanted to share with you the process of Payor Contracting for Providers for you […]

Provider Contracting and Everything You Need to Know

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 of unfamiliar legal jargon and confusing clauses, amendments, and stipulations.  To get a […]

Private Practice and Insurance Credentialing

Private Practice and Insurance Credentialing Healthcare providers trying out into private practice often are unsure about establishing their procedures for third-party billing networks for services. The process of billing and reimbursement sometimes refers to as the “Revenue Cycle.” The first step in the revenue cycle is to obtain credentialing and a participating provider contract with […]