What is Credentialing? and the Importance of Credentialing in Healthcare
What is Credentialing? and the Importance of Credentialing in Healthcare February 1, 2019 Provider credentialing is a verification process of Healthcare provider information and approve them as a participating or in-network provider. Provider experience, degree or education, work history, licenses, and medical broad certification, liability, Malpractice practice, etc information would be verified. After successful verification. […]
What is Physician Credentialing in Healthcare?
What is Physician Credentialing in Healthcare? August 8, 2023 A doctor’s professional record is essential to know about the person’s background and expertise in the field. This is done by the physician credential procedure, including board certification, education, insurance details, work details, and others. This is necessary to maintain the safety measures while employing one […]
How to Outsource Medical Billing?
How to Outsource Medical Billing? January 25, 2019 Apart from the medical doctors and caregivers, a medical workplace or sanatorium is simplest as accurate as its back-end personnel. The human beings in rate of billing and coding are the invisible engines in the healthcare machinery, and it is their activity to ensure billing is executed […]
Overview Of Medical Billing And Coding Compliance
Overview Of Medical Billing And Coding Compliance January 1, 2019 We have a few established laws, rules, and regulations that govern medical billing. Disregard or breach of these laws and regulations, in the course of our billing operations, can result in one or more of the following: Rejection of claims Delay in reimbursement Reduction in […]
Introduction to CAQH ProView for Healthcare Providers and Practice Managers
Introduction to CAQH ProView for Healthcare Providers and Practice Managers November 1, 2018 CAQH ProView is a very reliable electronic solution and industry requirement to capture and share healthcare provider self-reported information. Within CAQH ProView, over 1.4 million doctors and other healthcare providers currently input and manage a wide range of information. CAQH ProView helps […]
Introduction to CAQH ProView for Electronic Solution and Industry Requirement
Introduction to CAQH ProView for electronic solution and industry requirement December 1, 2018 Apart from the medical doctors and caregivers, a medical workplace or sanatorium is simplest as accurate as its back-end personnel. The human beings in rate of billing and coding are the invisible engines in the healthcare machinery, and it is their activity […]
Specialties Don’t Make You Special
Specialties Don’t Make You Special February 25, 2019 One of the most common questions I hear in credentialing after an application is denied is, “But I do (blank), and no one else in my area does (blank). Shouldn’t I get credentialing because of this?” Unfortunately, the answer is often “no,” and it has more to […]
Will Insurance Panels Be Opening for Providers in 2014?
Will Insurance Panels Be Opening for Providers in 2014? June 18, 2022 For some providers, insurance panels have been difficult to get on. They’ve been closed or very limited. So, are they going to be open for 2023? Yes! Insurance Panels are going to be opening up their panels in 2023 because there are going […]
What is Medical Credentialing: How It Works?
What is Medical Credentialing: How It Works? August 8, 2023 Medical credentialing is about checking details of qualification, career history, training, residency, education, license and specialty related certificate of a health service provider. Credentialing is crucial to check before hiring a medical professional as the information is critical to know. Depending on the expertise of […]
Insurance Credentialing and Contracting: What it is and Why Its Important
Insurance Credentialing and Contracting: What it is and Why Its Important August 8, 2023 When talking about insurance credentialing and contracting, it indicates two sides of a coin that should be well understood by individual or group who are using it. The credentialing is part of the insurance company where it verifies education, training and […]
by