Introduction to CAQH ProView for Electronic Solution and Industry Requirement

Introduction to CAQH ProView for electronic solution and industry requirement May 10, 2023 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 […]

What is Credentialing? and the Importance of Credentialing in Healthcare

What is Credentialing? and the Importance of Credentialing in Healthcare March 1, 2023 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? February 28, 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? February 25, 2023 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 February 1, 2023 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 claimsDelay in reimbursementReduction in reimbursementFraud and […]

Insurance Companies Most Likely to Deny a Claim, According to Medical Billers

Insurance Companies Most Likely to Deny a Claim, According to Medical Billers February 1, 2023 Are you a medical provider, seeking to learn more about the insurance companies you work with on a day to day basis? Look no further—because we’ve got you covered. Those of us at Credentialing.com know that staying informed on varying […]

Insurance Companies Most Likely to Pay Without a Problem, According to Medical Billers

Insurance Companies Most Likely to Pay Without a Problem, According to Medical Billers January 28, 2023 Our mission here at Credentialing.com is to help you succeed in your position as a healthcare provider—to support your mission of rightfully serving your patients and providing them with the best healthcare services available. Now, we also want to […]

The Slowest Paying Insurance Companies, According to Medical Billers

The Slowest Paying Insurance Companies, According to Medical Billers January 14, 2023 It’s important that medical providers stay informed on the insurers they work with on a daily basis—and it’s vital they have access to the most valuable information out there. We’re here to offer that quality information. To help you better understand said insurance […]

Introduction to CAQH ProView for Healthcare Providers and Practice Managers

Introduction to CAQH ProView for Healthcare Providers and Practice Managers January 1, 2023 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 […]

Specialties Don’t Make You Special

Specialties Don’t Make You Special December 25, 2022 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 […]