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Provider Credentialing Blog Posts

5 Tips for Simplifying the Provider Credentialing Process

Patrick Dougherty

Provider credentialing an essential part of making sure your practice gets paid. If a doctor in your practice isn’t credentialed by a Medicaid plan, Medicare, or insurance company, you may not get paid unless out-of-network benefits are available to that patient. Unfortunately, sometimes the actual credentialing process can be time-consuming and frustrating for everyone involved. However, there are a few ways that you can simplify the process while avoiding rejections and saving time. 

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Topics: Provider Credentialing

Provider Credentialing Steps for Success

Harold Gibson

Credentialing takes time, but unless your physicians and providers are fully credentialed it can delay your reimbursement – or even cause it to be denied entirely. The credentialing process includes verifying the provider’s expertise and abilities and is essential if you accept insurance; you can’t bill an insurance company without it.

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Topics: Provider Credentialing

Provider Credentialing Is the Biggest Compliance Issue for Practices

Patrick Dougherty

The sooner your credentialing issues are taken care of, the sooner you can focus on the day to day issues of serving patients and receiving timely payments. Ignore the significance of provider credentialing at your own risk - it is certainly one of the most important compliance issues that a medical practice encounters.

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Topics: Provider Credentialing

Avoid Pitfalls in the Provider Credentialing

Patrick Dougherty

Just a couple of decades ago getting credentialed with an insurance panel wasn't so critical to a practice's success. Patients didn't expect that every doctor would accept their insurance, not every service was covered by insurance (such as- chiropractic care, mental health, and substance abuse), and most insurance plans offered some out-of-network benefits so you could grow your practice even without enrolling in every plan. 

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Topics: Provider Credentialing

Understanding the Importance of Provider Credentialing

Harold Gibson

When it comes to operating a successful medical practice, it is imperative that you consider the various avenues for employing the best physicians possible. Fortunately, one of the simplest ways to go about hiring the most competent doctors is by performing provider credentialing. It is through this type of credentialing that you will be able to verify, compare, and evaluate the qualifications of the doctors you are considering hiring. Here's a closer look at provider credentialing, including what it is, how it works, and its many benefits. 

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Topics: Provider Credentialing

About this blog

A place for physicians and other healthcare stakeholders to share and discover information about everything related to running efficient medical practices.

Established in 2002 by a group of physicians, we are a national provider of medical billing services to group practices, clinics, and individual physicians. We also specialize in provider credentialing, payer contract reviews, and medical coding for a wide range of clients - from solo practitioners to multi-site, multi-specialty practices.

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