Proper Verification and Accreditation in Medical Credentialing The process of medical credentialing is crucial in ensuring the quality and safety of healthcare services. It involves verifying the credentials and qualifications of healthcare providers and evaluating their competency to provide medical services. We examine the importance of proper medical credentialing and how it benefits both healthcare […]
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The Process and Importance of Medical Credentialing What is Medical Credentialing? Medical credentialing is a vital process for ensuring the quality of healthcare services. It involves verifying the education, training, and professional experience of healthcare providers to ensure that they meet the standards for practicing in their field. This process helps to ensure that patients […]
Credentialing, healthcare, healthcare credentialing, Medical, medical credentialing, what is medical credentialing
Social Media and Patient Privacy in Healthcare A Few Use Cases Use Case #1: Use Case #2: Protected Health Information (PHI) Preserving privacy of patients’ protected health information (PHI) is one of the major concerns linked to social media in healthcare. Privacy and protection of such information are dealt with in federal law and overseen […]
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Let’s begin with this set-up: Let’s say you’re hunting for a new job and receive a call from a would-be employer informing you that the job is yours. Of course, you’re thrilled by the news and inquire about your starting salary. Your new employer replies that you need to wait for your first paycheck to […]
Credentialing, healthcare credentialing, medicaid, medicare, private insurers, Provider Credentialing, provider networks, reimbursement ratesBringing new providers aboard is invigorating, yet a complex process with plenty of moving parts. If you’ve ever had the opportunity to hire a physician or mid-level professional, you know just how much work is involved. Payer enrollment is maybe one of the more essential, yet misunderstood pieces of the puzzle. No doubt, making your […]
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Medical Practice Management Challenges Solved by Outsourced Medical Billing Quality, Outsourced Medical Billing is the Answer The billing team at Capitol Healthcare practice had been reaching a high bar of excellence. But that bar was endangered when long-time staff members began to retire. “Some of the staff had been here for a long time, like […]
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Medical Billing and Credentialing Made Easy “There just has to be an easier way to perform our billing and credentialing.” Does any of this sound familiar? I’m tired of dealing with insurance companies! I got into healthcare because I wanted to focus on patients, not paperwork and red tape! I’d rather do without having to […]
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Medical Credentialing is Crucial for Healthcare Providers; Here’s Why Truth is, many patients know little more about their physician’s qualifications than what they see neatly hanging from their office wall. While they’re able to access in-depth background information about their auto mechanic, it’s when they are at their most vulnerable, entrusting their family’s health to […]
Credentialing, healthcare credentialing, in-network, insurance companies, medical credentialing, medical provider credentialing, payor contracting, payor enrollment
Which Medical Credentialing Processes Distinguish Medwave from our Competitors? There are a number of points which separate us from our competition, both on the medical billing and credentialing side, but specifically for credentialing. Contact us today and we’ll efficiently credentialing your medical group, getting you in-network with both private and public payor / insurance companies. […]
CAQH, Credentialing, in-network, insurance companies, medical credentialing, medical practice credentialing, payor contracting, payor enrollment
Medical Credentialing On-Boarding Medical Credentialing Credentialing for healthcare providers, hospital groups and facilities is a tedious task that often requires a team of specialists to handle all the on-boarding information, as well as updates throughout the year. As of April, 2018, CMS now mandates that providers maintain accurate information and timely updates. Providers and facilities that […]
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Medical Billing and Credentialing Differences Medical billing and credentialing for medical providers are two different categories in the healthcare world. Before any medical billing can even be completed, the healthcare provider needs to be credentialed with insurance companies in order to be an approved provider of services. Becoming credentialed as an in-network provider dictates the […]
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Medical Provider Resources Information for medical providers, including links to NPI, CAQH and ICD-10 resources. Medicare: https://www.novitas-solutions.com NPI Registry portal: https://npiregistry.cms.hhs.gov CAQH provider portal: https://www.caqh.org Free ICD-10 lookup tool: https://www.icd10data.com Navinet Provider portal: https://navinet.navimedix.com 2017-2018 CDC Flu Vaccine Information: https://www.cdc.gov/flu/about/season/flu-season.htm Follow my blog with Bloglovin
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