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Posts tagged "Blockchain Credentialing"

What is Delegated Credentialing?

March 19, 2025 / Alex J. Lau / Delegated Credentialing, Medical Credentialing
Delegated Credentialing Specialist

Delegated credentialing is an arrangement in which a health plan formally authorizes a healthcare organization (such as a hospital, physician group, or integrated delivery network) to perform the credentialing process on the health plan’s behalf. Instead of each insurance company independently verifying a provider’s credentials, the health plan accepts the organization’s credentialing decisions, provided the […]

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Accreditation Standards, Blockchain Credentialing, Credentials Verification Organizations, CVOs, Delegation Agreement, Regulatory Requirements

Immutability in Credentialing: Building Trust Through Unchangeable Records

March 8, 2025 / Alex J. Lau / Immutability, Medical Credentialing
Immutability in Credentialing (lock)

Picture this: A healthcare organization needs to verify a physician’s credentials before allowing them to treat patients. The stakes are incredibly high as patient safety, organizational liability, and regulatory compliance all hang in the balance. In this critical process, how can we ensure the information being reviewed hasn’t been tampered with or altered? Enter the […]

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Blockchain Credentialing, Credentialing Technology, Immutable Credentialing

The Future of Provider Credentialing: Trends and Predictions

February 27, 2025 / Alex J. Lau / Medical Credentialing
Future of Provider Credentialing, Trends and Predictions

Provider credentialing is changing faster in 2025 and 2026 than it has in the previous two decades. The core process, verifying a provider’s education, licensure, board certifications, malpractice history, and work record, remains the same. What is changing is how that verification is performed, how long it takes, and how many times the same provider […]

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Blockchain Credentialing, Continuous Credential Monitoring, Credentialing Automation, CVO, Interoperability, Multi-State Licensure, Telehealth

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  • Net Collection Rate, analyzed by analyst

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  • Modifier 96 versus Modifier 97

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  • 'Revalidation versus Recredentialing' Neon Sign

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Recent Posts

  • Reduction in Billing, Credentialing Admin Load Due to AI?

    Why Isn’t AI Reducing the Administrative Load in Medical Billing?

  • Denied Medical Claim Appeal Letter

    Why an Approved Authorization Can Still End in a Denied Claim

  • AI Scribes Changing Medical Coding and Billing

    AI Scribes are Changing Medical Coding, Reimbursement

  • Net Collection Rate, analyzed by analyst

    What’s a Net Collection Rate in RCM?

  • Modifier 96 versus Modifier 97

    Modifier 96 vs. Modifier 97: What Therapy Billers Need to Know

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