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  • Posts tagged "Contracting"

Posts tagged "Contracting"

Tax Status Dictates Contract Structure

October 14, 2025 / admin / Articles, Billing and Contracting, Contract Negotiations, Contracting, Corporation, Partnership, Payer Contract, Payer Contracting, Payer Contracts, Sole Proprietor, Tax Status, Tax Status Shapes Credentialing, Value-Based Care, Value-Based Models
Tax Status Dictates Contract Structure (Doctor Signing)

When healthcare providers set up their practices, one of the first decisions they make is choosing their business entity type. While this might seem like a routine administrative task, that choice carries far more weight than most realize. Your tax status fundamentally shapes every contract you’ll negotiate with insurance companies, how you bill for services, […]

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Billing and Contracting, Contract Negotiations, Contracting, Corporation, Partnership, Payer Contract, Payer Contracting, Payer Contracts, Sole Proprietor, Tax Status, Tax Status Shapes Credentialing, Value Based Care, Value-Based Models

The Difference Between Credentialing and Contracting

October 5, 2025 / admin / Articles, Contracting, Credentialing, Credentialing Challenges, Credentialing Company, Credentialing Costs, Credentialing Management, Credentialing Optimization, Credentialing Services, Payer Contracting, Recredentialing
Two Professional Caucasian Medical Doctors Needing Credentialing and Contracting

If you’re a healthcare provider trying to get paid by insurance companies, you’ve likely encountered the terms “credentialing” and “contracting” more times than you can count. While these processes are often mentioned together, they serve distinctly different purposes in establishing your ability to treat patients and receive reimbursement from payers. Many providers assume these terms […]

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Contracting, Credentialing, credentialing challenges, Credentialing Company, Credentialing Costs, Credentialing Management, Credentialing Optimization, Credentialing Services, Payer Contracting, Recredentialing

Why Providers Need Both Credentialing and Contracting

October 1, 2025 / admin / Articles, Contract Management, Contract Negotiation, Contracting, Credentialing, Credentialing and Contracting, Medical Credentialing, Payer Contract, Payer Contract Management, Payer Contracting, Payor Contract, Payor Contracting
A White, Male Medical Doctor Signing Paperwork. Sitting at a desk.

Healthcare providers often view credentialing and contracting as separate administrative hurdles they must clear to start practicing. While these processes might seem distinct on the surface, they’re actually two sides of the same coin, both essential components of establishing a viable healthcare practice. Knowing why both are necessary, and how they work together, can save […]

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Contract Management, Contract Negotiation, Contracting, Credentialing, Credentialing and Contracting, Medical Credentialing, Payer Contract, Payer Contracting, Payor Contract, Payor Contracting

What Comes First: Credentialing or Contracting?

September 18, 2025 / admin / Articles, Contract Negotiation, Contracting, Credentialing, Credentialing and Contracting, Credentialing Challenges, Credentialing Documentation, Credentialing Software, Credentialing Technology, Payer Contracting
Twin White Male Medical Doctors Looking at Each Other

Healthcare providers entering the world of insurance partnerships face a chicken-and-egg dilemma that can make even seasoned professionals scratch their heads. Should you get credentialed first, or should you secure contracts before diving into the credentialing process? The answer isn’t as straightforward as you might think, and knowing the nuances can save you months of […]

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Contract Negotiation, Contracting, Credentialing, Credentialing and Contracting, credentialing challenges, Credentialing Documentation, Credentialing Software, Credentialing Technology, Payer Contracting

Behavioral Health Payer Contracting

November 22, 2024 / admin / Articles, Behavioral Health, Behavioral Health Contracting, Behavioral Health Payer Contracting, Contract Negotiation, Contracting, Contracting Fee Schedule, Fee Schedule, Fee Schedule Management, Fee-for-Service, Fee-for-service Model
White Male Payer Contracting Specialist

Behavioral health providers face unique challenges when it comes to payer contracting. The landscape has grown increasingly complex, especially as mental health parity laws have evolved and the demand for behavioral health services has surged in recent years. Let’s dive into the intricacies of behavioral health payer contracting and explore what providers need to know […]

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Behavioral Health, Behavioral Health Contracting, Behavioral Health Payer Contracting, Behavioral Health Payor Contracting, Contract Negotiation, Contracting, Contracting Fee Schedule, Fee Schedule, Fee Schedule Management, Fee-for-Service, Fee-for-Service (FFS), Fee-for-Service Model

The Importance of Credentialing and Contracting

February 21, 2023 / admin / Articles, Contracting, Credentialing, Credentialing and Contracting, Medical Credentialing, Payer Contract, Payer Contracting, Payer Enrollment, Payer Negotiation, Payer Rejection
White Female Credentialing Professional

Credentialing and contracting are essential components of healthcare operations. Credentialing is the process of verifying the qualifications and professional background of healthcare providers, while contracting involves establishing agreements between healthcare providers and payers to ensure payment for services rendered. These processes are crucial for ensuring that healthcare providers deliver high-quality services and receive fair compensation […]

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Contracting, Credentialing, Credentialing and Contracting, Credentialing and Contracting Checklist, Healthcare Credentialing, Medical Credentialing, Payer Contract, Payer Contracting

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Practices Served

  • Behavioral Health
  • Primary Care
  • DME
  • Urgent Care
  • Speech Therapy
  • Geriatric Medicine
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Genetic Testing
  • Pharmacogenetic (PGx)
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Podiatry
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

Practices Served

  • Behavioral Health
  • Primary Care
  • DME
  • Urgent Care
  • Speech Therapy
  • Geriatric Medicine
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Genetic Testing
  • Pharmacogenetic (PGx)
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Podiatry
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

Recent Posts

  • AI Black Male Medical Doctor Touches Robot Finger

    AI’s Ethical Frontier: Managing Healthcare’s Data Morality

  • FHIR Data Exchange Interoperability

    FHIR® Interoperability: The Hidden RCM Benefit of Real-Time Data Exchange

  • Anthem BCBS Credentialing, Recredentialing, and Contracting

    A Guide to Provider Credentialing with Anthem

  • Colonoscopy CPT Codes with Asian Doctor

    Which CPT Codes are Used in Colonoscopy Billing?

  • White Male Doctor Challenged by RCM

    Rate Negotiations: Get Paid What You Deserve

  • Asthma Treatment CPT Codes

    Which CPT Codes are Used in Asthma Treatment Billing?

  • Male Asian Indian-American Medical Doctor in Need of Credentialing

    The Difference Between Provider and Group Credentialing?

  • White Male Doctor, High Certification

    Which Medical Certification Pays the Most?

  • White Male Telehealth Doctor on Screen

    Do I Need Separate Credentialing for Telehealth?

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