A provider who is not credentialed with a payer can bill for months before the payer notices and demands the money back. A new physician joins a practice in January, starts seeing patients immediately, and claims go out. Payments come in for several weeks. Then in April the practice receives a letter from a major […]
CAQH ProView, Claim Denials, Credentialing Gaps, Payer Enrollment, Retroactive Recoupment
Payer enrollment and credentialing are two separate steps whenever you bring new providers into a medical practice, and mixing them up delays billing. Bringing on a physician, nurse practitioner, or physician assistant opens doors to serving more patients and expanding your services. But there’s a catch that trips up even experienced practice managers, getting these […]
CAQH, DataSpring, Medical Credentialing, Payer Enrollment, Primary Source Verification
Medical credentialing verifies a physician’s qualifications behind the scenes, and many patients know little more about those 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 a qualified […]
Credentialing Value, NCQA, Outsourced Credentialing, Payer Enrollment, Provider Credentialing