Medical credentialing requirements vary significantly depending on the situation. A new physician joining an established group practice faces a different process than a solo practitioner opening a second location, a surgeon seeking hospital privileges, or a provider adding telehealth services to an existing credential. Each scenario has its own documentation requirements, payer-specific steps, and timeline […]
CAQH Profile Updates, Hospital Privileging, Locum Tenens, Multi-State Licensing, Telehealth
Multi-state licensing models are changing a system where healthcare licensing has traditionally been a state-by-state affair, creating barriers for providers who want to practice across state lines and patients seeking care from specialists located in different states. Multi-state licensing models have emerged as a solution to simplify this process, allowing qualified healthcare professionals to obtain licenses […]
IMLC, Interstate Medical Licensure Compact, OTLC, PTLC, REPLICA, Telehealth
One minute separates two of the most-billed behavioral health CPT codes, and that minute changes what a therapy session pays. A 52-minute session is 90834. At 53 minutes it becomes 90837, provided the note shows the clock. Reimbursement in mental health rarely hinges on exotic codes. It comes down to time thresholds, add-ons that go […]
Behavioral Health Billing, Behavioral Health CPT Codes, Telehealth
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 […]
Blockchain Credentialing, Continuous Credential Monitoring, Credentialing Automation, CVO, Interoperability, Multi-State Licensure, Telehealth
The healthcare industry is dynamic, and staying up-to-date with the latest regulatory changes is crucial for efficient Revenue Cycle Management (RCM). RCM encompasses the processes involved in tracking and collecting patient service revenue, from the initial registration and appointment scheduling to the final payment of balances. Failure to comply with regulatory requirements can result in […]
Interoperability, No Surprises Act, Regulatory Changes, Telehealth, Value Based Care
The healthcare industry has undergone a digital transformation in recent years, with virtual care technologies playing a central role. Virtual care refers to any health services provided remotely through telecommunications and digital technologies. These technologies are enabling more convenient, accessible and affordable healthcare delivery. For healthcare providers, understanding the virtual care environment is crucial to […]
Blockchain Technology, Hybrid Care Models, Telehealth, Telemedicine, Wearable Devices
Telehealth billing has become more complicated since the COVID-19 pandemic triggered an explosion in telehealth utilization across healthcare. While telehealth billing processes matured during the public health emergency, new challenges are emerging as virtual care delivery models expand. Practices must stay updated on billing and coding guidelines for telemedicine services spanning video visits, remote patient […]
Medical Billing, RCM, Remote Patient Monitoring, Telehealth, Telemedicine