Feb 21, 2020 | Revenue Cycle Management Solutions
Providing outstanding medical services is at the very heart of your mission and vision. However, actually treating patients is just one part of running a new medical practice. The rest is business “stuff” that takes up a lot of time, and can quite frankly be...
Feb 11, 2020 | Medical Credentialing, Revenue Cycle Management Solutions
Hospital administrators, physicians, and members of every healthcare office billing department know that if their practice or hospital provides services to Medicare patients, they must be prepared to possibly receive a request to be audited from the Medicare Parts C...
Feb 11, 2020 | Medical Credentialing, Revenue Cycle Management Solutions
Hospitals strive to place two goals at the forefront of their day-to-day operations: patient safety and continual improvement of the quality of care that the facility provides for its patients. These goals are often diametrically opposed to another key item on the...
Feb 11, 2020 | Medical Credentialing, Revenue Cycle Management Solutions
Among healthcare practitioners, there is sometimes confusion between “payer enrollment” and “medical credentialing”. The process of payer enrollment and credentials verification is intricate and it becomes more so with each passing year. Contract with a CVO Without...
Feb 11, 2020 | Medical Credentialing, Revenue Cycle Management Solutions
CVO credentialing refers to the use of a Credentials Verification Organization to perform medical credentialing on behalf of a healthcare practice or organization. The CVO is tasked with obtaining primary source verification of a provider’s documents on the...
Feb 11, 2020 | Medical Credentialing
Verifying medical credentials is an essential consumer safety component of the health care system. To safely administer health care for their patients, organizations must verify the qualifications of their licensed medical providers by assessing their background and...
Feb 11, 2020 | MACRA Solutions
In April 2015, Congress eliminated the SGR (Sustainable Growth Rate) — the formula used to calculate Medicare payments to healthcare providers. In its vacancy came the newly proposed Quality Payment Program and MACRA (Medicare Access and CHIP Reauthorization Act of...
Feb 11, 2020 | Medical Credentialing, Revenue Cycle Management Solutions
As a physician or other healthcare provider, you must apply for initial medical credentialing and be re-credentialed every 2-3 years, depending on the state in which you live and the policies of your payers. It’s a monumental task, but a necessary one, as...
Feb 11, 2020 | Medical Credentialing, Revenue Cycle Management Solutions
Medical credentialing is an in-depth and meticulous process. The standards set forth by regulatory bodies like the National Committee for Quality Assurance (NCQA) require preliminary and ongoing review of a healthcare provider’s qualifications. These include, but are...
Feb 11, 2020 | Medical Credentialing, Revenue Cycle Management Solutions
If your medical credentialing is still being done with filing cabinets, paper, spreadsheets, email, and fax, upgrading to medical credentialing software or a total outsourcing solution will save time and effort and increase the accuracy of your credentialing. The long...
