Payor Enrollment for Nurse Practitioner’s
Health plan credentialing (Enrollment) for Nurse Practitioners can bring about some unique challenges. Providers who are operating an outpatient clinic as a primary care provider will need to be directly credentialed and contracted with health plans. Know the...
New Physician Credentialing – Timing is Everything
It is always a good sign when your practice recruits a new physician fresh from medical school. It brings attention to your practice, and can help you build a reputation of being a forward-thinking practice that offers the newest and best patient care practices. ...Setup EFT For All Payers
Electronic Funds Transfer (EFT or Direct Deposit) is a quick and simple method of receiving reimbursement from payers directly into your bank account as opposed to receiving a paper check. EFT helps to reduce administrative burden of processing paper checks by...Chiropractic Clinic conversion to Integrated Health Group
We receive many inquiries from Chiropractic practices that are partnering with physicians and mid-level providers to convert their chiropractic practice to a multi-specialty medical clinic providing primary care services, walk-in medical care, chiropractic care, and...Impact of credentialing on cash flow
Accurate and timely provider enrollment has a dramatic impact on cash flow of any practice. The ultimate goal of any business office, credentialing office, or other responsible staff is to have providers enrolled with health plans as quickly as possible and to...DEA’s Policy on Locum Tenens
There is often confusion about federal DEA certificate requirements when providers work in multiple states. The DEA’s policy states that a provider must have a certificate for “each principal place of business or professional practice”. There is an...GA Medicaid Centralized Credentialing for CMO’s
Georgia Medicaid plans for centralized credentialing for Medicaid CMO’s The Department of Community Health (DCH) has announced its plan for implementing centralized credentialing for Medicaid and all three CMO’s. Centralized credentialing is targeted to...Maintenance of Certification (ABMS)
In 2000, the 24 Member Boards of ABMS made significant changes to their recertifiation programs. The ABMS Maintenance of Certification® (MOC) was adopted to require continuous professional development over the career of a physician. The MOC process aims to assure...Focused Practice designation by ABMS
Some of the American Boards of Medical Specialties are implementing programs to recognize areas of expertise for focused practice in a specific clinic area. On board certification documents, a notation of a Focused Practice will designate the specialized are of...
