by nCred | Credentialing Issues, Medicaid Provider Enrollment, Medicare Provider Enrollment, Provider Enrollment |
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...
by nCred | Medicaid Provider Enrollment, Provider Enrollment |
Primary care physicians who care for Medicaid patients could be eligible for higher reimbursement. Under the Affordable Care Act, state Medicaid programs are required to reimburse primary care services at Medicare rates for 2013 and 2014. The payment increase is...
by nCred | Medicaid Provider Enrollment, Medicare Provider Enrollment |
On April 24, 2013, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would increase incentives for people to report information that leads to a recovery of funds from individuals and entities that have or are engaged in Medicare fraud...
by nCred | Credentialing Issues, Medicaid Provider Enrollment, Provider Enrollment |
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...
