by nCred | Healthcare Industry News, Medicare Provider Enrollment |
On November 2, 2021, the Centers for Medicare and Medicaid Services (“CMS”) released its Final Medicare Physician Fee Schedule for 2022 (the “Final 2022 MPFS”), revising certain payment policies for services provided to Medicare beneficiaries by healthcare...
by nCred | Healthcare Industry News, Medicare Provider Enrollment, Provider Enrollment |
Re-Credentialing or revalidation is the dreaded date circled red on your calendar that might bring you a sleepless night or two. There are so many important components to re-credentialing which involve different due dates for commercial plans versus government plans,...
by nCred | Medicare Provider Enrollment |
A new rule regarding Medicare provider enrollment allows CMS to revoke healthcare providers or suppliers’ Medicare enrollment if they are affiliated with targeted “bad actors”. As part of the CMS’ “Program Integrity Enhancements to the...
by nCred | Medicare Provider Enrollment |
The Centers for Medicare & Medicaid Services (CMS) recently announced implementation of validation edits in the Medicare enrollment system that may cause claim denials. These validation edits will apply to hospital outpatient prospective payment system (OPPS)...
by nCred | Medicare Provider Enrollment, Provider Enrollment |
Medicare Provider Enrollment There are two ways to enroll with the Medicare program. First, complete the appropriate Medicare paper applications, or second, use the Medicare Provider Enrollment, Chain, and Ownership System (PECOS). This article focuses on provider...
by nCred | Healthcare Industry News, Medicare Provider Enrollment |
Medicare Administrative Contractor Changes in 2018 In 2018, the Medicare Administrative Contractors (MAC’s) for TN, GA, And AL changed from CAHABA to Palmetto. The change has had a dramatic impact on the turnaround time of Medicare provider enrollment...
by nCred | Medicare Provider Enrollment
CMS has announced the CY 2018 application fee for institutional providers enrolling with Medicare, Medicaid, or Children’s Health Insurance Program. The fee will be $569 representing a slight increase from 2017. This fee is required for all institutional...
by nCred | Medicare Provider Enrollment |
FQHC – Requirements and Enrollment Process Federally Qualified Health Centers (FQHC) are safety net providers that primarily provide services typically furnished in an outpatient clinic. FQHC’s are paid based on the FQHC Prospective Payment System (PPS)....
by nCred | Medicare Provider Enrollment, Provider Enrollment |
Insurance credentialing (or Provider Enrollment) refers to the process of applying to health insurance networks for inclusion in their provider panels. For Commercial Insurance networks, this process involves two steps, 1) Credentialing and 2) Contracting. The first...
by nCred | Medicare Provider Enrollment, Provider Enrollment |
Provider Enrollment (or Payor Enrollment) refers to the process of applying to health insurance networks for inclusion in their provider panels. For Commercial Insurance networks, this process involves two steps, 1) Credentialing and 2) Contracting. The first step...
