New Practice Credentialing
Insurance Credentialing For New Health Care Practices Opening a new health care practice takes time, patience, money, and perseverance. Like starting any new business there are hundreds of tasks that need completing to get ready to open your doors. Healthcare...
CMS Updated Manual Guidelines for Change of Ownership
Updated Manual Guidelines for Electronic Funds Transfer (EFT) Payments and Change of Ownership (CHOW) The Centers for Medicare & Medicaid Services (CMS) issued Change Request (CR) 9953 (effective May 15, 2017), for the purpose of making revisions to Chapter 15,...New CMS Specialty Code for Hospitalists
When they enroll in the Medicare program, physicians self-designate their Medicare physician specialty on the Medicare enrollment application (CMS-855I or CMS-855O), or in the Internet-based Provider Enrollment, Chain and Ownership System (PECOS). CMS uses these...
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. ...
Provider Enrollment Requirements for Medicare Part D
Deadline for enforcement of provider enrollment requirements for prescribing Medicare Part D drugs has changed In 2014 CMS announced that all provider’s who write prescriptions for Part D drugs must have an approved Medicare enrollment record or a valid Opt-Out...
CMS Proposed Required Disclosures During Provider Enrollment
CMS Announces Program Integrity Enhancements to the Provider Enrollment Process CMS announced a proposed rule for implementing additional provider enrollment provisions of the Affordable Care Act to help identify entities and individuals who pose risks to the Medicare...
CMS Revalidation – Cycle 2
The CMS Revalidation Project The Affordable Care Act established a requirement for all enrolled providers/suppliers to revalidate their Medicare enrollment information under new enrollment screening criteria. The Centers for Medicare & Medicaid Services (CMS) has...
CMS updates provider enrollment screening
Strengthening Medicare Provider Enrollment Screening Medicare has long had screenings for address verification and site visits, however, an update in their screening processes will put more emphasis on these screening methods. CMS will also implement a policy to...
Insurance Credentialing is a Good Candidate for Outsourcing
Outsource Insurance Credentialing Responsibility for outsourcing an important business function can be a daunting decision. Whether you are a seasoned manager of a large organization, or a solo practitioner starting a new medical practice there are some functions...
