Tricare Merges Regions for 2017
Tricare Provider Enrollment There are some changes to the Tricare program for 2017. The new “East Region” merges the current north and south regions to make a new singular region. The U.S. Department of Defense announced that the East region will be...
The Payer Provider Enrollment Process
What is 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)...
MassHealth (MA Medicaid) Plan Changes
MassHealth Ordering, Referring, and Prescribing Policy There are some significant changes taking effective September 1, 2016 with the Massachusetts Medicaid program (MassHealth). Every provider licensed in the state must now have an active enrollment record with...
Credentialing After Relocation – What Is Needed?
Insurance Credentialing After You Relocate We routinely hear from healthcare providers who have relocated to another state or are planning a relocation, and need assistance with getting in-network with insurance panels in their new practice state. Many are frustrated...
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. ...
Common Payor Enrollment Mistakes
Whether you are starting a new solo practice or adding a new physician to an existing large medical group, an efficient process for credentialing and contracting with insurance networks is key to minimizing financial loss when you begin seeing patients. The process...
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...
5 Steps To Easy Physician Credentialing
Physician credentialing is necessary to receive in-network reimbursement from insurance plans. Procrastination and haphazard processing can spell cash-flow disasters for your new provider. Fortunately, there are ways to minimize issues with credentialing. Here are...
A good start to 2016
Get off to a good start in 2016 Is your practice prepared for financial success in 2016? With the holidays over, it’s time to settle back in to regular full time work and it’s worthwhile to take a moment to plan for 2016. Here are a few ways to make sure...
