by nCred | Medicare Provider Enrollment, Provider Enrollment |
Medicare enrollment involves selecting the correct enrollment forms from CMS and completing the forms with 100% accuracy. Here are the forms that you will need: CMS855I; this is the individual provider enrollment application. This form captures all the details of an...
by nCred | Medicare Provider Enrollment, Provider Enrollment |
CMS announced guidance on inter-jurisdictional reassignments affecting providers in one MAC jurisdiction that re-assigns benefits to an organization located in another MAC jurisdiction. The full program guidelines can be found here. Here is the text of the article:...
by nCred | 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 1) Credentialing and 2) Contracting. During the first step, the...
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 | Medicare Provider Enrollment, Provider Enrollment |
Medicare Provider Enrollment Changes Last last week, the Centers for Medicare & Medicaid Services (CMS) issued a final rule for Medicare Advantage and Medicare Part D that includes provisions directly affecting physicians. Beginning June 1, 2015, in order to...
by nCred | Credentialing Issues, Medicare Provider Enrollment, Provider Enrollment |
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. ...
by nCred | Medicare Provider Enrollment, Provider Enrollment |
CMS rolls out surrogate user program The Centers for Medicare & Medicaid Services (CMS) recently released information about its surrogate user program, which is now available for use. The program authorizes individuals or organizations to work on behalf of...
by nCred | Credentialing Issues, Healthcare Industry News, Provider Enrollment |
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...
by nCred | Medicare Provider Enrollment, Provider Enrollment |
Medicare enrolling/enrolled providers have two contractual options with Medicare. 1) Providers may submit an enrollment application and sign a participating (PAR) agreement and accept Medicare’s allowed charge as payment in full for all Medicare patients. 2)...
by nCred | Credentialing Issues, Healthcare Industry News, Medicare Provider Enrollment, Provider Enrollment |
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...
