Telehealth and Credentialing Part 1
Telehealth is a vital service to any medical practice today. The nuisances of credentialing for this service can cause headaches and roadblocks in getting payer contracts.
Re-Credentialing – Preparation and Consequences
Re-credentialing is an important part of maintaining your participation in insurance networks.
Credentialing During the Pandemic
It’s hard to believe that we have been battling COVID-19 for more than a year now. It has impacted every facet of our lives, but the hardest impact of this pandemic is the medical profession. Those who work in the medical field had to comprehend how to overcome new...
ND Medicaid Approved to Expand Behavioral Health Services
The North Dakota Department of Human Services announced it has received final approval of the Medicaid 1915(i) State Plan Amendment from the Centers for Medicare and Medicaid Services (CMS), creating opportunities to expand community-based behavioral health services....
Pennsylvania Targets Credentialing Problems With New Legislation
Pennsylvania lawmakers attempt to improve provider credentialing turnaround times with insurance networks.
Medicare Provider Enrollment Program Integrity Enhancements
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 Provider Enrollment Process"...
Michigan Medicaid Requires Prescribing Providers To Enroll
Michigan health providers must enroll by Oct. 1 Beginning October 1, 2019, Medicaid beneficiaries with prescriptions written by healthcare providers who are not enrolled with the Medicaid program will not be able to have the prescription filled. Federal requirements...
CMS Address Edits May Cause Claim Denials
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)...
Welcome to nCred!
The onboarding process with nCred starts with building your provider credentialing profiles for your business entity and practitioners. Our onboarding team will provide you with a basic information spreadsheet for you to complete to collect some initial information...
Texas Medicaid To Improve Provider Enrollment Process
Texas Health and Human Services Commission (HHSC) announced that it is undertaking an update to its provider enrollment system. HHSC has selected a vendor to design and implement a new provider management and enrollment system for the state's Medicaid program. The...
FL Medicaid Moratorium on New BA providers
Florida Medicaid extends moratorium on new enrollment of BA providers in Miami-Dade and Broward counties.
Medicare Application Fee for CY 2019
CMS announced the application fee for calendar year (CY) 2019 will be $586 for institutional providers that are initially enrolling in the Medicare or Medicaid program or the Children's Health Insurance Program (CHIP); revalidating their Medicare, Medicaid, or CHIP...
