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...
Maryland Medicaid Provider Enrollment Portal
Providers who bill Maryland medicaid are now required to enroll with the electronic Provider Revalidation and Enrollment Portal (ePREP)
Medicare Provider Enrollment – What is PECOS?
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...
Payer Enrollment – The 1st Step In The Revenue Cycle
Payer enrollment services help healthcare organizations to unravel the complex process of credentialing providers and enrolling them in payer networks. Payer enrollment is the process of a provider joining a health insurance plan’s network. The process includes...
Negative Impact of Medicare Administrative Contractor Changes in 2018
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 applications. ...
New To Private Practice and Insurance Billing?
Private Practice and Insurance Credentialing Healthcare providers venturing out into private practice often are unsure about how to establish their procedures for billing third party networks for services. The process of billing and reimbursement is referred to as...
How long does credentialing take
Insurance Credentialing Timeline The most often asked question when speaking with a healthcare provider about insurance credentialing is, “How long does it take to get credentialed?”. This is a difficult question to answer because the turn around times of carriers...
2018 Medicare Application Fee
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 submission...
