Michigan Medicaid Requires Prescribing Providers To Enroll

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...

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CMS Address Edits May Cause Claim Denials

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)...

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Welcome to nCred!

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 login credentials for the nCred portal to begin providing that information. Using our portal...

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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...

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Medicare Application Fee for CY 2019

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...

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Medicare Provider Enrollment – What is PECOS?

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...

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Payer Enrollment – The 1st Step In The Revenue Cycle

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...

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New To Private Practice and Insurance Billing?

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...

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