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...
nCred to provide credentialing services for Jamestown Radiologists
Press Release -- Chattanooga, TN -- Jamestown Radiologists, PC has contracted with National Credentialing Solutions (nCred) to provide the practice with credentialing services. Jamestown Radiologists is located in New York and services patients in the Jamestown and...
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 your...
CMS final rule for DMEPOS prior authorization
The Centers for Medicare & Medicaid Services (CMS) today issued a final rule that would establish a prior authorization process for certain durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) items that are frequently subject to unnecessary...
2016 Medicare Application Fee
CMS has announced the CY 2016 application fee for institutional providers enrolling with Medicare, Medicaid, or Children's Health Insurance Program. The fee will be $554 and is up slightly from the CY 2015 fee of $553. This fee is required for all institutional...
nCred to provide credentialing for South Atlanta Integrative Medicine
Chattanooga, TN -- South Atlanta Integrative Medicine has contracted with National Credentialing Solutions (nCred) to provide the practice with credentialing services. South Atlanta Integrative Medicine is located in Georgia and services patients in Fayetteville and...
PECOS redesign is planned
CMS recently published a "Sources Sought Notice" to screen potential technical vendors for a complete redesign of the Medicare online provider enrollment system PECOS. The ultimate project goal of CMS is a ground up redesign of the current system. A new platform...
Medicare provider enrollment – How To
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...
Maintain Your Credentialing File
What is needed for a complete credentialing file? Throughout your career as a healthcare provider you will need easy access to history of your education, training, certifications, licenses, and details about your professional performance...
Provider Enrollment Requirements for Writing Prescriptions for Medicare Part D Drugs
If you write prescriptions for covered Part D drugs and you are not already enrolled in Medicare in an approved status or have a valid record of opting out, you should submit an enrollment application or an opt-out affidavit to your Medicare Administrative Contractor...
How To Become A Medicare Provider
Completing the Medicare Provider Enrollment Process This article will outline some of the key steps in the Medicare enrollment process for a single physician, John James MD, starting a new practice. This enrollment example assumes the physician has formed a legal...
