by nCred | Credentialing Issues, Provider Enrollment |
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...
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, Medicare Provider Enrollment, Provider Enrollment |
Accurate and timely provider enrollment has a dramatic impact on cash flow of any practice. The ultimate goal of any business office, credentialing office, or other responsible staff is to have providers enrolled with health plans as quickly as possible and to...
by nCred | Medicare Provider Enrollment, Provider Enrollment |
Medicare Ordering/Referring Physician Files (PECOS) Medicare has not yet implemented the automatic denial for claims submitted with an ordering or referring physician who does not have a current PECOS record. CMS is working to clean up system problems and backlogs...
by nCred | Healthcare Industry News |
The Affordable Care Act continues to have dramatic impact on our industry. Smaller insurance networks are struggling to cope with the mandates in ACA. GEHA announced several months ago that PPO USA will cease operations effective 12/31/12. GEHA will work with...
