Introduction Payer and accreditation audits are inevitable for DME providers, and being unprepared can lead to disruptions, fines, or even loss of payer contracts. However, with proactive planning and robust credentialing practices, you can navigate audits with confidence and maintain…
Introduction Issues with payers—such as stalled credentialing applications, denied claims, or unresolved disputes—can significantly disrupt your revenue cycle. While routine follow-ups often resolve minor delays, there are times when escalation is necessary to achieve faster and more effective resolutions. In…
Introduction A successful credentialing process requires more than just meeting payer requirements—it demands a well-structured and efficient team. With the right people in the right roles, supported by robust workflows, your credentialing team can eliminate delays, minimize errors, and enhance…
Introduction Few things are as frustrating for DME providers as receiving a denial from a payer. Whether it’s due to credentialing errors, missing documentation, or complex coding requirements, denials can disrupt your revenue cycle and delay patient care. However, a…
