Introduction: Credentialing and contracting a powerful tools for maximizing revenue. In this post, we’ll cover how to assess your existing business strategy and determine whether contracting or credentialing could be the next step toward achieving your goal. We’ll also look…
Introduction The world of credentialing and contracting is changing. The need for security and verification has never been greater, which means that we will continue to see new technology on the market that helps companies manage their employees and contractors.…
Introduction When you’re a medical professional, your credentials are everything. If you’re looking to start a new career or switch professions, you must have the right certifications and licenses in place before starting work. That’s why we created this guide…
Introduction Organizations today aim to make their credentialing and contracting processes more efficient and compliant. However, this task can be challenging as these processes often involve different departments and people within an organization. To achieve the most efficient outcomes, collaboration…
Effective Management of Healthcare Contracts Contract management plans, organizes, and executes the activities required to manage the contract from start to finish. The role of this department is to make sure that all the processes are followed and no hiccups…
Before you begin any managed care contracting efforts, it’s important to outline your goals and objectives. This will help you prioritize your efforts and direct your attention towards the most impactful areas of your contracting process. Additionally, it will allow…
When it comes to negotiating reimbursement with your payers, it can feel like a game of whack-a-mole. You know the drill: You send in your bill or claim, and then wait for a response. After months or even years of…
Best practices for ensuring successful credentialing and contracting include: Involving healthcare professionals throughout the process by providing instruction on the selection of action words and phrases, the process for credentialing, and the importance of the documentation. If a provider is…
The first stage of the revenue cycle is payer enrollment. This process can be time-consuming and complex, but it is essential for ensuring that patients can receive the care they need. During payer enrollment, providers must submit accurate and complete…
The insurance industry is replete with acronyms, processes, and procedures. In fact, the majority of insurance professionals are quick to point out that much of what we do is “procedure heavy” rather than a more innovative industry. That’s why it…
