With artificial intelligence (AI) in the spotlight, more vendors are branding themselves as “AI-powered”—whether or not that label holds up under scrutiny. As a result, MSPs need to be diligent when evaluating solutions for credentialing and payer enrollment.
To maintain Medicare billing privileges, a provider or supplier (other than a durable medical equipment, prosthetics, orthotics and supplies [DMEPOS] supplier) must resubmit and recertify the accuracy of its enrollment information every five years, a process known as revalidation.
In previous years, payer enrollment wasn’t something that credentialers and MSPs had to deal with, but like several other responsibilities, it is gradually becoming incorporated into their job duties.
Some organizations require signed releases when someone requests information about a physician—but others do not. The reality of an organization releasing information without prior approval, such as during the credentialing and privileging processes, could be an unwelcome surprise for a...
Credentialing Resource Center Journal - Volume 34, Issue 12
Medical staff professionals (MSP) are no strangers to the grind of repetitive tasks—sitting on hold with payers, chasing down credentialing documents, tracking follow-ups manually.
Credentialing Resource Center Journal - Volume 34, Issue 11
In previous years, many medical staff offices didn’t have to deal with payer enrollment, but as illustrated in the 2025 MSP Salary Survey Report, MSPs and credentialers are increasingly having to fold it into their job duties.
