When we hear the terms frontline workers or people on the front lines, we often picture medical scrubs and stethoscopes, physicians covered head to toe in personal protective equipment, nurses treating patients, and...
As part of streamlining provider enrollment, more hospitals and health systems are seeking delegated credentialing from commercial payers on behalf of their medical groups or other provider organizations, such as a physician hospital organization (PHO) or independent practice association (IPA)....
A recent survey shows provider directory maintenance can be expensive and that, in the absence of an affordable technical fix, you’ll have to tighten up your record updating if you want to reduce those costs.
CAQH, the nonprofit alliance of health plans and trade associations best known...
Like any industry, the provider enrollment field has its unique challenges and obstacles. One of the easiest ways to overcome these challenges, Dina Solis, PESC, says, is to incorporate automation and other technology solutions. For organizations already utilizing technology in their processes,...
Credentialing Resource Center Journal - Volume 28, Issue 11
As healthcare organizations continue to search for ways to reduce costs while maintaining quality, the credentialing and enrollment departments are coming to the forefront as ideal candidates for integration. Although both perform unique and distinct functions, there is significant overlap with...