When an application is received, an initial review should be performed by the credentialing staff to determine whether all of the required information has been returned, completed, and appropriately signed.
Credentialing Resource Center Journal - Volume 32, Issue 12
Medicare has merged the CMS-855R into the CMS-855I paper enrollment application. Find out what this means for your organization and your practitioners.
The National Provider Enrollment Virtual Event is a one-of-a-kind online event focused on education for provider enrollment professionals, enrollment managers, and credentialing specialists.
Given the high stakes and complexity of provider enrollment, aligning the function with traditional medical staff services work requires a clear strategy, strong approaches, and adept staff. Otherwise, the process may unravel, jeopardizing revenue, care access, and practitioner satisfaction.
Practitioners undergo different levels of education and training, including medical or professional school, and internship, residency, and fellowship programs. The health plan is only required to verify the highest level that the applicant completed. For a physician, this would usually be the...
