On Monday, President Donald Trump signed an executive order in support of the expansion of telemedicine services, particularly in rural areas. This order makes permanent the increased offering of telemedicine services necessitated by the COVID-19 pandemic.
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)....
In the time it takes to make a phone call, you can gain temporary billing privileges during the COVID-19 emergency that will allow your providers to begin treating Medicare patients almost immediately. In a clarification of enrollment flexibilities that CMS issued on March 23, the agency...
In managed care credentialing, delegation is defined as a formal process by which an organization gives another entity the authority and responsibility to perform certain functions on its behalf through a contractual arrangement. For health plans that wish to delegate components of its...
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...
The Credentialing Reosurce Center Symposium is coming to New Orleans on April 20-21, 2020! We’re introducing exciting new features to this year’s CRC Symposium. We just released the 2020 agenda, which features an expansive array of sessions, including some focused on provider...