The operational process of credentialing a practitioner to participate in a health plan’s network has
some similarities to a hospital’s credentialing processes; however, there are also important distinctions.
The following table highlights some of the key differences between health...
Note: The ability to claim CEUs for this program has expired.
When an insured patient from out of state receives emergency services, payment can fall through the cracks. In this session with Larry DeHoyos, CPCS, and Yesenia Servin, CPMSM, learn efficient processes for...
Note: The ability to claim CEUs on this program has expired.
Congratulations, you’re a provider enrollment professional! Now what? In this presentation, Mathieu Gaulin, CPMSM, CPCS, and Jenny Jackson, EdD, MBA, CPMSM, CPCS, FMSP, will walk you through some tips for...
Please note that the ability to claim CEUs for this program has expired.
The demand for mental health services has never been greater, yet enrolling behavioral health providers poses unique challenges. Commercial insurance plans may have separate networks for behavioral health providers...
Please note that the ability to claim CEUs for this program has expired.
As healthcare organizations look to make operations more efficient, many have started to combine provider enrollment and medical staff services functions. However, rushing to do so can cause the collaboration to...
There are many factors that contribute to successful delegated credentialing for both the health and delegated entity to consider. Below are tips...Read More »
If you haven’t registered for the 2024 National Provider Enrollment Forum, now is your chance to do so! Until August 15, you can take advantage of...Read More »
