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...

A growing contingent of MSPs are finding themselves managing provider enrollment duties in addition to their existing medical staff credentialing obligations. However, lengthy enrollment turnaround times with payers can hurt your organization’s bottom line. During this 90-minute on-demand...

Attaining delegation status with commercial payers is the ultimate way to improve enrollment turnaround time and reduce lost revenue and credentialing delays. During this 90-minute webinar, expert speaker Amy Niehaus, CPMSM, CPCS, MBA, will help listeners identify the benefits of...

A health plan must designate a credentialing committee that uses a peer review process to make credentialing and recredentialing decisions. Members of the committee must include participating practitioners who can review and provide input on applicants for initial credentialing and...

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