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...
To maintain Medicare billing privileges, a provider or supplier (other than a durable medical equipment, prosthetics, orthotics and supplies [...Read More »
In previous years, payer enrollment wasn’t something that credentialers and MSPs had to deal with, but like several other responsibilities, it is...Read More »
Some organizations require signed releases when someone requests information about a physician—but others do not. The reality of an organization...Read More »
Medical staff professionals (MSP) are no strangers to the grind of repetitive tasks—sitting on hold with payers, chasing down credentialing...Read More »
In previous years, many medical staff offices didn’t have to deal with payer enrollment, but as illustrated in the 2025 MSP Salary Survey...Read More »
Recently, the Hardenbergh Group, an MSP staffing firm and consultancy, led a seminar on preventing and reversing provider burnout, as well as...Read More »
As the COVID-19 pandemic effects persist, many MSPs across the country have transitioned to working remotely and will continue to do so for the...Read More »
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...
