Below you'll find a list of all posts that have been tagged as “credentialing”
There’s been a recurring theme… the health of practices at risk because of billing issues. Some practices struggle to stay afloat; some even have to close their doors. But it’s not for the typical reasons, like insurance not reimbursing or patients not paying their part. No, this is different. What’s going on here is individuals or companies …
Headaches in private practice…? Surely, I must be kidding? No, I’m not joking… running your own practice comes with a few headaches. And while most practice owners see them as problems, others view them as challenges. It all depends on your point of view. But no matter what you call them if you’ve been in …
If you’re scratching your head wondering what I’m talking about, this article may not be for you. But if you see a flash of problems across your minds’ eye, read on… because this is for you! Headaches, obstacles, problems, challenges, opportunities… Whatever you call them, if you’ve been in practice for any length of time, …
We’ve all been there. The insurance company will not credential me now what? The needed prior authorization for [insert drug, imaging, lab test, etc here] was denied, now what? The claim for a medically necessary visit was denied, now what? One of the most frustrating things for healthcare providers (regardless of the initials after the …
Of all the things you do to practice medicine, credentialing with insurance companies is likely not on your list of favorites; am I right? Of course, there is no law that says you have to. If you go to a full cash practice, you don’t need to worry about insurance at all. But if you …
Nurse practitioners and other clinicians often send in questions about credentialing and contracting. It’s clear, from those questions that there is some confusion about the two and it’s important that all health care providers understand the difference. Credentialing is a process where the company attempts to make sure that you are you. They want to …
Medscape recently posted the results of a survey where physicians rated insurance companies in terms of best and worse to work with and the factors that lead into those ratings. This got me to thinking about us. Insurance reimbursement for NPs and other Advanced Practice Nurses is all over the board. Some companies recognize Nurse Practitioners …
