CredSimple Blog

NCQA Requirements, Part 5: Ongoing Monitoring

NCQA Requirements, Part 5: Ongoing Monitoring

In this series, we break down what you need to know about credentialing, re-credentialing and delegated credentialing. In prior posts, we covered organizational requirements (CR 1), credentialing committees (CR 2),…

What You Need to Know about NCQA Credentialing Requirements 4 – 8

What You Need to Know about NCQA Credentialing Requirements 4 – 8

In this series, we break down what you need to know about NCQA’s credentialing requirements. Below we cover NCQA credentialing requirements 4 - 8, which ensure that credentialing committees are…

What You Need Know: NCQA Requirements, Part 3: Credentialing Requirements

What You Need Know: NCQA Requirements, Part 3: Credentialing Requirements

In this series, we break down what you need to know about credentialing, re-credentialing and delegated credentialing. Here we cover the establishment of credentialing requirements (CR 3). In prior posts,…

What You Need to Know about NCQA CR 2: Credentialing Committee

What You Need to Know about NCQA CR 2: Credentialing Committee

In this series, we break down what you need to know about credentialing, recredentialing and delegated credentialing. In today’s post, we cover the establishment of a credentialing committee (CR 2). In a…

The ABCs of PSVs

The ABCs of PSVs

Have you ever found yourself asking primary source verification (PSV) questions like: "Which verifications need to be checked to ensure a provider is properly credentialed to work at your ambulatory…

Questions to Ask Potential Partners

MarketsandMarkets projects that healthcare’s business process outsourcing (BPO) market will have an annual growth rate of 10.2% through 2021, growing to $276.79 billion. As healthcare organizations are confronted with challenges…

NCQA Credentialing Standards Part 1: Organizational Requirements

NCQA Credentialing Standards Part 1: Organizational Requirements

One of our goals for our blog is to demystify credentialing so we are creating a series especially for leaders and business process owners who want to gain a deeper understanding of…

Expiring Malpractice Insurance: What’s That Rule Again?

Expiring Malpractice Insurance: What’s That Rule Again?

The time between when a provider signs their attestation and when the provider’s file goes to committee for review can often mean that dates, such as malpractice insurance expiration, have…

When Your CVO is a Trusted Partner

When Your CVO is a Trusted Partner

Not all CVOs are created equal. When considering moving your credentialing function to a CVO or switching CVOs, it’s worth asking: What do I need from this relationship? What is…

The Next Frontier of Healthcare Business Process Outsourcing

The Next Frontier of Healthcare Business Process Outsourcing

Outsourcing within the healthcare industry is already the norm, but the processes that organizations are willing to outsource is shifting. MarketsandMarkets projects that healthcare’s business process outsourcing (BPO) market will…