CredSimple Blog

1 Simple Tip to Improve Recredentialing Efficiency

1 Simple Tip to Improve Recredentialing Efficiency

With so many moving parts, hospitals — or any other clinical care organizations that employ or work with healthcare providers — must decrease any roadblocks to compliance and revenue cycles.…

2 Simple Bylaw and Policy Changes Could Alleviate Your Credentialing Roadblocks

2 Simple Bylaw and Policy Changes Could Alleviate Your Credentialing Roadblocks

We work with a number of health plans and we’ve learned a few tricks that can help reduce provider credentialing turnaround time. Reduced turnaround times increase provider goodwill, help operations…

NCQA and URAC Accreditation for Credentialing: How to Choose

NCQA and URAC Accreditation for Credentialing: How to Choose

Provider credentialing is a necessary business function for health plans and is required in order to ensure quality of care for members. When implementing — or reevaluating —  a credentialing…

Clover Health is Changing the Way We Think About Healthcare

Clover Health is Changing the Way We Think About Healthcare

Disruption is happening in every industry these days. To be hailed a “disrupter,” a company must challenge the status quo. One way to do that is to question industry assumptions.…

Count Your Credentialing Cycle in Days, Not Months

Count Your Credentialing Cycle in Days, Not Months

If you’re constantly playing catch up when it comes to provider credentialing turnaround time, you’re not alone. For most health plans it takes 60 - 90 days to complete provider…

Not Just Compliance: Top 5 Reasons Payers Should Care about Provider Directory Data Quality

Not Just Compliance: Top 5 Reasons Payers Should Care about Provider Directory Data Quality

Provider directories are an important resource for network management and referral management. They are also an important tool for healthcare consumers. Provider directories are one of the first, and most…

Provider Directory Regulations: A State-by-State Guide

Provider Directory Regulations: A State-by-State Guide

Provider directories have long been a source of inaccurate provider information. As a result, federal (CMS) and state regulations will be enforced to ensure that healthcare consumers receive accurate information.…

Open Letter to a Provider Directory

Open Letter to a Provider Directory

Provider data is the foundation of a healthcare network, and bad data causes ripple effects that add up to billion-dollar problems across the entire industry. These problems affect doctors, their…

Behavioral health provider credentialing requirements are changing. Will you be ready?

Behavioral health provider credentialing requirements are changing. Will you be ready?

There have been several new pieces of legislation passed in New York State that are changing the healthcare regulations. New York’s new regulations—Medicaid Carve-In and Article 31—require behavioral health programs…

9 Innovative Healthcare Consulting Firms in NYC

9 Innovative Healthcare Consulting Firms in NYC

Healthcare is complex, and when it comes to the changing business landscape, no one company is equipped to deal with all of the complexities single-handedly. Many innovative healthcare services companies…