CredSimple Blog

3 Benefits of Centralized Credentialing

3 Benefits of Centralized Credentialing

Centralized credentialing can help eliminate repetitive work, improve revenue cycle, and lower credentialing costs for hospitals, facilities and practices. It also improves provider data integrity and facilitates delegation with payers.…

NCQA Credentialing Requirements: 6 Common Mistakes

NCQA Credentialing Requirements: 6 Common Mistakes

Founded in 1990 with the mission to systematically improve healthcare quality, NCQA is considered the gold standard when it comes to credentialing requirements. We think it's important to understand and…

3 Things Delegated Entities Need to Know & Get Right

3 Things Delegated Entities Need to Know & Get Right

Delegated credentialing is a powerful strategy for provider organizations because it gives provider groups control and visibility into their activation dates with health plans. But many provider organizations struggle with…

The Force Awakens: The Next Chapter in Credentialing Lessons

The Force Awakens: The Next Chapter in Credentialing Lessons

Today marks the long-awaited next chapter in science fiction with the release of Star Wars: The Force Awakens. The names Han Solo, Luke Skywalker and Princess Leia shaped countless childhoods…

4 Trends in Provider Data for Provider Network Administrators in 2016

4 Trends in Provider Data for Provider Network Administrators in 2016

This month, we’re all planning for the new year. If your health plan is like most, the last few years have been about the ACA and how it affects your…

Bad provider data is costly: Are you ready for the new CMS regulations?

Bad provider data is costly: Are you ready for the new CMS regulations?

Because Anthem Blue Cross and Blue Shield of California had inaccurate data in their provider directories, they overstated their physician networks during the Affordable Care Act coverage rollout in 2014.…

Client Profile: How CredSimple helps AristaMD meet company mission

Client Profile: How CredSimple helps AristaMD meet company mission

CredSimple helps our clients meet their company missions. For AristaMD, that mission is fixing the problem of unnecessary doctor appointments. Did you know that five out of every eight patients…

Credentialing, enrollments and delays. Oh my.

Credentialing, enrollments and delays. Oh my.

This post originally appeared on Pulse. All healthcare organizations—including group practices, ASCs, IPAs, ACOs, patient-centered medical homes and even telehealth companies—are under tremendous pressure to improve operations and maximize efficiency. Two…

The Doctor Can See You Now: An Interview with Dr. Fanning

The Doctor Can See You Now: An Interview with Dr. Fanning

The Doctor Can See You Now is our new blog series in which we will post credentialing experiences and opinions from doctors’ perspectives. After all, the credentialing process affects doctors…

Washington State Hospital Association: An Advocate for Innovation

Washington State Hospital Association: An Advocate for Innovation

Meet one of our newest partners: Washington State Hospital Association. WSHA is a healthcare leader, advocating for its members and helping them meet their goals of enhancing public health, improving…