CredSimple Blog

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…

Tech First Doesn’t Mean Compliance Second

Tech First Doesn’t Mean Compliance Second

CredSimple is an NCQA certified CVO. Getting this certification required a significant investment and over a year of hard work from our amazing team led by Dr. Garry Choy (Chief…

CredSimple is NCQA Certified for Credentials Verification

CredSimple is NCQA Certified for Credentials Verification

CredSimple is now an NCQA Certified CVO NEW YORK, March 1, 2016 /PRNewswire/ -- CredSimple, the leading SaaS platform for real-time credentialing of medical providers and facilities, today announced that it…

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.…