Category: Credentialing How Tos

The Journey to Achieving Delegated Credentialing

The Journey to Achieving Delegated Credentialing

Have you been thinking about applying for delegated credentialing? Not sure where to start? Going through the process of achieving delegated credentialing might seem like a huge undertaking, but with…

Breaking It Down: Understanding NCQA and CMS Requirements

Breaking It Down: Understanding NCQA and CMS Requirements

CMS vs. NCQA Requirements When it comes to credentialing and compliance, there’s a lot to keep in mind. One of the most fundamental issues is this: what compliance standards are…

Best Practices for Credentialing Committee Meeting Management

As you probably already know, NCQA requires health plans to meet periodically to make credentialing decisions about network practitioners. During this process, known as a committee meeting, outside experts will…

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…

Your Team Will Love This: Save 30 Minutes Per Credentialing File

Your Team Will Love This: Save 30 Minutes Per Credentialing File

We’ve already reduced the credentialing cycle to an average of 5 days and now we’ve set our sights on shortening your time spent in committee prep. Here are two more…

Best Practices for an Efficient and Effective Committee Prep & Review Process

Best Practices for an Efficient and Effective Committee Prep & Review Process

While other industries — and the patient-side of healthcare — have benefited from a boon in technology-based solutions, the business-side of healthcare has not yet reached its potential.  As a…

Increased Demand for NPs and PAs Means Increased Credentialing Demands

Increased Demand for NPs and PAs Means Increased Credentialing Demands

The increased demand for nurse practitioners (NPs) and physician assistants (PAs) is a nationwide trend that is expected to continue over the coming years. The U.S. Bureau of Labor Statistics…

CredSimple’s Streamlined Implementation: Less Work for You AND Your IT Team

CredSimple’s Streamlined Implementation: Less Work for You AND Your IT Team

Implementing new technology can seem daunting, which is why we’ve been purposeful with how we’ve built CredSimple. Our goal is to unburden the credentialing process, which why we've made implementation and…