Category: Credentialing How Tos

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…

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…

4 Credentialing Lessons From a Cat

4 Credentialing Lessons From a Cat

Cats always seem to know more than they let on. For today's blog post, we look to our feline friends to see what we can learn about the credentialing process.…

5 Tips Credentialing Departments Should Read Before Going Paperless

5 Tips Credentialing Departments Should Read Before Going Paperless

Once having paper copies filed away in an alphabetized filing cabinet brought a feeling of security to an office. If you needed to check your records, you could physically track…

3 Lessons Credentialing Departments Can Learn from Lean Manufacturing

3 Lessons Credentialing Departments Can Learn from Lean Manufacturing

Survival of the leanest has been a rule of thumb in manufacturing for decades. So it stands to reason that manufacturing has something to teach us in the credentialing department…

What’s in your Physician Finder/Provider Directory?

What’s in your Physician Finder/Provider Directory?

How can physician credentialing add value with well-maintained data? Technology is helping advance healthcare on many fronts, but according to this 2014 analysis, connecting patients to doctors is not one…

What Startups Need to Know about Credentialing

What Startups Need to Know about Credentialing

Why is Credentialing Important for Your Health-Tech Startup? Credentialing is a vital process for health-tech startups that connect patients and providers. Credentialing lays the foundation for how you conduct business and…