Category: General Credentialing

Behavioral Health & Telehealth: A Trend On The Rise

Behavioral Health & Telehealth: A Trend On The Rise

The rise of telehealth in the last few years has been one of many factors re-shaping the healthcare landscape, and there is no place it has had more of an…

The CMS Preclusion List: What you need to know

The CMS Preclusion List: What you need to know

By now, we're sure you've heard about - or have already been impacted by - CMS' new list of preclusions, which will disqualify some prescribers and providers from receiving payment…

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…

NCQA Credentialing Standards Part 1: Organizational Requirements

NCQA Credentialing Standards Part 1: Organizational Requirements

One of our goals for our blog is to demystify credentialing so we are creating a series especially for leaders and business process owners who want to gain a deeper understanding of…

When Your CVO is a Trusted Partner

When Your CVO is a Trusted Partner

Not all CVOs are created equal. When considering moving your credentialing function to a CVO or switching CVOs, it’s worth asking: What do I need from this relationship? What is…

The Next Frontier of Healthcare Business Process Outsourcing

The Next Frontier of Healthcare Business Process Outsourcing

Outsourcing within the healthcare industry is already the norm, but the processes that organizations are willing to outsource is shifting. MarketsandMarkets projects that healthcare’s business process outsourcing (BPO) market will…

How HIT Is Improving Administrative Efficiency

How HIT Is Improving Administrative Efficiency

In recent years, technology has transformed the patient side of healthcare with advances such as Electronic Medical Records. Even though healthcare accounts for more than a sixth of the economy,…

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…

Why Use a CVO? 5 Key Business Reasons (Your Team Will Thank You)

Why Use a CVO? 5 Key Business Reasons (Your Team Will Thank You)

The decision to hire a CVO can often be a tricky one. You may already have an entire team dedicated to the credentialing process. What would hiring a CVO mean…

How Tech & Service Transform the Credentialing Process

How Tech & Service Transform the Credentialing Process

The Challenge: Building the Optimal Credentialing Function for a New Health Plan Dana Guidera was tasked with implementing a credentialing process that would allow Provider Partners Health Plan (PPHP), a new…