Category: General Credentialing

NCQA and URAC Accreditation for Credentialing: How to Choose

NCQA and URAC Accreditation for Credentialing: How to Choose

Provider credentialing is a necessary business function for health plans and is required in order to ensure quality of care for members. When implementing — or reevaluating —  a credentialing…

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…

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…

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…