Category: News and Updates

  We’ve added 4 new reports to the CredSimple platform that make staying on top of your continuously changing network easier: Turnaround time, Monthly Monitoring, Primary Source Verification and Credentialing Contacts. Turnaround Time Report  What it is: A real-time high-level view of where your providers are in the credentialing process, provider-specific status details, and network-level turnaround […]


Medicare is forging ahead with a payment program that links physician pay to measured quality of care. “This could be the beginning of baseball-style score cards for physicians,” says Dr. Garry Choy, radiologist and chief compliance officer at CredSimple. “Instead of tracking RBIs and home runs, physician reports cards will track patient outcomes.” The idea […]

behavioral health

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 to credential providers differently and to a higher standard than ever before. Before you start wondering how your already-overloaded credentialing team will carry an even […]


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 exist to help those of us who run businesses understand changing policies, develop and execute strategies, create new lines of business, and transform underperforming ones. […]

NCQA Certified CVO

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 has received its Credentials Verification Organization (CVO) certification from NCQA, a private, non-profit organization dedicated to improving healthcare quality. As a certified CVO, CredSimple has […]

  My first job out of college was as a worker bee in a health insurance sales office. With a staff of about 75 working in the office, the support roles were democratic, representing all genders and a diversity of races and sexual orientations. The leadership roles were less so: mostly men, mostly white. But […]

  When I first saw Juliet’s colorful paintings and drawings and learned that she created them while undergoing treatment for cancer, I was struck by her courage and by the joy in her art. Juliet is an example to all of us in healthcare. Her story is reminder of why we are working to make […]