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The 5-Millimeter Shift That Saves 6 Months of Credentialing Headaches
Imagine this scenario. You spend hours filling out CAQH profiles and submitting applications. You wait six agonizing months to finally get approved by a major insurance payer. You eagerly open your new contract, only to discover their reimbursement rate is in the 10th or 20th percentile for your market. Talk about a punch to the gut. We have seen this exact nightmare happen to incredible practice owners time and time again. You should never have to wait half a year just to fi
Is Your Digital Footprint Tripping You Up? How to Update Your Address in Private Practice Without Killing Your Cash Flow
You finally did it. You upgraded from that cramped sublet to a beautiful new office space with windows that actually open. Or maybe you are taking your group practice fully remote and shifting your headquarters to a new corporate address. Naturally, you log into your Electronic Health Record (EHR), type in the new address, hit save, and celebrate the milestone. Then, two weeks later, reality hits. You check your clearinghouse reports and BAM: rejected. Dozens of claims are bo
How to Measure the Success of Your Credentialing Processes
Credentialing is the process by which a provider becomes in-network with an insurance plan. It's a critical first step that allows...
Your Credentialing Matrix: How to Protect Your Practice from Denials and Disenrollment
Congratulations, you've done it! You've navigated the lengthy and detailed credentialing process, and you're officially an in-network...
W-9, CAQH, & PECOS: Why Your Documents Are Your Biggest Credentialing Bottleneck (and How to Fix It)
Credentialing is a notoriously big, hairy game that can make any provider feel a knot in their stomach. You're not alone if you've ever...
Credentialing: Are You on the Game Board?
Credentialing is the first step to putting a provider to work at a facility. You may have started your private practice to focus on...
The Contract is Signed, Now What? What Your In-Network Start Date Really Means
You’ve done the work, you've survived the long, tedious process of credentialing, and you finally have a signed insurance contract in...
Credentialing: Your First Step to Winning the Claim Game
Navigating insurance credentialing can feel like a headache, leaving you overwhelmed with paperwork and confusing rules. It's the first...
Three Things to Look For When Credentialing a Group Practice
Credentialing a group practice is more complex than credentialing individual providers. Ensuring that every member of your team is...
Navigating Recredentialing
In the dynamic world of mental health care, staying up-to-date with the necessary credentialing and credentialing documentation is...
