HIPAA’s Impact on Medical Billing and Credentialing
Medical Billers and Coders in USA
Read our latest medical billing and RCM related blogs
Legacy AR Recovery for Palliative Care and Hospice Care
Legacy AR Recovery is the process of collecting unpaid or underpaid claims from insurance companies for palliative care and hospice care services. Palliative care and hospice care are specialized forms of medical care that aim to improve the quality of life of patients with serious or life-limiting illnesses and their families. Palliative care focuses on […]
The Requisites for Provider Credentialing Application
Provider credentialing is a crucial process that healthcare professionals and organizations must undergo to establish their eligibility for reimbursement and participation in healthcare networks. Whether applying for Medicare, Medicaid, or commercial insurance companies, understanding the requisites of the credentialing application is paramount. This article serves as a comprehensive guide, providing an overview of the key […]
Medical Billers and Coders (MBC) – A Leading Provider Credentialing Company
In the complex landscape of healthcare administration, efficient provider credentialing and enrollment processes are vital for healthcare providers to optimize revenue cycles and ensure compliance. This article highlights the role of Medical Billers and Coders (MBC) as a leading provider credentialing company, providing comprehensive solutions to streamline the provider credentialing and enrollment journey for healthcare […]
Improve Practice Effectiveness with Provider Enrollment and Credentialing Services
Provider enrollment and credentialing play a crucial role in the healthcare industry, ensuring that healthcare providers are properly qualified, authorized, and reimbursed for their services. For healthcare providers, navigating the complex landscape of enrollment and credentialing can be time-consuming and overwhelming. However, with the assistance of professional provider enrollment and credentialing services, healthcare practices can […]
What is Healthcare Credentialing?
In the ever-evolving field of healthcare, the importance of credentialing cannot be overstated. It plays a crucial role in ensuring that healthcare providers meet the necessary qualifications and standards required to deliver quality care. While answering the question ‘What is healthcare credentialing?’ we discussed the basics of healthcare credentialing, its significance, and the processes involved. […]
Understanding Provider Enrollment DHS (Department of Human Services) Pennsylvania
As a healthcare provider in Pennsylvania, enrolling with the Department of Human Services (DHS) is essential to ensure that you can provide necessary medical services to the state’s Medicaid beneficiaries. Provider enrollment involves completing an application, submitting documentation, and meeting eligibility requirements. In this article, we will explore provider enrollment DHS in Pennsylvania and provide […]
Is Hiring an In-house Provider Credentialing Specialist Worth the Cost?
In today’s healthcare industry, providers must keep up with the latest changes and requirements to stay competitive. One such aspect that has gained significant attention is provider credentialing. Provider credentialing involves verifying the qualifications and skills of healthcare professionals before allowing them to work with patients. However, some healthcare providers may consider hiring a provider […]
Can In-Network Provider Balance Bill?
In-network providers generally cannot balance bill patients. When a healthcare provider participates in an insurance network, they agree to accept the insurer’s contracted rates as payment in full for covered services. This means that the provider cannot charge patients for the difference between their usual fees and the lower rates negotiated with the insurer. An […]
Why Credentialing is Important for Healthcare Professionals?
Medical provider credentialing is a process through which healthcare facilities and insurance companies access and confirm the qualification of a provider. The process is vital as it helps maintain high standards in healthcare. Since credentialing tells us whether a provider has the necessary training or expertise to practice healing arts, it is paramount for everyone […]
