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Credentialing

Anything and everything credentialing, from regulatory updates to best practices and better credentialing.

Mastering the Mental Health Credentialing Process

Credentialing is a crucial process for mental health providers. However, given the extensive amount of paperwork and proof required, credentialing can also feel overwhelming—especially for those who are just starting out.  Fortunately, with a thorough understanding of...
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Why Insurance Credentialing Matters

What Is Insurance Credentialing? Medical insurance credentialing is the process by which healthcare providers and organizations are verified and approved to participate in an insurance company’s network. It’s a formal process of verification to ensure that the...
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Understanding the Difference Between Payer Enrollment and Credentialing

Payer enrollment and credentialing are two processes that determine whether a clinician can treat patients and receive payment.  Though often confused, these are distinct workflows with different objectives, timelines, and requirements. Misunderstanding them may lead...
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How to Choose the Best Provider Credentialing Software 

Given the critical nature of the healthcare industry, provider credentialing is non-negotiable. But the best credentialing software isn’t just one that makes the provider verification process easier. It’s one whose features integrate seamlessly with your systems and...
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How Healthcare Organizations Can Prepare for Upcoming Compliance Audits

  If you’re responsible for compliance in your healthcare organization, you probably don’t need a reminder that audits are coming. What you need is a system to stay ready without the last-minute rush. The truth is, successful audits don’t come from neatly stored...
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