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Credentialing

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

Provider Onboarding: Best Practices for Healthcare Organizations

Imagine a new provider is scheduled to start on Monday at your healthcare organization. Patients are booked weeks out, and the department is counting on the extra coverage. However, late Friday afternoon, operations reports that they’re still missing primary source...
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Credentialing KPIs Every Healthcare Executive Should Track

It usually starts with a message no healthcare executive wants to see: “We can’t move this provider through credentialing until we verify their sanctions history again.” With this, entire departments can come to a standstill. What looked like a routine provider...
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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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