Credentialing is critical for hospitals and health systems, as it validates a provider’s qualifications, board certifications, work history and references. The term usually comprises two separate ...

Publisher's note: This material was paid for by Maximus and provided by Maximus. The views expressed by the author are their own. This material is not part of Health Affairs Forefront; it has not been ...

It's an all-too-common occurrence. Your practice has submitted sizable claims, only to have the payor fully or partially reject them because your provider isn't credentialed. Perhaps an application ...

With the growth in telemedicine, Critical Access Hospitals have a renewed interest in exploring delegated credentialing. Several years ago, the Centers for Medicare and Medicaid Services (CMS) ...

This article is written by Justine Marquard, Credentialing Specialist, Physicians Group Management. Whether your ASC operates an in-house credentialing program or outsources its credentialing, there ...

The Joint Commission launched a new tool with physician credentialing and privileging tips. Here are five tips from the report to keep credentialing compliant and prepare for accreditation surveys: 1.

Building and managing healthcare provider networks can be complicated — especially because provider directories must be kept compliant and up to date. Members of your provider onboarding and ...

The financial repercussions of expired credentials can be substantial. After all, when providers’ credentials expire, they will not be paid for the procedures they perform. Some plans, such as New ...

Provider credentialing is a necessary task that ensures physicians are qualified to deliver patient care and receive compensation. It impacts not only the providers’ ability to work, but also patient ...

ATLANTA--(BUSINESS WIRE)--QGenda, the leading innovator in provider operations and healthcare workforce management, announced the launch of QGenda Credentialing. By automating provider credentialing, ...

ATLANTA--(BUSINESS WIRE)--QGenda, the leading innovator in healthcare workforce management solutions, announced today the acquisition of CredentialGenie, an intelligent, cloud-based platform that ...