MACRA: Mockery or Makeover?

In April 2015, Congress eliminated the SGR (sustainable growth rate) — the formula used to calculate Medicare payments to healthcare providers. In its vacancy came the newly proposed Quality Payment Program and MACRA (Medicare Access and CHIP Reauthorization Act of 2015). MACRA will impact almost every provider nationwide and two new methods of reimbursement emerged:   [...]

By |2019-08-08T13:46:35+00:00August 6th, 2019|Healthcare|0 Comments

Healthcare Credentialing Documents Checklist

As a physician or other healthcare provider, you must apply for initial medical credentialing and be re-credentialed every 2-3 years, depending on the state in which you live and the policies of your payers. It's a monumental task, but a necessary one, as it's required before a healthcare organization or practice can bill on your behalf. Medical credentialing can be [...]

By |2019-08-05T13:41:16+00:00August 5th, 2019|Medical Credentialing|0 Comments

Is your medical credentialing taking too long?

Medical credentialing is an in-depth and meticulous process. The standards set forth by regulatory bodies like the National Committee for Quality Assurance (NCQA) require preliminary and ongoing review of a healthcare provider’s qualifications. These include, but are not limited to, prior training, licenses, education, background, residency, and any history of malpractice. Not only does the [...]

By |2019-08-05T17:51:25+00:00August 1st, 2019|Medical Credentialing|0 Comments

Medical Credentialing Software vs Outsourcing Credentialing

If your medical credentialing is still being done with filing cabinets, paper, spreadsheets, email, and fax, upgrading to medical credentialing software or a total outsourcing solution will save time and effort and increase the accuracy of your credentialing. The long and arduous medical credentialing process Before a practitioner can see patients and earn revenue, credentialing [...]

By |2019-06-04T15:51:57+00:00June 4th, 2019|Medical Credentialing|0 Comments

What is Physician Credentialing?

Physician Credentialing is the process of organizing and verifying a doctor's professional records, including board certifications, hospital admitting privileges, education, insurance, professional references, work history, and more. It’s a vital safeguard for patient safety and risk management.

By |2019-05-06T22:49:25+00:00May 6th, 2019|Healthcare, Medical Credentialing|0 Comments

Applying for Hospital Privileges: What Physicians Need to Know

Medical credentialing and hospital privileging are both pertinent processes for physicians and other medical staff that ensure the quality care of patients and proper delivery of medical treatment from qualified practitioners. So as not to confuse the two, medical credentialing, aka healthcare credentialing, must occur before a physician’s hospital privileges can be granted. Both are [...]

By |2019-07-23T22:19:06+00:00January 24th, 2019|Medical Credentialing|0 Comments

Common Medical Credentialing Mistakes That Cost Time And Money

Medical credentialing is a time-consuming and complicated process that if not done accurately can cost hospitals valuable time and money. While verifying a provider’s credentials doesn’t sound all that difficult, there are tons of problems and mistakes that can slow down reimbursements and expose the hospital to liability. A hospital’s entire revenue cycle is based [...]

By |2019-07-23T22:20:02+00:00July 17th, 2018|Medical Credentialing|0 Comments

Med Advantage Celebrates Its 25th Anniversary

Med Advantage is celebrating our 25th anniversary by reflecting on our services to providers and healthcare organizations around the country. Without our client’s trust, dedication, and loyalty, Med Advantage would not be the country’s number one medical credentialing company. John Barrett, founder of Med Advantage, and the whole team want to share our story of [...]

By |2018-06-22T18:36:09+00:00April 11th, 2018|Medical Credentialing|0 Comments

How Hospitals Can Reduce the Cost of Medical Credentialing

Medical credentialing for large hospitals and healthcare organizations can be a long and expensive process. Credentialing professionals deal with countless physicians and healthcare providers who deliver healthcare services in their administration, and it can take an eternity to provide medical credentialing for every single practitioner. Humans aren’t as quick as automated software. When we’re tired [...]

By |2019-07-23T22:21:56+00:00April 3rd, 2018|Medical Credentialing|0 Comments

What is Medical Credentialing?

Medical credentialing is a meticulous review process of a health provider's qualifications, including career history, education, training, residency and licenses, and any specialty certificates. Credentialing is done right before or when a provider is hired and it is critical that the information stays up to date. To make sure a physician’s or nurse’s credentials are [...]

By |2019-07-23T22:22:46+00:00February 23rd, 2018|Healthcare, Medical Credentialing|0 Comments