CMS Announces New Medicare Enrollment Form for Physician and Non-Physician Practitioners
The Centers for Medicare & Medicaid Services (CMS) has developed and received approval for a new Medicare Enrollment Application.
The new form applies to both physicians and non-physician practitioners who use paper applications to Medicare.
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Medicaid 2019: What To Watch For
Medicaid is a huge provider of health insurance coverage. This program covers about one in 5 Americans and is the largest payer for long-term care services.
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CAQH 2018 Index Report Shows Welcome Increase in Automated Transactions
The healthcare industry is making progress in automating business processes. That is the conclusion of the recently released Council for Affordable Quality Healthcare (CAQH) 2018 Index Report.
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Save Time, Money and Worries by Outsourcing Payer Enrollment
Do you have idle staff members looking for more work to do? Do you and your team have so much extra time that you are constantly creating busywork for them? In short, are you fulfilling all your payer enrollments, reenrollments and medical credentialing tasks perfectly, accurately and with plenty of time to spare?
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Medicaid 2019: What To Watch For
A recent online article from the Kaiser Family Foundation covered important Medicaid issues to watch in 2019.
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CAQH Announces Important Changes to VeriFide Credentialing System
The Council for Affordable Quality Healthcare (CAQH) recently announced changes to its VeriFide™ system.
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CMS Issues Blanket Waivers for Those Impacted by Alaska Earthquake
The Centers for Medicare & Medicaid Services (CMS) has once again issued emergency instructions for providers and suppliers who submit claims to Medicare Administrative Contractors. The interim processes are applicable to beneficiaries who were affected by the November 30th Alaska earthquake.
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Judge Orders CVS and Aetna To Stay Separate for Now
The huge proposed merger between the insurer Aetna and pharmacy giant CVS Health Corp is on hold for now.
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Nevada Pauses Medicaid Mental Health Provider Enrollments
Nevada Medicaid officials have announced that they are putting a temporary hold on the enrollment of some mental health providers while they consider new certification requirements.
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CMS Announces Waivers During California Wildfires Emergency
The Department of Health and Human Services has declared a public health emergency in affected areas of California, retroactive to November 8th.
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Important Updates: CMS Delays Rate Collapse and POS Data Accessibility
As part of recently announced changes to Medicare requirements, covered in our earlier blog, the Centers for Medicare & Medicaid Services proposed collapsing the current Medicare billing structure for Evaluation and Management Services from 5 levels to 2.
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Exciting News from CAQH: Launch of ProView for Groups
The highly manual process of sharing data between delegated provider groups and health plans is being replaced with CAQH ProView for Groups.
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November 4-10: Thank Your Medical Staff Professionals
We’d like to thank our special team of medical services professionals who work in the critical functions of credentialing and provider enrollment.
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Scam Alert: Blue Cross Blue Shield of Texas Warning
The scam campaign offers to help doctors become credentialed with Blue Cross and Blue Shield of Texas (BCBSTX) – for a fee.
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CMS and TRICARE Announce Exceptions for Areas Impacted by Hurricane Michael
Because President Trump declared that an emergency existed in Florida on October 9, 2018 and in Georgia on October 10, both as a result of the disastrous Hurricane Michael, the Centers for Medicare & Medicaid Services (CMS) authorized waivers in impacted areas of both states.
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Texas Doctors Fighting Proposed Streamlined Medicare Processes
At least one state, Texas, is objecting to some of the proposed provisions and is working to make sure that its physicians can continue to see Medicare patients and stay in business.
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CMS Announces Medicare Changes To Streamline Processes
The Centers for Medicare & Medicaid Services recently announced proposed sweeping changes to Medicare requirements that may save healthcare providers over $1 billion a year.
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States’ Efforts Help To Streamline the Provider Enrollment Process
With these innovations, some states are focusing on accelerating the provider enrollment process so that their residents can get care quickly from qualified providers.
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Oregon’s Attempt to Simplify Credentialing Process Suspended
In “Simplifying Provider Credentialing in Oregon: A Cautionary Tale for All States,” Julian Roberts describes how Oregon tried to simplify provider credentialing.
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