Posts in Credentialing Requirement
Has Your Practice Experienced Changes that Must Be Reported to CMS? 3 Critical Mistakes To Avoid

Once your practice is enrolled in Medicare, don’t just sit back and relax! There are certain business changes that must be reported to the Centers for Medicare & Medicaid Services (CMS) on a timely basis, or your practice risks suspension or losing eligibility for Medicare reimbursements.

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Texas HHS Consolidating Provider and Enrollment Processes Into New System by 2020

The Texas Health and Human Services Commission (HHSC) is getting ready to roll out its new provider and enrollment system. By consolidating and replacing some processes and systems, the new Provider Management and Enrollment System (PMES) will reduce administrative burden for providers.

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Are You in Line for a Medicare Targeted Probe and Education Audit?

It’s known as a TPE review. Have you heard of it? A Centers for Medicare & Medicaid Services (CMS) Targeted Probe and Education audit is a periodic review with the goal of reducing claim denials and appeals by providing claim review along with one-on-one provider education.

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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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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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