by Claudia Garcia | Nov 20, 2017 | blog, CA MPN, Credentialing, Medical Network Provider Enrollment, Provider Enrollment, Workers Compensation Networks
California created MPNs to try and reduce the abuse of their workers’ compensation system. Although the idea was a good one, to cut down on fraud and reduce abuse in general, it unfortunately really did some providers a disservice. Now, before I get any...
by Claudia Garcia | Apr 14, 2017 | blog, CA MPN, Credentialing, Medical Network Provider Enrollment, Provider Enrollment
Are you a provider who has been denied entrance into a medical network? What about delays; have you experienced extremely long waiting periods to be approved as a credentialed medical provider? According to NAMSS, these are the examples of red flags that will hold up...
by Claudia Garcia | Mar 31, 2017 | blog, Credentialing, Medical Network Provider Enrollment, Provider Enrollment
Deciding to branch out on your own is a big decision for a healthcare provider. Many started on their journey of healthcare with the dream of owning their very own private practice. Some were lucky enough to join a family practice, such as partnering up with a parent...
by Claudia Garcia | Mar 24, 2017 | blog, Credentialing
Often a hospital or network will outsource credentialing. In a hospital setting, the medical staff department is often not a popular one. It’s not HR and it’s not the business office. In fact, it’s a small piece of the puzzle, yet it’s one of the main pieces that...
by Claudia Garcia | Jan 12, 2017 | blog, Credentialing, Provider Enrollment
What is The credentialing process? The credentialing process is made up of two distinct processes, which are referred to as credentialing and privileging. Credentialing consists of primary source verification, which verifies a healthcare provider’s license,...
by Claudia Garcia | Jan 11, 2017 | blog, Credentialing, Medical Network Provider Enrollment, Provider Enrollment
Congrats, you finally accomplished the tedious task of joining multiple networks in hopes of capturing lots of patients! It’s been 210 days since you first started the provider enrollment process, the credentialing period is complete and now you’re all set to...