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Get the latest updates on news, reading resources and articles about medical licensing, credentialing and payors.

PhysiciansJames Smith

CMS Inpatient Payment Rule for 2024: Key Takeaway for Healthcare Organizations & Providers

The Centers for Medicare & Medicaid Services (CMS) recently issued a proposed rule that would update the Medicare inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) for fiscal year (FY) 2024. The proposed rule affects the payment rates and policies for acute care hospitals and LTCHs that provide services to Medicare beneficiaries.

Physicians

CMS Inpatient Payment Rule for 2024: Key Takeaway for Healthcare Organizations & Providers

The Centers for Medicare & Medicaid Services (CMS) recently issued a proposed rule that would update the Medicare inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) for fiscal year (FY) 2024. The proposed rule affects the payment rates and policies for acute care hospitals and LTCHs that provide services to Medicare beneficiaries.

Locum Tenens

Get Started Faster: 10 Essential Tips for Streamlining Locum Tenens Credentialing

As a healthcare professional, it's vital to keep your licenses and credentials up-to-date. Any delays or problems in the licensing and credentialing process can jeopardize the continuity of your practice. In this article, we'll share ten invaluable tips to help you streamline these processes, ensuring you avoid any obstacles that may arise.

Credentialing

Optimizing Credential Management: The Role of FCVS and Its Advantages

The quality and safety of patient care are significantly impacted by the accurate credentialing of healthcare professionals. Unfortunately, this process can be both daunting and time-consuming for professionals and organizations alike. However, the Federation of State Medical Boards (FSMB) offers a solution to this problem: FCVS.

Credentialing

How Credentialing Can Improve Revenue Cycle Management: A Comprehensive Guide

As the healthcare industry continues to evolve, it’s more important than ever to ensure that your revenue cycle management processes are efficient and effective. One way to achieve this is through the practice of credentialing, which is the process of verifying the qualifications and experience of healthcare professionals.

Physicians

A Guide to Navigating Medical License Renewal & CME Requirements

Staying current with the newest medical developments and skills is critical for healthcare professionals, striving to give excellent care to their patients. This is where continuing medical education (CME) comes in. Failing to meet renewal and continuing medical education requirements can have severe consequences, such as losing your medical license or facing disciplinary action from the state medical board. It's essential to navigate these requirements successfully to ensure the continuity of your practice and the well-being of your patients. In this guide, we'll provide you with the information and knowledge you need to confidently navigate medical license renewal and CME requirements. We'll cover everything from the basics of CME education for physicians and assistants to state-specific requirements, different types of continuing medical education events, and how to meet accreditation standards.

Credentialing

Mastering the Credentialing Process: Top Mistakes to Avoid for a Seamless Journey

Credentialing is a necessary and critical process in the healthcare industry, ensuring that healthcare providers are qualified to treat patients. However, the process can be time-consuming and prone to errors due to its complexity. These mistakes can cause significant problems for both the healthcare facility and the provider, with consequences ranging from delayed payments to fines and legal action. It's essential to identify and avoid these mistakes to streamline the credentialing process and ensure patients receive quality care. In this article, we'll discuss the most common credentialing mistakes and ways to troubleshoot and avoid them. So that you could successfully navigate the medical credentialing process and ensure compliance with regulatory standards.

Credentialing

Credentialing 101: Unveiling the Importance for Healthcare Providers

Healthcare provider credentialing is a process that goes beyond a simple procedure; it's a vital aspect of maintaining top-notch patient care. In this article, we will dive deep into the world of credentialing and privileging, emphasizing its significance in reducing medical errors, fostering professionalism, and improving overall healthcare outcomes.

Nurses

Understanding the Nurse Licensure Compact: A Complete Guide for Nurses

The compact nursing licenses are revolutionizing the way nurses practice and healthcare employers recruit across the United States. The compact license enables nurses to work in different states without the hassle and cost of obtaining additional licenses. This, in turn, provides healthcare employers with a larger pool of qualified nursing candidates. Navigating the NLC's intricacies can be daunting, which is why we've put together this comprehensive guide that covers everything you need to know. We discuss the basics of the multi state license, the benefits it provides, and how to obtain a new license both under the compact and by endorsement. This guide will help you make the most of the compact license. So let's dive in and make the most of this game-changing agreement!

Credentialing

Are You Overlooking Provider Data Maintenance in Credentialing & Enrollment? Here's Why It's Time to Rethink Your Approach

Picture this: You're running a thriving healthcare practice, focused on providing top-notch patient care. One day, you notice that reimbursements are taking longer than usual, and some claims are even denied. You wonder what went wrong. Could it be that you've neglected the importance of provider data maintenance in your credentialing and enrollment processes?

Medical

Overcoming Telemedicine Licensing Barriers: How Technology is Streamlining the Process

The COVID-19 pandemic has caused a seismic shift in the way healthcare is delivered. Telemedicine has been critical in ensuring that patients receive the treatment they require, even when face-to-face appointments are not feasible. However, telehealth licensing requirements pose significant challenges for providers. Meeting them involves navigating a complex maze of regulations and guidelines, which can be both time-consuming and costly. Fortunately, technology is streamlining the process, making it easier than ever before to overcome any barrier.

Credentialing

Payor Enrollment & Credentialing: Understanding the Link & Navigating the Process

Payor enrollment and credentialing are two crucial steps healthcare providers must complete to join health insurance networks and receive payment. These procedures make sure that providers follow quality standards and eligibility requirements set by health plans, as well as adhere to government program rules and policies.

Credentialing

The Definitive Guide to CAQH: Everything You Need to Know

Every healthcare provider knows how time-consuming and tedious it can be to fill out credentialing applications for different health plans and organizations. You must repeatedly submit the same information, frequently on paper forms that are prone to mistakes and delays. Wouldn't it be good to streamline this procedure and spare you the time and hassle?

Physicians

A Professional's Guide to Managing Multiple Medical Licenses

In today's fast-paced healthcare industry, staying competitive is crucial to your career success. Holding multiple medical licenses is a proven strategy to gain an edge over your peers, yet it's often overlooked.