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Providers often find themselves in unique situations, working for different medical practices simultaneously. These situations…

Maintaining the Credentialing Status for Your Providers – it’s probably not the most glamorous task…

Defining your role within your clinic is essential for long-term success. You might think you…

A clean desk policy in medical practices is essential for maintaining HIPAA compliance and protecting…

Understanding what is the difference between credentialing and contracting is essential for healthcare administration. These…

HIPAA, also known as the Health Insurance Portability and Accountability Act, is one of those…

What is DME billing? It’s the critical process that ensures patients receive durable medical equipment…

Understanding what a National Drug Code is can feel overwhelming at first, especially when tackling…

Have you ever wondered how healthcare providers prove their qualifications and expertise before treating patients?…

Comprehensive and effective medical staff training catalyzes success within your healthcare practice. In this blog…

Hey there! Today, we’re diving into some important United Healthcare provider policy changes from United…

In the ever-evolving world of healthcare billing and insurance, understanding the nuances of payer contract…

In today’s rapidly evolving healthcare landscape, understanding the intricacies of Medicare billing is more important…

Medicare Advanced Beneficiary Notice (ABN) Forms are essential tools in the healthcare industry, yet many…

Hello everyone! Today, I want to address an essential aspect of provider credentialing that I…

Transitioning Patients from a Retiring Provider’s Practice is a critical task that healthcare providers may…

In the ever-evolving world of healthcare, staying on top of administrative tasks like prior authorizations…

Credentialing mistakes can wreak havoc on an already time-consuming process. Even seasoned pros stumble over…

In the age of technology, Electronic Health Record (EHR) systems have become an indispensable tool…

How is AI technology with scribes in healthcare reshaping the landscape of medical documentation and…

Have you ever wondered how technology can improve patient collections in your practice? In today’s…

As a healthcare entrepreneur, you constantly juggle various responsibilities in your startup or early-stage business…

In the ever-evolving landscape of healthcare, finding the right path for independent physicians and healthcare…

Within any business, unlocking the power of effective communication within your departments is pivotal for…

Have you ever wondered about the different provider types and Specialties within the medical field…

Beginning your medical practice is thrilling, yet it entails vital administrative tasks for a smooth…

Quality assurance in healthcare is essential for maintaining smooth operations. From small practices to large…

Let’s be real: policies and procedures aren’t the most thrilling topic. But, when running a…

In today’s fast-paced, technology-driven world, many medical practices are transitioning to electronic medical records (EMRs)…

The importance of attending conferences can’t be overstated. Conferences keep you updated on industry trends…

Change Healthcare’s Cyberattack has undoubtedly left a mark on the healthcare industry, unveiling the fragility…

In the vast landscape of the medical field, numerous professional associations and societies beckon practitioners…

Are you feeling overwhelmed trying to navigate the complexities of Medicare and understand the coverage…

Have you ever wondered, “What exactly are taxonomy codes, and why do they matter in…

As we approach the year-end of 2023, it’s time for healthcare providers to wrap up…

Are you contemplating the leap into starting your medical practice but find yourself daunted by…

Creating a self-pay fee schedule can feel like a balancing act. You must cover costs…

As a healthcare provider running a practice, managing human resources efficiently is crucial for the…

Are you concerned about safeguarding your business in the dynamic world of healthcare credentialing? With…

Are you struggling to streamline your revenue cycle management? Today, we’re exploring the essential strategies…

When it comes to quality improvements, many small practices either don’t think they need them…

Quality control in healthcare is essential for running a clinic. If you’ve been keeping up…

In today’s deep dive, we’re exploring the critical realm of obtaining prior authorizations in healthcare…

As we approach the end of the year, it’s crucial to focus on preparing your…

Hello, everyone! Thank you for joining me today, and I want to express my sincere…

When managing a medical practice, numerous aspects demand attention, and one such critical aspect is…

Are you struggling with the complexities of negotiating insurance contracts in the healthcare sector? This…

Physician malpractice insurance is essential for protecting your career from negligence claims. Learn how to…

In today’s fast-paced medical industry, efficiency and access to accurate information are vital for running…

As we approach the last quarter of the year, healthcare providers need to be aware…

In the complex landscape of healthcare billing, determining patient-cost-shares has become a crucial aspect of…

Are you overwhelmed by the complex world of health insurance cost-sharing? You’re not alone. Navigating…

In the ever-evolving medical field, outsourcing has become a viable option for practices looking to…

Navigating the complexities of insurance billing can be challenging, especially regarding out-of-network billing. Many healthcare…

Navigating the world of payer contracts can be a complex task for healthcare providers. Today…

Have you ever wondered what makes healthcare in the United States efficient and streamlined, especially…

In the realm of healthcare, it is essential for medical practices to foster an environment…

In the ever-changing healthcare landscape, one topic that has been making waves is the No…

In the ever-changing healthcare landscape, providing ancillary services and engaging non-physician providers (NPPs) has become…

Hello, everyone, Jennifer Blevens Smith here. Today, I want to dive into the complexities of…

In recent years, the world of healthcare has seen a dramatic shift towards telehealth services…

In healthcare, efficient billing practices are essential to ensure that patients receive the care they…

In the healthcare industry, compliance with regulations is paramount, especially when dealing with government-funded programs…

Hello, healthcare professionals! In today’s blog post, we will explore an essential aspect of medical…

Minors’ rights in healthcare are a critical aspect of medical ethics and legal considerations.In the…

Navigating military insurance providers can feel like stepping into a tangled web of acronyms, jurisdictions…

Understanding Medicare Therapies Coverage is crucial, especially if you’re not directly involved in Physical Therapy…

Medicare Open Enrollment is an essential annual period that allows beneficiaries to review and make…

Credentialing with Medicare can feel like navigating a maze, but it’s essential for healthcare providers…

As healthcare providers, we are well aware of the constant changes and updates in the…

When it comes to Medicare ASP pricing, there’s a lot to keep track of. If…

As a healthcare provider, you know the importance of maintaining accurate patient medical records. But…

Welcome to 2024! As healthcare professionals, we embark on a journey towards Medical Practice Success…

Today, let’s dive into the world of medical insurance companies dominance. You might be wondering…

Are you confused about medical insurance basics? The constantly changing landscape of the insurance world…

Medical insurance audits are a topic that can make many healthcare providers nervous, especially those…

This guide outlines the essential steps in the medical Credentialing Process, a vital journey for…

Exploring the realm of medical coding, the key lies in effective documentation. It’s the foundation…

In the ever-evolving medical world, the terms “medical biller” and “medical coder” often cause confusion…

As healthcare providers, we encounter patients from all walks of life, some of whom may…

Welcome to another informative discussion on healthcare practices and managing your revenue effectively. Today, we…

Medical billing is a crucial component of any healthcare practice. Ensuring that claims are accurately…

Revenue cycle management (RCM) is a crucial process in the healthcare industry that ensures efficient…

Welcome back to the second part of our comprehensive guide on filling out a practitioner…

In this blog post, we will explore the intricacies of filling out a practitioner credentialing…

This blog post will explore the essential elements of the in-house referral process. Establishing efficient…

Are you struggling to understand the financial health of your medical practice? Navigating the complex…

Welcome back to our blog! Today, we’ll be delving into an essential topic in the…

Mastering Medicare’s payment rules doesn’t have to be overwhelming—this MACRA MIPS summary makes it simple…

Locum tenens billing under CMS guidelines can be tricky, especially for Medicare claims. From using…

Navigating Medicare billing? Understanding Local Coverage Determinations (LCDs) is crucial for avoiding costly claim denials…

In healthcare, you may have encountered the term CLIA, referring to Clinical Laboratory Improvement Amendments…

Various models and organizations aim to improve efficiency, collaboration, and patient care in the ever-evolving…

Hiring the right credentialing specialist is essential for navigating the complexities of credentialing and ensuring…

Hey there! Today, let’s talk about insurance payments and explore the world of virtual credit…

Healthcare billing can be complex and challenging, with numerous intricacies and ever-changing regulations. One of…

Navigating the intricate world of insurance can often feel like deciphering a complex code. From…

Are you navigating the complexities of incident-to-billing and feeling overwhelmed by the myriad of guidelines…

Deciding between in-house staff and outsourced billing services is one of the most critical choices…

Improving patient communication has become more than just a passing trend—it’s critical for any modern…

Hello, everyone! Today, I want to discuss some important healthcare changes that are just around…

IDC10 updates for 2025 are shaking up the medical coding world. Starting October 1st, 2024…

Taking Medicaid insurance can be a hot topic for many providers. A common question is…

A thorough payer contract review is vital for avoiding billing mistakes that could cost your…

Learning how to prevent healthcare worker burnout is essential to sustaining our healthcare system. While…

Switching billing companies or EMR (Electronic Medical Record) systems might sound straightforward. After all, it’s…

Handling CLIA waiver audits can feel daunting, especially since audits often come without warning. Even…

The MCO credentialing process can be overwhelming, especially for Medicaid providers navigating Managed Care Organizations…

Today, we’re diving deep into prior authorizations for prescriptions—a topic that anyone working in healthcare…

Billing for services rendered to family members can be complex, especially with healthcare regulations like…

Are you confident your practice fully complies with Payer Policies and Guidelines? Understanding and adhering…

The world of marketplace insurance—formerly known as Obamacare or the Affordable Care Act plans—has become…

Hospice billing can be a complex and sometimes confusing process. It’s not something every healthcare…

Are you pondering the pivotal role of technology in healthcare and how to seamlessly integrate…

As a private practice owner, consider hiring a third-party medical biller to handle your billing…

HIPAA breach reporting may not be the most exciting topic, but it’s vital to safeguarding…

Let’s dive into a topic that many new healthcare providers find baffling: healthcare provider taxonomy…

Have you ever wondered why navigating the complex landscape of contracts and credentialing for mid-level…

As a healthcare provider, one of the critical aspects of running a successful practice is…

Have you ever grappled with the complexities of Group Contracts and Reimbursement in the healthcare…

In an era marked by rapid technological advancements, shifting demographics, and unforeseen global health crises…

Have you heard about the FTC non-compete ban and wondered how it might impact your…

Today we delved into the crucial aspects of hiring and interviewing for front-office staff positions…

Are you struggling with finding your niche in the vast and ever-evolving world of healthcare?…

The CMS (Center for Medicare and Medicaid Services) Identity and Access Management system represents a…

As a business owner and medical provider, you carry a dual responsibility. While your Hippocratic…

If you’re in medical billing, you’ve likely come across the terms EOB and ERA in…

As a medical practice owner, you are likely focused on providing excellent patient care and…

Over the last decade, Direct Primary Care (DPC) has been gaining popularity as a unique…

Deductible season is upon us again, and as time passes, healthcare practices must be well-prepared…

Have you ever wondered how the little-known intricacies of DEA licensing can significantly impact your…

Credentialing with Medicare and Medicaid can feel like a maze, especially when serving patients across…

Are you a healthcare provider facing the daunting task of credentialing after relocating? Whether you…

Have you ever wondered how healthcare professionals communicate complex medical procedures and services so efficiently?…

For medical professionals, terms like CPT and ICD-10 codes are familiar and essential components of…

Running a medical practice is a multifaceted endeavor, and while providing quality care to patients…

Contracting with payers that have multiple plans can feel overwhelming, but it’s critical to get…

Are you caught between Concierge vs Direct Primary Care as healthcare options? Both models provide…

Have you ever wondered why credentialing is considered a pivotal yet often misunderstood process in…

Getting a CLIA certificate waiver is a smart move for many healthcare practices. It’s perfect…

Today, let’s dive into Clearinghouses—what they are, why they’re crucial for healthcare practices, and how…

The growing prevalence of chronic conditions in healthcare has highlighted the need for personalized and…

Running a medical practice in today’s digital age requires careful consideration of the technology you…

Are you struggling with choosing a billing company for your practice? With so many options…

Are you constantly grappling with the complexities of patient payments and financial management in your…

Are you a healthcare professional struggling with the complexities of credentialing? What if a solution…

When navigating the intricate healthcare landscape, providers often confront complex decisions when participating with insurance…

Dreaming of running a successful medical practice? It all starts with one essential tool: a…

Business agreements in healthcare, like Business Associate Agreements (BAAs), are vital for HIPAA compliance. These…

A specialized bookkeeper is essential if you’re managing a medical practice. A bookkeeper for your…

Billing for CLIA waived tests is critical for medical offices performing in-house labs. These tests…

Do you know the difference between your PII and PHI, or do they sound like…

Are you ready to turn your entrepreneurial dreams into reality? Starting your own business is…

Hello, aspiring medical practice owners! I’m thrilled to have you join me today. Opening your…

As a healthcare provider, managing patient collections can be a delicate balance between compassion and…

Applying for a CLIA certificate of waiver might initially seem daunting, but the process is…

Have you ever wondered how Amazon’s healthcare ventures might transform the medical landscape? As we…

Adding new providers to an established medical practice is crucial for growth and enhanced patient…

Hello, everyone! Jennifer Blevens Smith here. Today, I want to share some insights on the…

Delving into the realm of Federally Qualified Health Centers (FQHCs) unveils their indispensable function in…

In today’s blog, we’ll delve into the crucial process of hiring back-office staff for your…

2025 CMS Final Rule—it’s here, it’s loaded, and it’s packed with changes that are going…

As we approach the end of the year, healthcare professionals and administrators are bracing themselves…

Opening a medical practice is an exciting journey, but finding the right medical practice funding…