Tag: CAQH

Successfully Manage the Plethora of Provider Profiles: CAQH, NPPES, PECOS, Availity, Navinet, Directories

In Provider Enrollment, we must successfully and continuously maintain multiple provider profiles, including CAQH, I&A, NPPES, PECOS, Directories, Network portals, etc. A credentialing professional that is part of the payer enrollment process is updating and/or revalidating information. Any missing piece in the cycle can negatively impact the provider’s network participation and the organization’s revenue cycle. …

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Successful Payer Credentialing & Enrollment for Multi-Location Practice

This intermediate presentation will provide training and guidance on creating a successful payer credentialing & enrollment process. The presenter will go over crucial steps including credentialing, provider enrollment, billing, and revenue cycle management. Providers will understand how to create an efficient credentialing/enrollment process. Review how these processes impact claims submissions and receive claims reimbursement from …

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