Understanding HEDIS: A Comprehensive Guide to Healthcare Quality Measurement
Explore how HEDIS revolutionizes healthcare by benchmarking quality, ensuring accountability, and guiding improvement through data validation.
Welcome to the Primoris Credentialing Network’s blog, a leading resource for authoritative and insightful content in the credentialing domain. Our mission is to provide readers with the latest industry news, updates, and trends, focusing on key areas such as delegated credentialing, provider enrollment, and medical malpractice. Our comprehensive coverage extends to essential topics such as delegated credentialing, primary source verification (PSV), medical malpractice, MPLI, and best practices in the field.
Expertly crafted by our team of credentialing specialists, including members from the Fifth Avenue Healthcare Services family and its entities – Fifth Avenue Agency and 5ACVO, our blog is dedicated to keeping you informed and ahead in the ever-evolving world of credentialing. Join us for in-depth analyses, expert perspectives, and the latest developments that matter to healthcare professionals.
Explore how HEDIS revolutionizes healthcare by benchmarking quality, ensuring accountability, and guiding improvement through data validation.
Delve into healthcare credentialing, the crucial process that ensures only qualified professionals provide top-quality care and maintain patient safety.
Explore how AI and blockchain are transforming healthcare credentialing, enhancing efficiency, security, and global workforce mobility.
Explore the top 3 CAQH challenges: ensuring accurate data, updating CAQH requirements, and resolving technical issues, plus effective solutions.
Discover how messenger model IPAs are revolutionizing physician credentialing, improving access and quality in healthcare.
Discover 10 top trends in provider credentialing for 2024. Explore digital platforms, telehealth standards, and quality metrics for streamlined processes.
2024’s medical malpractice rates may be shaped by advancements in medical technology, legal changes in tort reform, and enhanced provider-patient communication.
Explore how NCQA Credentialing Accreditation boosts healthcare quality and discover key proposed updates in our comprehensive analysis.
Jim Mays, a leader in healthcare and insurance, excels with over 40 years in admin, underwriting, and risk management, impacting both sectors.
Discover 20 essential tips to streamline the credentialing process for healthcare professionals, and explore the value of NCQA Credentialing Accreditation.
AAAHC accreditation enhances patient safety, staff morale, and care quality, ensuring global compliance and recognition.
Explore PECOS, streamlining Medicare enrollment, status checks, and benefits for healthcare providers, including fraud prevention.
Provider enrollment, or payor enrollment, enables healthcare providers to forge contractual relationships with health plans, networks, Medicare, and Medicaid.
Here are 8 Medical Professional Liability Insurance (MPLI) takeaways on protecting providers, supporting quality of care, and preserving the healthcare system.
Navigating the landscape of credentialing and contracting presents considerable challenges. This article has offered foundational insights to providers.
One way to demonstrate commitment to excellence is through accreditation by reputable organizations like URAC (Utilization Review Accreditation Commission).
NCQA credentialing accreditation offers numerous benefits for healthcare organizations seeking to excel in today’s demanding healthcare landscape. From enhancing patient safety to improving operational efficiency and fostering continuous quality improvement, this prestigious accreditation serves as a testament to an organization’s commitment to excellence.
The Accreditation Association for Ambulatory Health Care (AAAHC) is a leading organization dedicated to advancing healthcare quality in ambulatory settings.
The Joint Commission plays a significant role in promoting quality in healthcare through their accreditation process.
This article explores the accreditation standards set by the Joint Commission (JC), Accreditation Association for Ambulatory Health Care (AAAHC), National Committee for Quality Assurance (NCQA), and URAC.
Per the AMA, 68% of all medical liability premium increases were observed in 10 states. Illinois had the highest number of increases in the last three years, accounting for 30% of the total increases.
Providers using delegated credentialing can enroll in multiple health plans using one application, taking back control of their payer enrollment process.
Brad Bond brings extensive experience to the hospital and healthcare industry. He is highly skilled in Healthcare Management and Provider Enrollment. His entrepreneurial mindset enables him to excel in his role, and brings the highest value to our organization.
Proper medical charting can benefit patients, physicians, and the entire medical community, and following the 6 Cs of Charting can produce the best results.
Here are 3 strategies to optimize simplicity and increase revenue in healthcare which is essential to improving patient outcomes, allocating resources effectively, and increasing access to care.
The NPDB’s mission is “to improve health care quality, protect the public, and reduce health care fraud and abuse in the U.S.” Here are 4 top Q&As on the NPDB.
The three best practices of charting include the Golden Rule of Charting which states that if something was not documented, then it did not happen.
Three credentialing challenges for rural medical providers include limited resources, lack of interoperability, and aging technological infrastructure.
Here is a list of the 10 Top States for Doctors to practice based on a recent Becker’s ASC Review and a Medscape study by Shelly Reese.
We here at Fifth Avenue Healthcare are grateful for all the gifts 2022 brought. If 2022 has forecast what is to come, we look forward to a fantastic 2023!
This Fifth Avenue Spotlight on Guy Feist covers his education and journey to Fifth Avenue Healthcare Services as Co-Founder and Partner as well as Fifth Avenue Agency, Primoris Credentialing Network and 5ACVO.
Three of the best benefits of working with a CVO include: saving money, leaning on experts, and reducing non-profit-producing activities.
Fifth Avenue Healthcare recently held its 2nd Fifth Avenue All Family Summit. Teams convened in Tulsa, OK, to honor long-serving members and celebrate the company’s growth.
Become part of our expanding network of healthcare providers. Simplify your provider enrollment process by accessing over 54 health plans and networks. Join us now to experience streamlined credentialing.