The Value of Delegated Credentialing
Providers using delegated credentialing can enroll in multiple health plans using one application, taking back control of their payer enrollment process.
May 9, 2023
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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.
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.
Thank you. Your support and encouragement energize us daily to focus on delivering the best possible services to our healthcare providers, and administrators.
A nurse can be sued for medical malpractice and be held liable just like any provider If a nurse fails to act per the standard of care for their specialty.
The largest credentialing IPA in the Midwest has entered the Illinois market. Primoris is currently providing delegated credentialing in the Prairie State.
Delegated credentialing and Primoris Credentialing Network have expanded into the Missouri market in partnership to deliver faster, smarter credentialing.
Joe Spann, CEO and Partner of Fifth Avenue Healthcare Services, has 20+ years of experience focusing on healthcare technology and credentialing workflow design.
NCQA standards seek to create lower costs and a better patient experience. NCQA Credentialing Accreditation bolsters the measurement, transparency, and accountability each credentialed organization must display.
Delegated provider enrollment (delegated credentialing) utilizes assigned agreements to expedite and simplify the entire enrollment process for the provider.
Joint Commission defines Primary Source Verification as the “verification of an individual practitioner’s reported qualifications by the original source or an approved agent of that source.”
Christian Jagusch, MD is a physician attorney representing parties suing Carlos Chacon, MD of Divino Plastic Surgery Center. Dr. Jagusch questions the AAAHC’s decision to not revoke the ASC’s accreditation.
CMS’ PECOS (Provider Enrollment, Chain Ownership System) allows providers to update their information, enroll, opt out, renew or view their Medicare application status.
A credentials verification organization (CVO) can reduce the time and money credentialing costs. Here are 20 Ways A CVO Can Cut Credentialing Costs.
This has been a season of change for healthcare in the United States. Here is everything you need to know about our top 4 important federal healthcare updates.
Our partner spotlight is on Dr. Scott Cyrus who is determined to enhance healthcare practices for children and to educate the next generation of pediatricians.
$111 million medical malpractice verdict is made possible by a previous MN Supreme Court ruling that a hospital can be held liable for contractors’ negligence.
Patients who use telehealth may find their access is severely limited or outright unavailable as COVID-19 health orders are quietly lapsing in some states.
A credentialing IPA like Primoris Credentialing Network expedites the provider enrollment process so providers can get to work quickly and begin billing faster.
Historical medical malpractice changes are coming 1/1/23 when CA plaintiffs can be awarded up to $350,000 for pain and suffering increasing over 10 years to $750,000 ($500,000/$1M in cases involving death).
As of April 4, 2022, people with Medicare Part B can receive up to 8 free COVID-19 at home tests each calendar month.
The FL ‘free kill’ law relays that if the deceased is unmarried, without children, and older than 25 years, their survivors cannot sue for medical malpractice.
Along with our stellar credentialing audit, Fifth Avenue Healthcare Services earned NCQA Credentialing Accreditation strengthening our credentialing reputation.
Dr. Mark Mathers of the Center for Plastic Surgery has been a long-time client and partner of the Fifth Avenue Healthcare Services family.
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.