Credentialing doesn’t end when you’re approved; it resets every few years. Miss a recredentialing deadline and the fallout is immediate: silent terminations, denied claims for care you already delivered, and a long, unplanned slog to get back in network. This guide breaks down what recredentialing is, why it matters, and how to stay ahead without Read more…
Credentialing
Group Practice Credentialing: How to Onboard New Providers Faster
For group practices, credentialing isn’t a task—it’s a treadmill. New hires to onboard, existing files to maintain, recredentialing cycles to juggle, and payer linkages that have to be exactly right or claims get stuck. Whether you manage five providers or fifty, the admin math adds up fast. This guide calls out the specific pain points Read more…
Credentialing for Nurse Practitioners and PAs: What You Need to Know
Nurse practitioners (NPs) and physician assistants (PAs) keep clinics running—often covering the margin between “busy” and “we’re booked out a month.” But their credentialing? It’s rarely plug-and-play. Between state scope rules, payer quirks, and supervising agreements, the process can eat weeks if you’re not deliberate. This guide breaks down the NP/PA-specific gotchas, how to keep Read more…
10 Credentialing Mistakes That Delay Your Reimbursements
Credentialing is the front door to getting paid. If it’s jammed, nobody’s happy: providers can’t bill, patients wait, and clinics bleed cash. The kicker? Most of the slowdowns come from small, preventable mistakes that snowball into months of delays, denials, and rework. The good news: with a little discipline (and the right systems), you can Read more…
How Long Does Medical Credentialing Take? A State-by-State Guide
If you’re a physician, NP, or clinic leader trying to join payer networks, you’ve probably asked the question no one likes to answer: how long is credentialing going to take? Short answer: it depends—on your state, your payer mix, and how buttoned-up your paperwork is. Most folks land in the 60–120 day window. Some wait Read more…