Many hospitals and health care systems are turning to out-of-state practitioners to quickly ramp up staffing to the levels necessary to respond to the COVID-19 pandemic. Utilization of health care ...

Built on the theory that some things just don’t fit, the square-peg-in-a-round-hole analogy can easily be used to describe the process in which insurance payers manage provider credentialing. Most ...

In the highly-competitive insurance industry, payers are constantly tasked with finding new ways to differentiate themselves from their competition. An often-overlooked opportunity to stand out among ...

Credentialing is an essential process for hospitals employing physicians. While tedious, hospitals that prioritize credentialing achieve greater return on investment than their counterparts that do ...

Inefficient credentialing processes are draining rural hospitals of critical revenue and delaying care, says this hospital leader. Editor's note: Martha Henley is the COO of Java Medical Group and CEO ...

If you’ve been wondering how healthcare reform will affect your hospital’s credentialing process, part of the answer may lie in new CMS regulations about terminated providers. Specifically, the ...

The current version of South Carolina Senate Bill S. 290 that repeals the South Carolina Certificate of Need (CON) program, except for nursing homes, is now pending in the House Ways and Means ...

The Peer Review Protection Act does not shield credentialing materials, the Pennsylvania Superior Court has ruled, relying on the state Supreme Court's decision from last year in Reginelli v. Boggs.