Key Takeaways Provider credentialing typically takes 90 to 120 days — and during that window, in-network billing is not yet possible. Services rendered before enrollment is complete are either denied outright or subject to narrow retroactive billing windows that vary by payer. Medicare’s retroactive billing window is narrow by design — services rendered well before […]
10 Best Practices to Ensure Successful Credentialing
Whether you operate an in-house credentialing program or outsource your credentialing, there are many best practices to follow to ensure your program delivers timely credentialing and re-credentialing results that do not keep your physicians from providing care. Here are 10 helpful tips to help ensure your physicians are successfully credentialed and re-credentialed, and provide the […]