The PPS practice strategy archive.
175 long-form articles on credentialing, compliance, payer enrollment, and the operational reality of running an independent physician practice.
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covid 19 · Apr 30, 2025
Medicare’s 2025 Telehealth and RPM Policy: What Healthcare Businesses Need to Know
A Turning Point for Virtual Care Over the past few years, telehealth has evolved from a stopgap measure into a core part of care delivery. During the COVID-19…
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billing · Nov 21, 2024
Auditing Provider Participation Status with Payers: A Guide for Providers and Practice Managers
For healthcare providers and practice managers, maintaining accurate participation status with payers is critical. Whether you’re in-network or out-of-network,…
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consulting · May 28, 2024
6 Defining Traits of a Successful Medical Practice in 2024
What defines a successful medical practice? We’ve identified six key characteristics which consistently point to success.
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practice start up · May 27, 2024
Medical Practice Start-Up Outline-2024
Starting a medical practice involves meticulous planning and organization. Here is a comprehensive outline based on our checklist. In addition to this basic ou…
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credentialing · May 23, 2024
Differences Between Medical Credentialing and Payor Enrollment
In this article, we review the differences, timelines and importance of medical credentialing and payor enrollment
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medical consulting · May 16, 2024
Medical Practice Consultants: Enhancing Your Healthcare Operations
Medical practice consultants assist healthcare organizations with improving their operations, efficiency, and overall performance. At Physician Practice Specia…
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credentialing · May 14, 2024
5 Reasons to Partner With a Medical Credentialing Company
As a practicing healthcare provider, you are required to maintain a valid credentialing status to satisfy industry regulations and accept patient insurance pla…
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medical consulting · May 12, 2024
4 Ways Medical Technology Consulting Enhances Operational Efficiency and Patient Care
Medical clinics will need proof of credentialing and documentation of their practice. This includes insurance services, medical licensing, and more. Clinics mu…
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credentialing · May 8, 2024
5 Steps Involved in Medical Credentialing for Healthcare Practices
Medical credentialing involves applying for inclusion in an insurance network to receive reimbursement for medical services. At Physician Practice Specialists,…
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rcm consulting · May 4, 2024
How Can Revenue Cycle Management Consulting Help My Practice?
Revenue cycle management involves optimizing every aspect of the revenue cycle, from when a patient makes their initial appointment until they pay off their ba…
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credentialing · Apr 28, 2024
The Difference Between Payor Enrollment and Provider Credentialing in Healthcare
Physician Practice Specialists offers comprehensive credentialing services to help providers streamline the credentialing process. Some people may use the term…
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consulting · Apr 25, 2024
5 Ways To Drive Patients to Your Practice With Consulting Services
Doctors and administrators may face challenges to include the role of a salesman in their medical profession. Rather than selling their services, they must sel…
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revenue cycle management · Apr 25, 2024
Acronyms of Revenue Cycle Management
Revenue cycle management (RCM) involves the oversight and execution of many of the non-clinical operations supporting patient care. It also involves interactio…
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general · Apr 22, 2024
Why Revenue Cycle Management Matters
Many people may overlook the fact that healthcare providers are also business owners. They must keep track of business tasks like billing and maintaining a pro…
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consulting · Apr 1, 2024
4 Ways Medical Technology Consulting Can Help When Expanding Your Practice
Medical technology consulting services assist providers and organizations in choosing, implementing, and optimizing healthcare technologies. They are designed…
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consulting · Mar 20, 2024
What Are Examples of Revenue Cycle Management Consulting Services?
Revenue cycle management (RCM) entails optimizing your practice’s financial processes for administering intake, billing, and claims in a timely manner. At Phys…
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consulting · Mar 10, 2024
Options Included in Revenue Cycle Management Consulting
At Physician Practice Specialists, we offer revenue cycle management consulting. Some of the options included in our consulting services include patient schedu…
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consulting · Mar 8, 2024
How Consultants Help Address the Integration of Health Technologies Into Your Practice
Integrating technological advancements such as electronic health records and telemedicine platforms into your healthcare practice can have many benefits. These…
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medical consulting · Mar 5, 2024
Staying Compliant Using Medical Practice Consulting Services
Medical practice consulting services help healthcare professionals identify and meet relevant industry regulations. At Physician Practice Specialists, we can a…
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general · Feb 29, 2024
3 Ways Credentialing Can Help With Patient Safety and Quality Care
Healthcare providers must meet set standards and regulations to offer care to patients. Physician Practice Specialists provides professional credentialing serv…
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medical consulting · Feb 28, 2024
6 Ways To Improve Your Healthcare Quality Through Medical Consulting Services
At Physician Practice Specialists, we offer medical practice consulting services through various methods. You can improve your healthcare quality, patient care…
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credentialing · Feb 23, 2024
Getting Started With a Credentialing Service
Credentialing services help your medical practice comply with industry standards and regulations. This allows your staff to focus more on providing quality pat…
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cybersecurity · Feb 18, 2024
10 Cybersecurity Strategies for Healthcare Providers
In the face of escalating cyber threats like the BlackCat ransomware, healthcare providers must adopt a comprehensive cybersecurity strategy to safeguard their…
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medical consulting · Feb 12, 2024
Medical Technology Consulting Options for Your Practice
Medical technology consulting can help you integrate cutting-edge medical technologies into your practice, enhancing patient care and practice workflows. Consu…
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medical consulting · Feb 5, 2024
Choosing the Right Medical Consulting Services for Your Needs
Medical practices are required to manage their revenue cycle while treating patients with high-quality care. Medical practice consulting services can help opti…
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credentialing · Feb 1, 2024
How Can Physician Credentialing Services Help My Business?
Physician credentialing is a highly regulated, time-consuming, and detailed process. It can include documentation collections, verifications, payer contract ev…
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rcm consulting · Jan 25, 2024
Improving Your Practice’s Financial Health With Revenue Cycle Management Consulting
Revenue cycle management (RCM) involves overseeing the financial aspects of your practice, from patient registration to collecting payment. Revenue cycle manag…
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medical consulting · Jan 20, 2024
Benefits of Using Medical Consulting Services for Your Practice
At Physician Practice Specialists, we offer beneficial medical practice consulting services. These benefits include guidance in regulatory compliance, improved…
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credentialing · Jan 14, 2024
Credentialing Services That Can Help Your Physician Practice
At Physician Practice Specialists, we offer credentialing services for your physician practice. Some of our services include streamlining the credentialing pro…
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medical consulting · Jan 8, 2024
What Technology Do Medical Consultants Assist With?
Using advanced healthcare technology in your medical practice can enhance efficiency and improve patient care. Medical technology consulting services can help…
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rcm consulting · Jan 3, 2024
Seek Revenue Cycle Management Consulting Services To Streamline Financial Processes
At Physician Practice Specialists, we offer revenue cycle management consulting for your healthcare organization. Revenue cycle management can help streamline…
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medical consulting · Dec 26, 2023
Utilizing Medical Consulting Services at Your Family Medicine Practice
Medical practice consulting services can help your medical practice in various ways. At Physician Practice Specialists, we can help streamline administrative p…
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rcm consulting · Dec 19, 2023
Top Questions Regarding Revenue Cycle Management Consulting
Revenue Cycle Management consulting, referred to as RCM, plays a pivotal role in the financial health of healthcare providers. At Physician Practice Specialist…
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credentialing · Dec 13, 2023
Commonly Asked Questions About Credentialing Services
Credentialing services can benefit several types of healthcare providers, from nurse practitioners to physical therapists. At Physician Practice Specialists, w…
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medical consulting · Dec 7, 2023
Can Medical Technology Consulting Services Help My Practice Save Money?
Medical practices can save money by identifying ways to enhance operational efficiency, reduce costs, and improve patient care. With various technology options…
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medical consulting · Nov 29, 2023
Can Medical Practice Consulting Services Help With Employee Turnover?
Medical practice consulting services can help with employee turnover in healthcare settings. At Physician Practice Specialists, we can conduct assessments to i…
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credentialing · Nov 26, 2023
4 Common Healthcare Issues and How To Overcome Them With Credentialing Services
Credentialing entails verifying and assessing healthcare providers’ qualifications to enable them to meet the standards required for delivering quality care. A…
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consulting · Nov 22, 2023
How Medical Practice Consulting Services Assist With Compliance
Compliance in the healthcare industry involves adhering to various laws, regulations, and standards for safe, effective, and ethical healthcare services. At Ph…
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credentialing · Nov 19, 2023
How To Stay Compliant With Quality Credentialing Services
Complying with healthcare regulations like HIPAA can improve patient safety, increase trust and confidence, and reduce legal and financial risks. Physician Pra…
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consulting · Nov 16, 2023
5 Reasons To Consider Medical Practice Consulting Services
Medical practices can experience many challenges, such as inefficiency, insufficient revenue, and poor patient reviews. These challenges can make it difficult…
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consulting · Nov 12, 2023
Are Medical Practice Consulting Services Only for Large Practices?
Medical practices have to efficiently manage their practice operations, revenue cycle, and patient experience to be successful. Smaller practices face unique c…
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medical consulting · Nov 9, 2023
How Medical Technology Consultants Assess Practice Needs and Implement Changes
Medical practices use technology for their health records management, communications, and internal administration, but technology is always evolving. Physician…
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consulting · Nov 5, 2023
The Benefits of Customized Revenue Cycle Management Consulting
The revenue cycle in healthcare involves various stages, from patient registration and appointment scheduling to claims processing and reimbursement. At Physic…
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general · Nov 1, 2023
6 Ways Revenue Cycle Management Consultants Help Improve the Patient Experience
While the patient experience is primarily associated with clinical care, it is equally influenced by the financial aspects of healthcare. Revenue cycle managem…
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rcm consulting · Oct 30, 2023
How Revenue Cycle Management Consulting Can Help
One of the key components of managing a medical practice is effective revenue cycle management (RCM). Optimizing this cycle can positively impact your practice…
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credentialing · Oct 26, 2023
How Credentialing Services Can Help With Payer Contract Negotiations?
Credentialing services include application assistance, verification, as well as contract negotiation. One of the services we provide at Physician Practice Spec…
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cybersecurity · Oct 25, 2023
How Medical Technology Consulting Can Help Determine Your Practice’s Technology Needs
Medical practices rely heavily on technology for their operations and patient care, but keeping up with technological advancements can be challenging. Physicia…
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billing · Oct 23, 2023
6 Services Offered by Revenue Cycle Management Consultants
Effective revenue cycle management (RCM) can improve healthcare providers’ financial health and sustainability. The revenue cycle management consulting service…
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billing · Oct 3, 2023
What is a Healthcare Technology Consultant?
Healthcare technology consultants provide expertise in IT and data management to help providers navigate the modern healthcare landscape. Physician Practice Sp…
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general · Oct 1, 2023
When Should You Use a Medical Technology Consulting Company?
Healthcare technology can be challenging for healthcare providers, from small clinics to large hospitals and healthcare systems. This is where medical technolo…
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general · Sep 30, 2023
What Is a Medical Technology Company?
Medical technology companies can help advance healthcare, improve patient outcomes, and lead to a streamlined medical billing process. These companies operate…
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billing · Sep 27, 2023
What is Healthcare Revenue Cycle Management (RCM)?
Healthcare revenue cycle management (RCM) is a comprehensive process that healthcare organizations employ to manage the financial aspects of patient care, from…
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credentialing · Sep 7, 2023
Key Challenges in Revenue Cycle Management and How to Overcome Them
Revenue cycle management consulting can involve unique challenges like inefficient processes and falsely denied claims. At Physician Practice Specialists, we c…
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general · Aug 29, 2023
Improving Cash Flow and Financial Performance through Effective RCM
The financial stability of medical practices depends on the efficiency of their revenue cycle management. With Physician Practice Specialists’ revenue cycle ma…
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general · Aug 25, 2023
The Importance of Patient Eligibility Verification in RCM
Revenue cycle management (RCM) involves collecting payments from patients or insurance companies for healthcare services. Effective revenue cycle management ca…
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billing · Aug 19, 2023
How Outsourcing Medical Billing Can Benefit Your Practice’s Revenue Cycle
Medical practices are consistently challenged to optimize operational efficiency, streamline administrative processes, and secure steady revenue streams. Medic…
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credentialing · Aug 14, 2023
Credentialing Denials and the Role They Play in RCM
For healthcare organizations, credentialing denials can get in the way of effective revenue cycle management (RCM). Physician Practice Specialists’ team of rev…
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general · Aug 7, 2023
The Fundamentals of Revenue Cycle Management in Medical Practices: An Overview
Revenue cycle management (RCM) is the core of effective financial management for medical offices. This process sustains the financial health of medical practic…
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credentialing · Jul 30, 2023
How To Simplify the Provider Credentialing Process
Navigating the credentialing process can be complex and time-consuming if you haven’t experienced it before. At Physician Practice Specialists, we provide heal…
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general · Jul 30, 2023
Tips for Starting an Occupational Therapy Practice
Starting an occupational therapy practice requires specific licenses and documents, like insurance credentialing and a malpractice policy. Credentialing compan…
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credentialing · Jul 30, 2023
Types of Documentation Needed for Physician Credentialing
Healthcare organizations and insurance companies require various documentation to authenticate a physician’s credentials. Physician Practice Specialists can he…
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credentialing · Jul 30, 2023
What Is the Difference Between Payer Enrollment and Credentialing?
Insurance credentialing can help verify that healthcare providers are qualified and eligible to participate in insurance networks. Two terms that are often use…
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credentialing · Jul 4, 2023
When to Outsource Credentialing
At Physician Practice Specialists, we offer credentialing services to healthcare workers and facilities. Credentialing companies like us can help when you need…
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credentialing · Jul 2, 2023
How Credentialing Can Impact Your Revenue Cycle
An optimized and efficient revenue cycle in the healthcare industry can lead to more financial success and stability. Credentialing, or verifying healthcare pr…
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general · Jun 21, 2023
6 Tips for Starting Your Own Healthcare Practice
Starting your own healthcare practice can be a daunting task. Between provider credentialing, licensing, and equipping your practice, there is a lot to conside…
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credentialing · Jun 21, 2023
Tips for Physicians Who Are Relocating Their Practice
When relocating, there are several different tasks that physicians need to do before, during, and after they make the move. These tasks include giving your pat…
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credentialing · Jun 21, 2023
What Is Involved in Credentialing a Healthcare Provider?
Provider credentialing in the healthcare industry involves assessing and verifying a healthcare provider’s qualifications and professional history. The purpose…
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credentialing · Jun 21, 2023
What Is Medical Credentialing and Who Needs It
Medical credentialing is a process that healthcare providers and organizations undertake to verify healthcare professionals’ qualifications, training, and expe…
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credentialing · Jun 21, 2023
What Is the Difference Between Credentialing and Contracting With an Insurer?
Credentialing and contracting are two processes that healthcare providers undergo in order to work with insurance companies. While the two terms are related, t…
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credentialing · Jun 21, 2023
What To Expect From Credentialing Software
The medical credentialing process can be time-consuming and tedious. The process requires providers to collect multiple documents about their education, licens…
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credentialing · Jun 21, 2023
Why Do Physicians Need Credentialing?
In healthcare, credentialing is the process that verifies the qualifications and competence of physicians and healthcare organizations. Physician credentialing…
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credentialing · Jun 8, 2023
When Should a Physician Hire a Credentialing Company?
Credentialing is the process of verifying a physician’s qualifications to practice medicine. It helps improve the quality of care that patients receive and hel…
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credentialing · May 31, 2023
6 Benefits of Healthcare Credentialing Services
Healthcare professionals must have the necessary qualifications and credentials to practice medicine legally. The healthcare credentialing process verifies the…
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credentialing · May 24, 2023
How Hospitals Can Benefit From Credentialing Services
Medical credentialing is how hospitals verify the education and background of healthcare professionals, including doctors, nurses, and other medical profession…
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credentialing · May 19, 2023
3 Types of Credentialing Services
Credentialing services are a method of verifying the qualifications and background of healthcare providers. Credentialing aims to show patients and partners th…
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news · May 14, 2023
What Is Medical Credentialing and Who Needs It
Medical credentialing is a process that healthcare providers and organizations undertake to verify healthcare professionals’ qualifications, training, and expe…
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news · May 11, 2023
Why Do Physicians Need Credentialing?
In healthcare, credentialing is the process that verifies the qualifications and competence of physicians and healthcare organizations. Physician credentialing…
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credentialing · Apr 10, 2023
Provider Credentialing vs. Provider Enrollment: Understanding the Difference
While these terms are often used interchangeably, they actually refer to different steps in the process of becoming a participating provider in an insurance ne…
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credentialing · Apr 9, 2023
Common Credentialing & Provider Enrollment Questions
We have taken some time to answer some of the most common questions asked by providers regarding the insurance credentialing process.
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general · Apr 2, 2023
Will being a hospital employee solve my problems?
This is one of the many reasons why starting a new practice is still something that should be considered by those physicians who prefer to be in control. Many…
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caqh · Mar 23, 2023
The Importance of Medical Credentialing & Provider Credentialing Services
Medical credentialing is the process of verifying the qualifications and credentials of healthcare providers, while provider credentialing refers to the proces…
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credentialing · Mar 21, 2023
The Role of Provider Credentialing In Telemedicine
The rise of telemedicine has revolutionized the way that medical care is delivered and has also had a significant impact on the credentialing process for medic…
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marketing · Mar 6, 2023
Marketing Strategies for New Medical Practices
Marketing is an essential component of a successful medical practice start-up. In this article, we will provide some straight forward tips for marketing your n…
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practice start up · Feb 14, 2023
12 Keys to New Practice Success
Starting a new medical practice is incredibly challenging but more than just starting, opening a thriving medical practice may seem impossible. The truth is, y…
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credentialing · Sep 19, 2022
Nurse Practitioner Practice Authority Update
Does your state provide nurse practitioners with full practice authority? Can you prescribe without restrictions?
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marketing · Sep 9, 2022
The Top 83 Ways to Attract New Patients
In this article, we take a deep dive into the top 5 articles featured on Google.com. We will be analyzing the top 83 ways to attract new patients to your medic…
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billing · Aug 24, 2021
Reporting physician assistant ownership for clinics/group practices
nfortunately, there is conflicting information out there regarding PA ownership requirements due to state specific legislation regarding what types of provider…
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billing · Aug 23, 2021
PECOS Issues: Wrong Contact Person & No Primary Location
PECOS has a number of known glitches that we want you to be aware of. We know how important getting your application processed is and wanted to be sure you wer…
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billing · Aug 22, 2021
Billing for COVID-19 Booster Shots
Here is a quick article documenting some recent updates to the COVID-19 vaccine billing. As most know by now, the FDA amended the emergency use authorizations…
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practice location analysis · Aug 10, 2021
10 Key Metrics to Identify the Best Location For Your New Practice
The first step to selecting a new location for your medical practice is to conduct research in the area that you’re considering. Seems simple enough but what e…
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practice start up · Feb 5, 2021
Critical First Step- Free Customizable New Practice Pro forma
Create your own pro forma with our comprehensive template. This is a great place to start if you are interested in having a successful practice.
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credentialing · Dec 9, 2020
PECOS Medicare Enrollment- What you need to know
Submit your Medicare enrollment application with confidence and get it processed fast.
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credentialing · Dec 7, 2020
Download Credentialing Checklists
We understand that credentialing can be a frustrating and tedious process. Regardless of whether you are joining an established group or opening your new pract…
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hipaa · Nov 4, 2020
Healthcare Providers Beware- Ransomware Alert
We wanted to take a minute to share an important reminder regarding the attack healthcare organizations have been under in recent months. We received the below…
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covid 19 · Oct 12, 2020
Strategies For Success Through Covid And Beyond
No one is entirely sure of the extent of these changes but one thing we can all be sure of is that it has altered our behavior and what’s important to us. In t…
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covid 19 · Apr 13, 2020
COVID Give Back Campaign
We wanted to introduce one more thing we are doing for our new clients as part of our COVID relief effort. In an effort to reduce costs for new clients while a…
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covid 19 · Mar 23, 2020
AMA Billing Update for COVID-19
The American Medical Association(AMA) approved a new addition to the Current Procedural Terminology code set that will help streamline data-driven resource pla…
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covid 19 · Mar 22, 2020
Covid-19 & Telehealth Payer Updates
Covid-19 has brought about significant changes to patient care and afforded new opportunities for medical groups to take care of their patients. We do our best…
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practice start up · Mar 3, 2020
3 Ways to Measure if Your New Practice is Viable- Part 3 of 4
3 Ways to Assess Viability Number 1: Which insurers are my targeted patient population using? You have concluded that there is a need in your area, next you ne…
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billing · Dec 2, 2019
10 Common Mistakes to Avoid When Starting a Medical Practice
10 Things You Should Never Do When Starting a Practice. We’ve talked for years about what you should do so in this article we are going to cover some of the co…
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credentialing · Dec 2, 2019
How to find out if an insurance panel is closed in your area. Part 2 of 4
Starting a practice is an incredibly difficult process and recent panel closures have made it all the more challenging. Here we provide 4 ways to discover if p…
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credentialing · Dec 1, 2019
Starting a new practice? What to do about the payer panel closures- Part 1 of 4
Starting a medical practice is difficult but the ubiquitous panel closures makes this process even more challenging. Learn what you can do about it and if your…
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billing · Aug 2, 2019
Should my billing company do my payer credentialing?
As you will quickly learn if you’re starting a new practice or evaluating billing companies, there are dozens of billing/EHR companies out there that do creden…
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medicare · Jul 11, 2019
PECOS Enrollment System Issues
There are always bugs that need fixing and thankfully, this usually occurs pretty quickly. We utilize PECOS for all of our group enrollments, reassignments and…
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practice start up · May 5, 2019
Lean Start-Up Method for New Medical Practices
There are very few things when starting a new practice that we would identify as “easy”, the only thing truly easy about a new medical practice, is how easily…
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practice start up · Oct 25, 2018
How to Select the Right Name For Your Medical Practice
It’s unfortunate but true that most physicians spend more time picking out their waiting room furniture than they do deciding on their name. Here is some guida…
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billing · Oct 14, 2018
Understanding Common Practice & Credentialing Terminology
Ever have a conversation with someone who starts spouting off acronyms or terms and you have to pretend you know what they’re actually saying or risk looking l…
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practice start up · Aug 19, 2018
Step-By-Step Practice Start-Up Guide & Checklist
Our comprehensive practice start up guide and checklist are available for free to anyone considering starting a new practice. These resources will provide you…
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practice location analysis · Aug 17, 2018
How to Select the Best Location for your New Medical Practice
As we all know, selecting the right location for your new medical practice is critical to your success and long-term growth. We’ve literally opened hundreds of…
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caqh · Aug 15, 2018
How to Register with CAQH & Why it Matters to Your Practice
CAQH is ubiquitous in the medical field these days but there are still a lot of misconceptions about what it is and what it does. This article will answer all…
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credentialing · May 10, 2018
What is the insurance credentialing process?
The insurance credentialing process is what each provider or facility must go through in order to become a participating provider with a particular insurance c…
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credentialing · May 8, 2018
How much does it cost to start a medical practice?
In this article, we define some of the costs of opening a medical practice. Whether it’s what to spend on equipment or selecting the right billing/EHR vendor,…
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practice start up · Mar 22, 2018
How long does it take to start a new private practice?
How long should you give yourself to start your new practice? We answer it here. Before beginning, we recommend setting up your practice as a professional limi…
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tools · Mar 19, 2018
Utilizing the Medicare Physician Fee Schedule Tool
It’s important for you to know how much you’ll be paid for the services you’re providing. Many people get confused by their billing system because it will show…
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credentialing · Mar 13, 2018
Can you retroactively bill Medicare after credentialing is complete?
Retroactively billing Medicare is an important detail to understand due to how long credentialing can often take. Depending on the state, Medicare can take any…
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caqh · Mar 11, 2018
How to credential a provider with an insurance company?
We wish it was simple but it’s far from it. In this article we identify the 10 steps you’ll take in order to credential/enroll with insurance companies. It’s i…
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news · Mar 11, 2018
More Consolidation – Does it really help lower costs?
Cigna acquires Express Scripts for 67 billion, does further consolidation help lower costs or improve service to providers? We are always hearing about these a…
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credentialing · Mar 5, 2018
What Are We Doing To Our Physicians! Depression & Suicide Increasing
The suicide rate among men who are physicians is 1.41 times higher than the general population of men. For women who are physicians, the relative risk is even…
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credentialing · Mar 1, 2018
Step-by-Step Insurance Credentialing Process for FQHCs
Here is a great step-by-step process for enrolling FQHCs in Medicare, Medicaid and the top commercial plans.
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credentialing · Feb 19, 2018
NP Practice Disaster- What Not To Do When Starting a Practice
Don’t let this np practice horror story happen to you. Learn what not to do and ensure your practice is and remains compliant with your state regs.
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credentialing · Feb 18, 2018
What’s the difference between a TRICARE network and non-network provider?
What is a network provider with TRICARE? A network provider is a participating “civilian”(not on the base or a military employee) provider who has completed th…
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credentialing · Feb 15, 2018
Tricare Prime vs Certified, which is right for your practice?
We are writing this article to help answer questions we receive on a weekly basis. Most of our clients want/need to see military patients, both retired and act…
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practice start up · Feb 8, 2018
Medicare Bank Letter Template
If you are completing the enrollment process with Medicare as a new organization, you will need to also complete the EFT enrollment process using form CMS-588.…
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credentialing · Feb 2, 2018
Should I add telemedicine services to my practice?
As a company that has worked in the telemedicine space for the past 10 years, and actually helped found a second opinion cancer company, I feel that we’re uniq…
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credentialing · Jan 30, 2018
Insider Tips to a Faster Credentialing Process- Part 1 of 8
In this article, I’d like to review something that’s easy to adopt and can greatly improve the speed of your organization’s credentialing department. The first…
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credentialing · Nov 1, 2017
How much does physician credentialing cost?
How much does physician credentialing cost? How much is credentialing costing your company? We answer both of these questions in this article.
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general · Aug 7, 2017
DOJ’s New Health Care Enforcement Initiative
On July 13, 2017, the U.S. Department of Justice announced to great fanfare its eighth annual national health care fraud “takedown.” This “largest ever” “taked…
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hipaa · Aug 7, 2017
What are the HIPAA Requirements for a medical website?
We are often asked questions about building a website and many groups attempt to save money by using a template or building a site on wordpress. One of the mor…
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credentialing · Mar 1, 2017
Keys to Evaluating Potential Credentialing Service Providers
Don’t Risk Your Business With an Unreliable Credentialing Service Company This is a question that many of our potential clients ask when evaluating credentiali…
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credentialing · Feb 26, 2017
When does outsourcing your credentialing make sense?
As we all know, healthcare facilities exist to facilitate and administer medical care to their patients. While we have advanced like never before in our cure r…
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credentialing · Feb 15, 2017
Updated Humana Medicaid Regs in Florida
We received this correspondence and thought it was worth sharing to ensure all Florida groups are aware of the changes. Please contact us if you have any quest…
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credentialing · Jan 13, 2017
CMAC Fee Schedule Tool
t is not unusual for us to be asked 3-4 times per week about fees and how much the VA or Tricare pays for a particular procedure. The VA will typically reimbur…
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credentialing · Dec 5, 2016
Athena Health Credentialing- Rocky Mountain Youth Clinics
We are excited to announce that Rocky Mountain Youth Clinics, with clinics throughout Colorado, has selected Physician Practice Specialists as their vendor for…
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careers · Dec 5, 2016
Provider Enrollment & Credentialing Position
We are seeking a Provider Enrollment & Credentialing Specialist to join our team! Our company is the nationwide leader in provider enrollment and credentialing…
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credentialing · Dec 3, 2015
10 Methods To Avoid Audits
Processing appeals for denied claims can be time-consuming and frustrating. By ensuring accuracy in your initial claim submission, you can save valuable time a…
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hipaa · Dec 1, 2015
Home Robbery Prompts $90,000 HIPAA Settlement
You’ve taken every appropriate step to secure protected health information (PHI) at your medical practice, but have you done the same at home? A Connecticut ho…
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general · Nov 29, 2015
Nine Things Successful People Do Differently
Why have you been so successful in reaching some of your goals, but not others? If you aren’t sure, you are far from alone in your confusion. It turns out that…
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credentialing · Jun 3, 2015
Why Contracting is Still Critical When Starting a Practice
When advising clients, we strive to put ourselves in their shoes as we believe that we can’t truly help without thoroughly understanding the situation. Over th…
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general · Dec 9, 2014
ObamaCare’s Threat to Private Practice
The payment system is forcing doctors to sell out to hospitals. The trend, and the law, will be unstoppable without reform. Here’s a dirty little secret about…
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general · Dec 7, 2014
Bigger Regulatory Challenges in Diagnostics Than in Therapeutics, Industry Expert Says
December 8, 2014, 08:19:38 AM Mary K. Caffrey For makers of cancer therapies, the regulatory environment in Europe is likely to become more like that of the Un…
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news · Oct 15, 2014
Electronic funds transfer upgrades to the Internet-based PECOS system
Over the last year, the Centers for Medicare & Medicaid Services (CMS) listened to your feedback about Internet-based provider enrollment, chain, and ownership…
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general · Feb 25, 2014
The Sunshine Act – Not Very Radiant for Physicians
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hipaa · Jan 23, 2014
Why the Target Security Breach Should Concern Physicians & Providers
Why the Target Security Breach Should Concern Physicians & Providers The recent data breach at the National chain store Target was the latest in what seemed to…
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presentations · Jan 7, 2014
Affordable Care Act Webinar
Affordable Care Act 2014 Overview We have put together this overview of the Affordable Care Act to help our physicians understand what to expect in 2014 and be…
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careers · Dec 25, 2013
New Opening for Experienced Insurance Enrollment & Credentialing Specialist
We have an immediate need for a full time enrollment and credentialing specialist to work in our Jacksonville, Florida office. The ideal candidate will have at…
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careers · Dec 25, 2013
New Opening for Senior Practice Management Consultant
Senior practice management consultant needed to join our team of healthcare professionals. Full time or part time consultant
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general · Oct 28, 2013
Healthcare.gov logs troubles from the get-go
President Obama’s big push for a unified platform for the purpose of selling easy and feasible options for the millions who are uninsured has fallen flat, leav…
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general · Oct 21, 2013
Risks of Supervising Physician Assistants
We had the opportunity to speak with a large urgent care group in Florida and something interesting came up during our conversation. The group has been using t…
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general · Oct 21, 2013
UnitedHealth terminates doctors from Medicare Advantage networks
In a letter dated October 2, 2013, the nation’s largest healthcare company informed its doctors in some states — mostly those on the Medicare Advantage network…
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general · Aug 20, 2013
Colorado Unveils Health Insurance Exchange Rates
For the estimated 716,000+ residents of Colorado who still haven’t got health insurance coverage, the state’s Division of Insurance recently released rates of…
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general · Aug 12, 2013
Free Medicine is Not the Answer to Sustainable Change
The New York Times recently featured an article titled “When a Co-Pay Gets in the Way of Health,” in which the author brings up the age-old debate of how can w…
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general · Jul 7, 2013
Using the Medicare Fee Schedule Search Tool
We would love to hear your feedback or any questions prompted by this video. We also GREATLY appreciate your likes and shares.
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contract negotiations · Mar 26, 2013
Insurance Contract Evaluation
Here is a short video that details how we go about evaluating insurance contracts and fee schedules as part of our negotiation service. We recommend you conduc…
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general · Mar 26, 2013
Medicare Fee Schedule Search Tutorial
Understanding current and historical payment data from Medicare is essential to understanding how you are paid by both Medicare and the commercial payers. In a…
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general · Feb 6, 2013
Interesting scenario with Medicare Enrollment that shows how little they care about their providers
We would like to share an interesting and eye-opening situation we had recently with a Medicare administrator. This issue came up while processing some re-vali…
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general · Jan 3, 2013
New Florida Medicaid Fee Schedule 2013
Florida, as part of the Affordable Care Act (ObamaCare), has increased their primary care fee schedule to reflect that of the current Medicare fee schedule. He…
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general · Dec 5, 2012
Another Insurance Network Closes
As you know, there has been a lot of shifting in payers around the country because of the recent healthcare legislation. We received notice from PPO USA Networ…
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general · Jun 28, 2012
Marketing Strategies Part 2
Marketing Strategies & Good Business for Physicians BY: Andrew Eriksen Part 2 of 2 Published in Medical Exchange In the first part of this series, we discussed…
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general · Jun 5, 2012
Marketing Strategies and Good Business for Physicians
Marketing Strategies & Good Business Practice for Physicians (Part 1 of 2) By: Andrew Eriksen Published in Medical Exchange In the turbulent healthcare climate…
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billing · May 29, 2012
Can a Doctor bill under another Doctor? (Incident-To)
Wow, this question must come up at least 3 times a week in conversations about expediting the credentialing/enrollment process. Here is an article that we wrot…
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general · Apr 30, 2012
How Your Practice Can Prepare for Medicare RAC Auditors
There are only three scenarios in which a Medicare Recovery Audit Contractor can utilize an automated review to determine if a claim paid to your practice was…
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credentialing · Apr 30, 2012
The Benefits of Outsourcing for Hospital Credentialing & The Role of AI
Hospital credentialing is the most intensive credentialing process for medical providers, requiring frequent repetition and involving numerous organizational c…
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billing · Apr 1, 2012
When and How to Bill Using the Locums Q6 & Q5 Modifier
We wrote this article to help you understand when and how to correctly bill Q6 Locum modifier and Q5 Reciprocal Billing modifier and if it’s appropriate to bil…
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general · Mar 11, 2012
Employee Salary vs. Exempt
Here is an excellent article provided to through our partnership with the payroll service we use (ADP). You do not want to make a decision that will wind up wi…
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billing · Jan 28, 2012
Guidelines when outsourcing your billing office
Many of our clients outsource their billing office to a third party but not all of our clients have had a good experience with this. Unfortunately, many compan…
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general · Jan 23, 2012
DMEPOS Application Essentials
Medicare DMEPOS Enrollment HelpFul Tips Here are a few key things to remember when submitting an application to enroll your business in the DMEPOS (Durable Med…
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general · Dec 30, 2011
Healthcare Reform Declared Unconstitutional by Florida Federal Judge
Today, 1/31/2011, a federal judge in Pensacola, Florida declared the Healthcare Reform Law unconstitutional. Specifically, he pointed to the individual mandate…
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general · Oct 6, 2011
Conversion Factor Fee Calculator Now Available
Understanding the Conversion Factor and how it Affects Your Fees Ever read an insurance contract and wish you had an easy way to understand exactly what you ar…
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general · Sep 1, 2011
NP Insurance Enrollment Question – From Forum
Here is an interesting and common question that was posted in our forum. 8:16 pm 30 August 2011 webbly18 New Member posts 1 I recently joined a practice where…
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general · Sep 1, 2011
PPS CEO Meets Clark Howard
I had an interesting opportunity a couple weeks ago to speak with the purveyor of consumer advocacy, Clark Howard. Myself and a friend/client of PPS (Dr. Ali K…
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general · Sep 1, 2011
PPS Racing
PPS and Mr. Eriksen is not afraid of taking risks which is evident by the fact that PPS was started in 2008 while most businesses were shutting doors and layin…
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general · Jun 1, 2011
It’s Official – Practice Financing Now Available
Physician Practice Specialists has entered now has access to some great financing opportunities for new and existing medical practices through our partnership…
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general · Apr 15, 2011
DMEPOS Medicare Application Fee
Bad news for providers in the form of a new cost of doing business. Medicare has instituted an application fee as of March 25, 2011. You must submit an initial…
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general · Jan 21, 2011
Medical Licensing Employment Opportunity
We are looking for a medical license credentialing specialist who can take over our the licensing for our physicians and providers. We prefer someone who is we…
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general · Jan 6, 2011
Am I in PECOS? Check Now!!!
If you are questioning whether or not you are in PECOS, simply download the excel file below and do a search for your NPI number/name. This list is current as…
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