Credentialing Collaboration Group Podcast

Credentialing Collaboration Group Podcast

Host Rob Arturi talks with industry experts on various topics in the world of credentialing.

Episodes

August 20, 2019 45 mins

The emergence of blockchain technology has affected many industries and credentialing is no exception. This innovative method for storing data with unmatched integrity and consistency makes it uniquely suited for improving traditional credentials verification methods. We talk with Tiffany Long, Director of Credentialing for BlocHealth, a company on the forefront of integrating blockchain technology in healthcare. We’ll discuss how ...

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Our 2018 holiday card poem:

‘Twas the final month of another great year,

Just a few more weeks and 2019 will be here.

We’re so excited to see what it will bring,

More than likely, it’ll be more credentialing.

We’re dreaming of snow-filled holiday vacations,

While completing payer enrollment applications.

While you’re searching for more gifts to buy,

We’re wondering about updates to your NPI.

And while you decide which sweater to wear,

We’re ...

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October 31, 2018 13 mins

No matter which side of the credentialing industry you work on, there is bound to be conflict. Whether it be from your supervisors, physicians, clients or colleagues, the complex and high stress world of credentialing will inevitably cause friction. All too often, our own instincts make the problem worse as our attempts to defend ourself and assign blame just make a bad situation worse.

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October 11, 2018

Few in the medical profession are unfamiliar with CAQH but how many of you know how it started, the various platforms it offers and how the data you enter is used? Ron Urwongse, Senior Product Manager, joins us to discuss these topics and more. Ron offers some tips on working with the CAQH ProView system and discusses various ways CAQH is working to improve their platforms.

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New changes that went into effect on 10/1/18 could affect your workflow process when submitting online enrollment applications using PECOS. Plus some “do’s and don’ts” when working with enrollment analysts. For more information on this latest change, CLICK HERE to view a recent CMS training bulletin.
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September 25, 2018 60 mins

Keeping track of managed care contracts, understanding reimbursement rates and knowing when to renegotiate your contracts is a challenge for any practice. Host Rob Arturi talks with Dana Bellefountaine, president and CEO of CodeToolz, a contract analysis tool that simplifies all aspects of maintaining managed care contracts. We explore the challenges associated with tracking renewal and renegotiation terms as well as the importance...

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A few proven strategies for dealing with customer service representatives in the credentialing field. We discuss how a few simple changes in approach can save time, reduce stress and lead to better results for you and your providers.

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Starting any business means facing challenges and starting a professional services business is no exception. Host Rob Arturi talks with Attorney Ben Webster, of the Morgan & Morgan Business Trial Group, about key legal considerations for starting or operating your business. We discuss different corporate structures, such as starting and LLC or an S-Corp, as well as the legal advantages of forming a corporate entity. We discuss ...

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Sara Krakowski owns and operates Healthcare Revenue Solutions, a healthcare consulting firm where she assists practices and facilities with contract analysis and reimbursement rate negotiation. Sara shares with our listeners some key tips on the contracting process and common mistakes to avoid when you are requesting a new contract or renegotiating an existing contract. We discuss an array of issues relating to payer fee schedules,...

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