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Conquering The Provider Enrollment Process

MedTrainer

Download our Credentialing Reality Worksheet to find out! Download Now Credentialing Software Drives Speedy Provider Enrollments Credentialing software offers several benefits that help credentialers speed up the provider enrollment process. How much are enrollment delays costing your organization?

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Medicare Enrollment & Behavioral Health Credentialing

MedTrainer

Behavioral health credentialing exploded in 2023 and 2024 as providers could enroll in Medicare for the first time. Download Now Common Challenges in Behavioral Health Credentialing Where behavioral health credentialing diverges from typical provider credentialing is Medicare enrollment.

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UnitedHealthcare Provider Enrollment: What To Expect

MedTrainer

Here are the key steps: Gather Training and Education Gather Licensing and Certification Gather Work History Details Gather Payer-Specific Requirements Following Application Submission Get the tools you need to eliminate delays in your provider enrollment process. Easily assign multiple enrollments to staff, update statuses, and prioritize.

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Aetna Provider Enrollment: What To Expect

MedTrainer

Here are the key steps: Gather Training and Education Gather Licensing and Certification Gather Work History Details Gather Payer-Specific Requirements Following Application Submission Get the tools you need to eliminate delays in your provider enrollment process. Easily assign multiple enrollments to staff, update statuses, and prioritize.

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Dental Credentialing From Application To Approval

MedTrainer

Primary source verification involves contacting original sources — such as educational institutions, licensing boards, and certification bodies — to confirm the authenticity and accuracy of the documents and qualifications provided by the provider. If the dentist is being credentialed in a state with its own portal, set that up as well.

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Privileges and Credentialing Aren’t the Same

MedTrainer

The specialist authenticates the provider’s education, work history, licenses, and other information during provider credentialing. Additionally, the credentialing specialist may request a record of any pending and past medical malpractice cases and disciplinary actions from the appropriate authority.

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How To Prepare for an OIG Inspection

MedTrainer

OIG Inspections in Healthcare The OIG focuses its resources on oversight of Medicare and Medicaid — programs that represent a large portion of the federal budget. Download “Compliance Reports You Can’t Live Without” for OIG reporting templates and tips. Medicare/Medicaid Compliance Reviews. What Prompts an OIG Inspection?

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