At 1ˢᵗ Credentialing we know that when our clients place their trust in us, we take that responsibility seriously by communicating with our clients to create a transparent and collaborative partnership.
Healthcare organizations of every size realize that hiring 1ˢᵗ Credentialing is the most economical and efficient way to solve their credentialing needs. We have the training, expertise and commitment it takes to keep a complex process moving forward at all times.
1ˢᵗ Credentialing supports healthcare practices of all sizes - from health systems, to community hospitals, to large group practices, to smaller organizations. We help get your providers up and practicing as fast as possible.
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Medicare Identity & Access Requirements for Credentialing Purposes
Effective Oct 7, 2013, Medicare will require physicians whose staff credentials on their behalf to register with NPPES (NPI). Once the staff member is active on PECOS and NPPES (same login), the physician must send an invitation to their staff member to add them as an Authorized Official or Delegated Official. The reasoning behind this change is to ensure physicians, PA/NP’s, therapists, DDS, and all other providers who bill for Medicare patients are involved in the process of credentialing.
There is no doubt this will cause some headaches and a few disgruntled providers and credentialers. Getting physicians, CVO’s and staff members on board with this process will not be easy and it will take some time to understand that we need to ALL enroll in PECOS/NPPES regardless of our position within the industry. We will also have to associate and unassociate staff members from physicians as people come and go into credentialing positions.
FAQ’s Medicare published on this issue: https://nppes.cms.hhs.gov/IAWebContent/FAQs.pdf
CMS Identity and Access page: https://nppes.cms.hhs.gov/IAWeb/login.do
Our credentialing experts are here to help you assess exactly which solutions you need and let you know how inexpensively we could put you on the right track. 1ˢᵗ Credentialing includes primary source verification and payor enrollment for all insurance networks including Medicare, Medicaid, Medi-Cal and insurance networks. Don’t wait another minute, contact our terrific team today!