5ACVO’s credentialing blog aims to provide helpful and educational industry information centered around credentialing news, updates, and technological advancements, as well as updates on delegated credentialing, provider enrollment and medical malpractice news, best practices, and relevant industry updates.
These updates on credentialing, primary source verification (PSV), delegated credentialing, provider enrollment, and MPLI include information from 5ACVO’s Fifth Avenue Healthcare Services‘ credentialing family, including 5ACVO, Fifth Avenue Agency, and Primoris Credentialing Network (the largest credentialing IPA in the country).
59% of polled doctors think COVID will lead to a reduction in independent practices. It’s estimated that 8-12% of practices will close, an estimated 16,000 in all.
Medicare pays more for telehealth services now than it did before COVID-19. The new payment rates are slated to end, but for now, the rates are firmly in place.
For a medical malpractice claim to be deemed legitimate, the 4 Ds of medical malpractice must be established: Duty, Direct Cause, Dereliction and Damages.
Credentialing is complex and expensive. Here are 20 ways working with a CVO can cut credentialing costs.
Here are four common and costly Medicare provider enrollment mistakes that medical professionals make when enrolling for Medicare.
5ACVO lowers the conventional credentialing cost of credentialing by 69% while completing the credentialing file 5-7 days faster than traditional credentialing.
3 simple ways to screw up simplicity: overthinking, neglecting available tools and working with the wrong people.
Three unimaginable medical malpractice cases include a surgeon inserting a screwdriver in a patient and three doctors performing brain surgery on the wrong side.
Three qualities stand out as an integral component of a great credentialing team including Experience, Expertise, and lack of Ego (or the ability to manage it).
Primoris’ proprietary credentialing technology and highly experienced team combine to give us the tools to provide you a simpler provider enrollment experience.
4 elements of medical malpractice include (1) professional duty owed to the patient; (2) breach of duty; (3) injury caused by breach and (4) resulting damages.
Primoris simplifies delegated provider enrollment. With multiple health plan and network options, delegated provider enrollment is done with ONE application.
Medical malpractice and medical professional liability (MPL) are two terms that may seem similar but they are very different and require unique solutions.
5ACVO has a core credentialing mission of providing Smarter, Simpler and Better Credentialing. Smarter credentialing to us = less work and more control for you.
Provider enrollment is the provider credentialing and health plan application process that when complete and accepted, allows providers to be reimbursed.
Medical malpractice claims are costly and frequent. Here are the 4 largest medical malpractice payouts of the decade (2010-2020) including a $74,500,000 payout.
A CVO provides organizations with efficient credentialing processes that conduct a thorough verification on practitioners. 5ACVO streamlines this process.
A credentialing IPA is a group of independent providers sharing core values, aggregating together, creating efficiencies in the credentialing process.
MPLI is Medical Professional Liability Insurance covering areas as settlement cost, attorney fees and medical damages, not protection from criminal acts.
Primary Source Verification authenticates a providers’ credentials such as education, training, work history, license, certifications, peer reviews and more.
Award winners Fifth Avenue Healthcare Services and 5ACVO won for healthcare advertising from the 38th Healthcare Awards leading the way with excellence!
Humana is waiving PCP copays effective 5/1/2020 through 12/31/2020.
TriWest extends Patient Centered Community Care (PC3) referrals to a new expiration of September 30, 2020.
Please visit humana.com/coronavirus for an important COVID update from Humana. This is a quick summary of the update.
To understand UnitedHealthcare reimburse services, please download the COVID-19 Provider Billing Guidance. Please check regularly for updates.
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