Key differences between credentialing and contracting
Navigating the landscape of credentialing and contracting presents considerable challenges. This article has offered foundational insights to providers.
August 23, 2023
The primary objective of Fifth Avenue Healthcare Services’ acclaimed credentialing blog is to serve as a comprehensive source of valuable and educational content within the realm of credentialing. Our blog focuses on delivering pertinent industry insights, news, updates, and advancements in the field. Additionally, we provide in-depth coverage of critical topics such as delegated credentialing, provider enrollment, and medical malpractice news, along with discussions on best practices and other pertinent industry developments.
Our blog keeps you well-informed about the latest trends and innovations in credentialing, primary source verification (PSV), delegated credentialing, provider enrollment, and medical professional liability insurance (MPLI). All of our content is meticulously curated and authored by the expert credentialing specialists team affiliated with Fifth Avenue Healthcare Services, including the renowned Primoris Credentialing Network, which stands as the largest credentialing Independent Practice Association (IPA) in the nation, Fifth Avenue Agency and 5ACVO.
Navigating the landscape of credentialing and contracting presents considerable challenges. This article has offered foundational insights to providers.
One way to demonstrate commitment to excellence is through accreditation by reputable organizations like URAC (Utilization Review Accreditation Commission).
NCQA credentialing accreditation offers numerous benefits for healthcare organizations seeking to excel in today’s demanding healthcare landscape. From enhancing patient safety to improving operational efficiency and fostering continuous quality improvement, this prestigious accreditation serves as
The Accreditation Association for Ambulatory Health Care (AAAHC) is a leading organization dedicated to advancing healthcare quality in ambulatory settings.
The Joint Commission plays a significant role in promoting quality in healthcare through their accreditation process.
Accreditation plays a pivotal role in ensuring the delivery of high-quality and safe healthcare services in various settings, including ambulatory surgery centers (ASCs), hospitals, and emergency rooms (ERs). In this article, we will provide an in-depth exploration of the accreditation
Per the AMA, 68% of all medical liability premium increases were observed in 10 states. Illinois had the highest number of increases in the last three years, accounting for 30% of the total increases.
Providers using delegated credentialing can enroll in multiple health plans using one application, taking back control of their payer enrollment process.
Brad Bond brings extensive experience to the hospital and healthcare industry. He is highly skilled in Healthcare Management and Provider Enrollment. His entrepreneurial mindset enables him to excel in his role, and brings the highest
Proper medical charting can benefit patients, physicians, and the entire medical community, and following the 6 Cs of Charting can produce the best results.
Here are 3 strategies to optimize simplicity and increase revenue in healthcare which is essential to improving patient outcomes, allocating resources effectively, and increasing access to care.
The NPDB’s mission is “to improve health care quality, protect the public, and reduce health care fraud and abuse in the U.S.” Here are 4 top Q&As on the NPDB.
The three best practices of charting include the Golden Rule of Charting which states that if something was not documented, then it did not happen.
Three credentialing challenges for rural medical providers include limited resources, lack of interoperability, and aging technological infrastructure.
Here is a list of the 10 Top States for Doctors to practice based on a recent Becker’s ASC Review and a Medscape study by Shelly Reese.
We here at Fifth Avenue Healthcare are grateful for all the gifts 2022 brought. If 2022 has forecast what is to come, we look forward to a fantastic 2023!
We at Fifth Avenue Healthcare Services are grateful during this season of hope for every team member and the clients we are honored to serve. Merry Christmas!
This Fifth Avenue Spotlight on Guy Feist covers his education and journey to Fifth Avenue Healthcare Services as Co-Founder and Partner as well as Fifth Avenue Agency, Primoris Credentialing Network and 5ACVO.
Three of the best benefits of working with a CVO include: saving money, leaning on experts, and reducing non-profit-producing activities.
Fifth Avenue Healthcare recently held its 2nd Fifth Avenue All Family Summit. Teams convened in Tulsa, OK, to honor long-serving members and celebrate the company’s growth.
Thank you. Your support and encouragement energize us daily to focus on delivering the best possible services to our healthcare providers, and administrators.
A nurse can be sued for medical malpractice and be held liable just like any provider If a nurse fails to act per the standard of care for their specialty.
The largest credentialing IPA in the Midwest has entered the Illinois market. Primoris is currently providing delegated credentialing in the Prairie State.
Delegated credentialing and Primoris Credentialing Network have expanded into the Missouri market in partnership to deliver faster, smarter credentialing.
Joe Spann, CEO and Partner of Fifth Avenue Healthcare Services, has 20+ years of experience focusing on healthcare technology and credentialing workflow design.
NCQA standards seek to create lower costs and a better patient experience. NCQA Credentialing Accreditation bolsters the measurement, transparency, and accountability each credentialed organization must display.
Delegated provider enrollment (delegated credentialing) utilizes assigned agreements to expedite and simplify the entire enrollment process for the provider.
Fifth Avenue Healthcare Services’ credentialing blog won a 2022 Silver Award in the 39th Annual Healthcare ADAwards and another in the Aster Healthcare Awards.
Joint Commission defines Primary Source Verification as the “verification of an individual practitioner’s reported qualifications by the original source or an approved agent of that source.”
Christian Jagusch, MD is a physician attorney representing parties suing Carlos Chacon, MD of Divino Plastic Surgery Center. Dr. Jagusch questions the AAAHC’s decision to not revoke the ASC’s accreditation.
CMS’ PECOS (Provider Enrollment, Chain Ownership System) allows providers to update their information, enroll, opt out, renew or view their Medicare application status.
A credentials verification organization (CVO) can reduce the time and money credentialing costs. Here are 20 Ways A CVO Can Cut Credentialing Costs.
This has been a season of change for healthcare in the United States. Here is everything you need to know about our top 4 important federal healthcare updates.