What is a Credentialing IPA?
A credentialing IPA like Primoris Credentialing Network expedites the provider enrollment process so providers can get to work quickly and begin billing faster.
August 10, 2022
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.
A credentialing IPA like Primoris Credentialing Network expedites the provider enrollment process so providers can get to work quickly and begin billing faster.
Historical medical malpractice changes are coming 1/1/23 when CA plaintiffs can be awarded up to $350,000 for pain and suffering increasing over 10 years to $750,000 ($500,000/$1M in cases involving death).
As of April 4, 2022, people with Medicare Part B can receive up to 8 free COVID-19 at home tests each calendar month.
The FL ‘free kill’ law relays that if the deceased is unmarried, without children, and older than 25 years, their survivors cannot sue for medical malpractice.
Along with our stellar credentialing audit, Fifth Avenue Healthcare Services earned NCQA Credentialing Accreditation strengthening our credentialing reputation.
Dr. Mark Mathers of the Center for Plastic Surgery has been a long-time client and partner of the Fifth Avenue Healthcare Services family.
The $97.4 M verdict is less than half of what is believed to be the largest medical malpractice verdict in United States history, a $205 Million dollar verdict.
Fifth Avenue Healthcare Services healthcare blog won a 2022 Gold Award from Aster Healthcare Awards and a 2022 Silver from the 39th Annual Healthcare ADAwards.
Fifth Avenue Healthcare Services is pleased to announce the recent promotion of CVO Director of Operations Jillian Davis, CPCS to Executive Director of Credentialing Operations.
Dr. James Love and Dr. Jane Purser of the Allergy Clinic of Tulsa are two of our earliest clients and partners. We are grateful and honored to consider them part of our Fifth Avenue family
Five common causes leading to medical malpractice lawsuits include: diagnostic errors, surgical errors, a failure to treat patients, birth injuries and prescription drug errors.
Fifth Avenue Healthcare Services held our 1st Quarter 2022 Summit. Highlights included the Fifth Ave Family Tenure Awards and celebration of our COVID-19 MVPs.
With 41+ years of diverse experience, Dr. James Russell, MD has exhibited a command of medicine that is only matched by his compassion for his patients.
Primary source verification confirms someone has proper license, registration, or certificate, education, training and work history to provide care to patients.
Primoris is releasing an Aetna provider education bulletin bulletin. Primoris offers 54+ health plan and network provider enrollment options including Aetna.
There is a statute of limitations for medical malpractice claims in every state. The period does not usually begin until a patient discovers they have been injured. Each state has exceptions that could affect the
A MultiPlan audit performed on Primoris’ delegated provider enrollment policies and procedures showed Primoris met all requirements for credentialing and more.
The collaborative partnership between Anders CPAs + Fifth Avenue Healthcare Services exists to expedite provider licensing, credentialing and payor enrollment.
James Feist is a Veteran with a degree from OSU and MBA from OU. He is an accomplished businessman, loving husband of 50 years, a proud father and grandfather.
There are three main stages to provider enrollment including the credentialing stage, the payor application stage and finally the contracting stage.
Fifth Avenue Healthcare Services, with brand 5ACVO and affiliated sister company Primoris Credentialing Network, have obtained NCQA Credentialing Accreditation.
Careless credentialing can adversely affect a provider privileges, employment, erroneous NPDB reporting, payor enrollment and a provider’s overall reputation.
Aetna going paperless by 9/2022 will stop sending paper EOBs and checks. Providers cannot opt out and may receive future payments by VCC (virtual credit card).
Oklahoma ranks first in medical negligence per capita, according to an analysis of U.S. Department of Health and Human Resources data.
With ONE application for 20+ health plan and network provider enrollment options, Primoris provides a simple, fast and inexpensive provider enrollment solution.
A nurse can be sued for medical malpractice just like a physician if the four elements of medical malpractice (duty, cause, dereliction, damages) can be proven.
Benefits to outsource credentialing services include reducing human error, cutting costs, streamlining process complexity, and increasing billing opportunities.
A delegated oversight audit by HealthSmart on Primoris Credentialing Network’s policy and procedures resulted in another audit score of 100%.
Fifth Avenue Healthcare Services’ Marketing Director Curt Matlach Was Recently Promoted to Chief Marketing Officer and Partner.
5ACVO created a simpler credentialing process, reducing credentialing paperwork 88% and completing credentialing 5-7 days faster than in-house credentialing.
Primoris Credentialing Network adds Friday Health Plans to its’ enrollment options expanding Primoris’ 54+ health plan and network provider enrollment options.
NCQA credentialing accreditation validates a credentialing service provider as having met the high measurement and standards of NCQA credentialing requirements.
To grow a medical practice, it takes healthy habits. Here are 10 healthy habits we believe will help doctors grow a medical practice in 2022.