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Quang Le, DO
I started my practice in 2004 and have used Tammy Luker and Nationwide Credentialing from the start. I’ve continued to grow my practice and have added 2 physicians and several PA’s over the years. It has been an extremely smooth process because of Nationwide Credentialing. They handle all of our contracting and credentialing needs and…
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Nationwide Credentialing to attend Spring Conferences
Nationwide representatives will be attending several upcoming conferences to inform attendees about the valuable service available to them. Look for Nationwide Credentialing at future shows in 2016: Harris County Medical Society Business Expo, Saturday April 16, 2016, Houston TX TexMed 2016, April 29-30, 2016, Dallas TX 2016 National Conference for Medical Office Professionals, June 2-4,…
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Medicare & medicaid
Many physicians believe Medicare to be one of the best forms of insurance to accept, as they tend to pay well and expeditiously. However, Medicare also requires the most difficult credentialing process. Generally, Medicare requires four applications: Pitfalls to Avoid:
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Health Plans
The standards for approving a physician’s credentials varies by insurer. The National Commission for Quality Assurance (NCQA) sets the standards for which physician credential approval is based. Like hospitals, the NCQA requires primary source verification of a number of credentials, including: education, training, licenses, board certifications, work history, insurance coverage, and malpractice claims history. However,…
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Hospitals
Before a physician can provide patient care in a hospital facility, the hospital must first grant privileges to the physician. Securing these privileges should be the first step in the credentialing process, as they serve as a pre-requisite for health plan credentialing. Health plans require that physicians have privileges at participating network hospitals or they…
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Information for new Physicians
Medical credentialing is essential to starting or building a practice. In addition to receiving privileges at hospitals, credentialing also ensures that physicians can accept third party reimbursement from health insurance companies, Medicare, and Medicaid. With fewer patients paying out of pocket, you can expect that in order to be paid correctly, you will need to be…
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Welcome to Nationwide Credentialing
Nationwide Credentialing, LLC is a company that provides physicians, urgent care facilities, ambulatory surgical centers, and durable medical equipment companies across the United States with top-notch credentialing and contract management service