The Council for Affordable Quality Healthcare (CAQH) is a nonprofit alliance of health plans and trade associations designed to simplify healthcare administration through industry initiatives, such as the Universal Provider Datasource. What is CAQH’s UPD and how will it simplify administrative processes for me? The Council for Affordable Quality Healthcare’s Universal Provider Datasource (UPD) is […]
Credentialing and enrollment are critical business processes within the hospital, physician and allied health provider revenue cycle. When not managed properly, they can, and will, negatively impact a healthcare organization’s revenue. With regulatory requirements becoming more and more complex, incorrectly or poorly managed credentialing and enrollment processes also put hospitals at risk for compliance violations
The Evolution Of Credentialing And Provider Enrollment Read More »
THE ANCIENT PRACTICE OF CREDENTIALING Medical credentialing dates back to Persia in 1000 BC, as outlined by the Cult of Zoroaster. In ancient Persia, to qualify for licensure, a physician had to treat three heretics — if they lived, that qualified the physician to practice medicine for the rest of their natural life. While credentialing has
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