Resources
Enrollment guides for practice leaders.
Clear, sourced explanations of the rules that decide when your providers can bill.
Featured · Revenue
Why most commercial payers don't backdate, and what that costs you
Enrollment delay is not deferred revenue. Here is how effective dates work and why every waiting day is permanently lost.
CAQH
CAQH ProView: keeping your 120-day attestation current
Most commercial payers read your CAQH profile directly. A lapsed attestation can stop enrollment and re-credentialing cold.
Medicare
Medicare enrollment through PECOS: timelines and retroactive billing
Medicare is faster than most commercial payers, but its retroactive billing window is narrow. Know the rules before you file.
Medicaid
Medicaid enrollment: why timelines range from 30 to 180+ days
Every state runs its own Medicaid enrollment, and many add managed care plans on top. Here is how to plan for the variation.
Data quality
NPI, taxonomy and the data mismatches that stall applications
The most common enrollment rejections come from small inconsistencies between records. Here is where to look.
Operations
Onboarding a new provider: an enrollment checklist
What to collect, in what order, so a new hire can see insured patients as soon as possible.
See where your enrollments stand, and what delay is costing you.
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