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Credentialing work-arounds pose significant risk for healthcare providers

The growing backlog of credentialing applications for both government and commercial payors has some healthcare professionals waiting up to a year to receive application approval. With such a long wait between the application submission and approval process, healthcare providers may be tempted to cut corners or find loopholes when submitting claims for providers who are still waiting to be approved, but these work-arounds can come with costly risks.

“Claims submitted for new and as-yet uncredentialed providers must be carefully considered in order to avoid compliance issues,” warns a recent article by JD Thomas and Andrew Solinger for Birmingham Medical News.

Read the full article here.


JD Thomas
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Andrew Solinger
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