Medicare Credentialing: A Comprehensive Guide for Healthcare Providers

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  • Опубліковано 2 сер 2024
  • In this informative UA-cam video, join us as we unravel the complexities of credentialing for Medicare providers. This video is a must-watch if you're a medical professional navigating the Medicare enrollment process. Our expert breaks down the crucial steps in getting your practice and yourself credentialed with Medicare.
    Learn about the significance of PECOS (Provider Enrollment, Chain, and Ownership System), INAS (Identity and Access Management System), and NPPES (National Plan and Provider Enumeration System) in the process. Discover how to affiliate yourself with entities, assign providers to groups, and efficiently manage your affiliations. Avoid common pitfalls and ensure a streamlined process by following comprehensive guidance.
    Don't let Medicare credentialing confuse you any longer-watch, learn, and empower yourself with the knowledge you need. If you find this video helpful, don't forget to hit the Thumbs Up button, subscribe for more valuable content, and share with fellow providers facing similar challenges. Together, we'll simplify Medicare credentialing!
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    RESOURCES:
    PECOS UA-cam Videos: • PECOS Enrollment Tutor...
    Medicare Enrollment Group Application Info: www.novitas-solutions.com/web...
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    Photos and Graphics: pixabay.com/

КОМЕНТАРІ • 18

  • @amandamartinez6115
    @amandamartinez6115 Місяць тому +1

    I've learned how to get credentialed with BCBS, Cigna, Aetna, and UHC. However I am learning that Medicare is a beast of its own. Interested in taking a course.

    • @navigatingthebusinessofmed8251
      @navigatingthebusinessofmed8251  Місяць тому +1

      Hi there! Great job on what you’ve done so far. Medicare is really not that difficult if you know the steps. Unfortunately my course does not go into step-by-step for Medicare. The first step is getting permission in the I&A portal to work on behalf of the group and providers you need to credential/reassign for Medicare. You need to create your own log-in to access I&A. There are instructions on that website that to help you. When completed and you’re a user, you need to make sure they grant you permissions in PECOS specifically when they authorize you under their own accounts. Your credentials work in I&A, NPPES and PECOS (Medicare). Good luck!

    • @amandamartinez6115
      @amandamartinez6115 Місяць тому

      @@navigatingthebusinessofmed8251 Thank you!!

    • @amandamartinez6115
      @amandamartinez6115 18 днів тому +1

      @@navigatingthebusinessofmed8251 I am thinking about taking the Credentialing Specialist course in AAPC to get the certificate. I still haven't started Medicare yet, its my next project to learn. Thank you for the advice above.

  • @hasnainraza4881
    @hasnainraza4881 Рік тому +1

    Very Informative video ❤

  • @user-wo9jj6ii6t
    @user-wo9jj6ii6t Рік тому +1

    Great video Thank You. Do you know if providers need to be assigned to a surgery center if they are doing cases there once a month? Assuming the ASC is Medicare/Medicaid credentialed

    • @navigatingthebusinessofmed8251
      @navigatingthebusinessofmed8251  Рік тому +1

      Hi Tim, great question! Yes, in order to bill and be paid as in-network with Medicare, providers need to be assigned to any entities that bill with them as a rendering provider. Thank you for watching!

  • @pattran1282
    @pattran1282 Місяць тому

    Thank you for the information. Do you know what is an appropriate physical address to use when I apply for Medicare credentialing since my practice will be mobile service and I am a nurse practitioner in FL?

    • @navigatingthebusinessofmed8251
      @navigatingthebusinessofmed8251  Місяць тому

      Hi and thank you for watching! Since you’re going to be doing mobile service and not have a brick and mortar building to see patients, they will accept your home address. You can also call your Medicare Administrator Contractor (MAC) to ask while completing the application as well. Good luck!

  • @timjenkins9918
    @timjenkins9918 22 дні тому

    How do I get a community mental health center set up with medicare?

    • @navigatingthebusinessofmed8251
      @navigatingthebusinessofmed8251  21 день тому

      Hi there- you need to use the PECOS website to get the group enrolled then reassign all providers who will be working there under that group once approved. This is assuming the provider is already credentialed individually with Medicare. I encourage you to watch my videos on PECOS and other UA-cam videos on other channels. Good luck!

  • @DanielDoodles
    @DanielDoodles 6 місяців тому

    Hi! Does your company do consults for questions? There’s no contact us info on your website. Thanks!

  • @dinesht5554
    @dinesht5554 11 місяців тому

    Does any possible to get medical billing business?

    • @navigatingthebusinessofmed8251
      @navigatingthebusinessofmed8251  11 місяців тому

      I’m apologize but I don’t understand the question. Can you please rephrase the question.

    • @dinesht5554
      @dinesht5554 11 місяців тому

      @@navigatingthebusinessofmed8251
      Sorry for the inconvenience
      Have you running the medical billing service?
      Thanks in advance!

    • @navigatingthebusinessofmed8251
      @navigatingthebusinessofmed8251  9 місяців тому

      Hi. I do not own or operate a billing company.