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12 Steps to Faster Payer Enrollment&Physician Credentialing Process

Physician Credentialing: What Are the Steps & How to Speed It Up?

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Table of Contents Physician Credentialing Process (Step-by-Step Guide to Faster Payer Enrollment) Physician credentialing is not “paperwork.” It’s revenue access. If credentialing stalls, claims are denied. Start dates slip. Patients wait. Cash flow tightens. And your practice looks disorganized to payers. Here’s why this process must be treated like a revenue-critical system: the AMA notes […]

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AI Is Transforming Healthcare

How AI Is Changing Prior Authorization and Healthcare Decisions

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AI Could Finally Reduce the Burden of Prior Authorization Prior authorization has long been one of healthcare’s most frustrating bottlenecks.Now, generative and agentic AI may offer a way forward. By analysing medical records, clinical notes, and payer coverage rules at scale, AI systems can validate medical necessity, flag missing documentation, and even auto-approve eligible requests—dramatically

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Trump Unveils Healthcare Plan Aimed at Reducing Costs for Americans

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Trump Unveils Healthcare Plan Aimed at Reducing Costs for Americans   Summary: Trump’s Healthcare Plan to Lower Costs and Increase Transparency President Donald Trump unveiled a comprehensive healthcare proposal aimed at lowering prescription drug prices and insurance premiums. The plan focuses on sending healthcare subsidy money directly to consumers instead of insurance companies. It proposes

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Chronic disease outcomes and revenue impact of CCM in primary care From a numbers standpoint, CCM addresses both clinical risk and practice sustainability. Programs have reported: Reduced emergency department visits and inpatient admissions among enrolled high‑risk chronic disease patients. ​ Better control of key indicators like A1C, blood pressure, and lipids, particularly in older adults with multimorbidity. ​ On the financial side, CCM codes (such as 99490, 99439, and complex CCM codes) create a recurring revenue stream tied directly to population health and care coordination rather than only face‑to‑face visits. This helps justify investment in nurses, care managers, and digital tools that support long‑term chronic disease management. ​ Chronic disease CCM implementation tips for primary care Start with a defined high‑risk cohort (for example, patients with diabetes plus heart failure or CKD) and standardized call scripts. ​ Use a team‑based approach: delegate most CCM tasks to RNs/LPNs/MAs under clinician oversight, supported by templates, standing orders, and EHR registries.

How Can Primary Care Use CCM to Improve Chronic Disease Management?

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What are chronic diseases, and why are they so common? Chronic diseases are long‑lasting health conditions that usually last 3 months or more, often progress slowly, and can generally be controlled but not completely cured. They now account for about 8 of the 10 leading causes of death in the United States and roughly 74–75%

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UAB Health System acquires Southview Medical Group

UAB Health System Acquires Southview Medical Group in Birmingham

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What Is the UAB Health System–Southview Medical Group Acquisition?   Summary (Key Takeaways) UAB Health System has officially acquired Southview Medical Group, effective January 1, 2026 Financial terms of the acquisition were not disclosed Southview Medical Group serves 51,000+ unique patients annually with 130,000+ yearly visits The practice includes 30+ providers across internal medicine, cardiology,

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Best Medical Credentialing Companies in the USA (2026 List)

Best 10 Medical Credentialing Companies in the USA (2025 List)

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Best Medical Credentialing Companies in the USA (2026 List) Why payers, providers, and patients care about credentialing (and why it’s non-negotiable) Insurance networks don’t just “accept” anyone. Credentialing is how payers confirm a provider is verified, compliant, and eligible to deliver care under an in-network contract—so claims pay correctly, patients get covered services, and providers

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FDA Approves Wegovy Pill A New Era for Oral GLP-1 Weight Loss Medications

FDA Approves Wegovy Pill for Weight Loss | Novo Nordisk’s Oral GLP-1 Breakthrough

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FDA Approves Wegovy Pill: A New Era for Oral GLP-1 Weight Loss Medications Summary : FDA Approval: The FDA has approved the first-ever oral version of Wegovy, Novo Nordisk’s weight-loss drug, which contains semaglutide, the same active ingredient in Wegovy and Ozempic. Pill vs. Injection: This new pill version of Wegovy provides an alternative to

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Health Startup CEO Uses AI for Game-Changing Advice from Business Legends

Health Startup CEO Uses AI for Game-Changing Advice from Business Legends

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Key Points: The CEO Who Consulted AI Versions of Business Legends for Life-Changing Advice Joanna Strober, CEO of Midi Health, uses ChatGPT daily to get advice from AI versions of business icons like John Doerr and Susan Wojcicki. 8-hour conversation with John Doerr: Strober got deep insights into her startup’s OKRs, a system Doerr champions.

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How to Choose the Right Credentialing Management Platform for Your Medical Practice

Essential Credentialing Management Features for New Physicians Starting a Practice

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How to Choose the Right Credentialing Management Platform for Your Medical Practice If you’re a physician planning to start your own practice, one of the most important tasks you’ll face is ensuring proper credentialing and compliance for yourself and your team. The right credentialing management platform can streamline this process, reduce administrative overhead, and help

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Nursing Is No Longer Treated as a Professional Degree What the New Federal Rules Mean for Students and the Future of Healthcare

Nursing No Longer a Professional Degree: Loan Changes Explained

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Nursing Is No Longer Treated as a Professional Degree: What the New Federal Rules Mean for Students and the Future of Healthcare The nursing profession is facing one of the biggest policy shifts in decades. A new federal interpretation from the U.S. Department of Education—initiated under the Trump administration—states that nursing is not considered a

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