How to Credential with Aetna [2025]
If you’re a healthcare provider aiming to work with Aetna, one of the largest health insurance companies in the U.S., credentialing is your critical first step. Without it, you simply can’t bill Aetna or see its insured patients. But don’t stress — this guide will walk you through everything from document prep to final contract […]
Mastering UnitedHealthcare Credentialing [2025]
Credentialing with UnitedHealthcare (UHC) is a pivotal step for healthcare providers aiming to serve a broader patient base and ensure timely reimbursements. This guide delves into the intricacies of the UHC credentialing process, offering insights, resources, and best practices to navigate it efficiently. Understanding UnitedHealthcare Credentialing Credentialing is the process by which UHC verifies a […]
Medicare Credentialing – All You Need to Know
If you’re a healthcare provider hoping to serve Medicare patients, credentialing isn’t just an annoying formality—it’s your golden ticket to legally bill Medicare and get reimbursed. Whether you’re a physician opening your own clinic, a nurse practitioner joining a group practice, or an administrator running a large hospital, understanding Medicare credentialing is non-negotiable. Let’s break […]
Starting Your Telemental Health Practice in New York: A Step-by-Step Guide
Step 1: Obtain Your New York State License Understanding Licensure Requirements To legally practice telemental health in New York, obtaining a state license is paramount. The New York State Education Department (NYSED) oversees the licensure of mental health professionals. Depending on your specialization—be it as a Licensed Mental Health Counselor (LMHC), Licensed Clinical Social […]
Beneficial Ownership Filing: How to Stay Compliant with the CTA?
Introduction Beneficial Ownership Filing has become a cornerstone of business compliance in an era where corporate transparency is key to fostering trust and accountability. The Corporate Transparency Act (CTA), enforced by the Financial Crimes Enforcement Network (FinCEN), mandates this filing to curb financial crimes like money laundering and tax evasion. For U.S. businesses, understanding and […]
OB/GYN Medical Billing Services
OB/GYN Medical Billing Services Welcome to Rx-Credentialing, where we specialize in providing comprehensive OB/GYN medical billing services tailored to the unique needs of obstetricians and gynecologists across the United States. Our mission is to simplify the billing process, allowing healthcare providers to focus on what they do best: delivering exceptional patient care. Why Choose Rx-Credentialing ? At Rx-Credentialing, […]
ENT Medical Billing Services: Boost Your Practice’s Efficiency and Revenue
Understanding the Complexity of ENT Medical Billing Managing medical billing for ENT (Ear, Nose, and Throat) practices is intricate and constantly changing. With frequent updates to government regulations, handling billing internally can become overwhelming. This complexity raises an important question: Should your practice continue managing billing in-house, or is it time to outsource to […]
Understanding the 7th Character “S” of Sequela in Medical Coding
In the realm of medical coding, understanding the nuances of coding systems is vital for healthcare providers, coders, and billing specialists. One critical aspect of this is the 7th character “S,” which signifies sequela, or the after-effects of a previous injury or condition. Knowing how to accurately apply this character can have significant financial implications for medical practices. […]
Difference between refund and recoupment in medical billing
Introduction Significance of Refund and Recoupment in Medical Billing In the realm of medical billing, understanding the significance of refund and recoupment is crucial for maintaining financial health. While both involve the return of funds, they operate in distinct contexts, necessitating a clear understanding to navigate the intricate landscape of healthcare revenue management effectively. The […]
What is Entity Code in Medical Billing?
Understanding Entity Codes in Medical Billing What are Entity Codes? Entity codes, vital in medical billing, serve to categorize entities involved in billing healthcare services. These alphanumeric identifiers play a critical role in accurately attributing charges, ensuring seamless financial transactions within the healthcare system. Entities Involved in Medical Billing In the world of […]