Active Credentialing Services

Active Credentialing Services Credentialing Sevices for Healthcare Providers
(2)

Operating as usual

04/28/2021

Providers if you get a call from someone stating their with CMS stating your user and password has been changed, it is a scam!

03/30/2021

Happy Doctor’s Day

We would like to congratulate, Casey Dillion, PA-C and North Main medical, for their open house
03/10/2021

We would like to congratulate, Casey Dillion, PA-C and North Main medical, for their open house

Would like to thank my girls for a wonderful time tonight! Connie Wright McKinney, Stephanie Routh, Tamara Eroh, Megan S...
12/05/2020

Would like to thank my girls for a wonderful time tonight! Connie Wright McKinney, Stephanie Routh, Tamara Eroh, Megan Stoughton, Nikki Thompson, Heather Woody, Lisa O’Brien and missing tonight:
Lindsay Baker, Melissa Rector, Sarah Hritz and Lisa Busch

02/05/2020

Reminder providers to get 2 CME I in controlled substance, the state of TN requires it every 2 years!!

Our business sure has grown! We missed Michelle Weaver, Lisa Busch and Debbi Galbraith!
12/15/2019

Our business sure has grown! We missed Michelle Weaver, Lisa Busch and Debbi Galbraith!

11/19/2019

I would like to take this time, say happy birthday, Lisa O’brien,one of our top biller’s and coder!

09/20/2019

Our company would like to welcome our newest business employee,
Debbi Galbraith!

09/20/2019

Reminder to providers to update your CAQH and NPPES account, this can slow payments from insurances down! Also, BCBS TN Advantage to update your rewards program, to het higher allowable rates!
Also, TN providers to do your 2 CME state requirements for Controlled Substance Abuse, every 2 year. Vanderbilt has 2 CME’s online course for free, to apply toward the requirement.

05/31/2019

TN Controlled Substance Prescribing Educational Resources
The following resources will satisfy Tennessee’s mandatory 2 hour continuing education controlled substance prescribing requirement for license renewal.

Route One Tennessee

Upcoming Opioid Education Modules through QuizTime

VUMC & TN Department of Health

"Chronic Pain Guidelines and Controlled Substance Efforts"

2.75 CMEs

Cost: Free

CME Website Instructions

Course Expires: July 25, 2019

05/31/2019

Healthcare Providers: I can not stress enough how important it is to have you're CAQH(The Council for Affordable Quality Healthcare)
Credentialing updated! You're CAQH should be attested every 120 days. Most insurance companies rely on you're information through CAQH. Not updating you're CAQH could also delay cash flow for you're clinic!

03/22/2019

We would like to take this time to thank Acute Care Clarkrange and Jamestown for entrusting us with their Credentialing needs and medical billing!!

11/09/2018

If you have any Credentialing or medical billing needs, contact us!

Our company also does medical billing for practices! Some of our clinics that we do medical billing, which includes acco...
08/03/2018

Our company also does medical billing for practices! Some of our clinics that we do medical billing, which includes accounts receivable, collections, posting etc..
are
Plateau Medical Specialist(Steven Pribanich, M.D.),
Acute Care Clinic(Jill Kuykendall Denney, PA-C, Joan Gardner, PA-C, Chad Conatser, M.D., and Chadrick Hull, PA-C)
Richard Buurman, M.D.
Synergy Medical Associates (Joanna Gibbs,M.D. and Renee Boston, PA-C)
Sale Creek Primary Care(Whitney Ross, PA-C)
Willie Anderson, M.D.
Dayton Family Practice (Howard Brock, M.D.)
Medical Services Management, LLC consists of the following Billing Specialist: Gina Werden Leary, Tamara Eroh, Lisa O’brien, Connie Wright McKinney, Lindsay Baker, Sarah Hritz, Katie Hayes, and Mollie Smith!! Please call me to get more details 931-248-1414

06/30/2018

Reminder the new TN OPIOID LAWS take effect 7-1-2018

03/22/2018

Reminder that Availity has taken place of Blue Cross and Blue Shield of TN! Palmetto Medicare has taken place of Cahaba!

03/16/2018

We would like to thank
Whitney Pugh Ross, PA-C and
Sale Creek Primary Care, PLLC for entrusting in us for their Credentialing and Billing needs!!

01/06/2018

Updates 2018:
Tricare South now goes through Tricare East. You must apply to send EDI claims.
BCBS will be going through Availity, so be sure you have an account to get you’re remittances and check eligibility.
Medicare will be changing over to Palmetto. You must be registered to get remittances and check eligibility. Also, Medicare patients will be sent new cards.

National Commission on Certification of Physician Assistants (NCCPA)
12/16/2017

National Commission on Certification of Physician Assistants (NCCPA)

Do your friends and patients know that #CertifiedPAs perform surgical procedures? It's time they do!

shareable #PAfacts #spreadtheword #PAsDoThat

more at pasdothat.net

11/09/2017
Welcome to Palmetto GBA eServices

Reminder:

Okay my Tennessee providers, as of February 28, 2018, Palmetto will be handling part B Medicare claims and EDI. You need to be sure you have an online account set up now!
The web address is:
https://www.onlineproviderservices.com/ecx_improvev2/

This warning banner provides privacy and security notices consistent with applicable federal laws, directives, and other federal guidance for accessing this Government system, which includes (1) this computer network, (2) all computers connected to this network, and (3) all devices and storage media...

09/08/2017

Healthcare Providers: I can not stress enough how important it is to have you're CAQH(The Council for Affordable Quality Healthcare)
Credentialing updated! You're CAQH should be attested every 120 days. Most insurance companies rely on you're information through CAQH. Not updating you're CAQH could also delay cash flow for you're clinic!

06/19/2017

We would like to thank
Joanna Gibbs, M.D. and Renee Boston, PA-C for entrusting their Credentialing and Medical billing needs with our company!

04/28/2017

Reminder healthcare providers there are a lot of ICD 10 codes not to use! If you want to get paid be mindful of unspecified codes and depression codes as well!!

04/07/2017

Providers reminder to keep your CAQH up to date! Do not delay this could stop your money flow!

01/20/2017

We would like to thank Richard Buurman, M.D., for entrusting our company with his medical billing and Credentialing needs!

12/03/2016
Active Credentialing Services

January 1, 2017 will be here before you know it! All healthcare providers (MD,NP,PA etc..) must be Credentialed no matter their position in a clinic or hospital! Also, CAQH is continually updating their website. We are now being told that United Healthcare does not use CAQH, so the providers demographics have to be attested every 90 days on the UHC website. If this process is not being done this can delay your payments or termination of contract. Also, BCBS is on a war path on auditing any and all mid level providers. Be sure to have providers removed from your practice, if they no longer work for your clinic. It is so important that your billers be mindful of what they are doing, when posting charges.

Healthcare providers as of 1-1-2017, BCBS of TN requires all NP's and PA's to be Credentialed!

11/18/2016

Healthcare providers as of 1-1-2017, BCBS of TN requires all NP's and PA's to be Credentialed!

10/19/2016

Reminder providers the CMS 1557, civil rights posting is required for all practices effective October 16, 2016!

10/17/2016

We would like to thank Howard Brock, M.D., for entrusting us with his Credentialing and Medical Billing needs.

08/03/2016

Providers CAQH has updated their system again. Be sure your managers update your information ASAP to help prevent from insurance companies holding your claims!

06/15/2016

We would like to take the time to thank
Gamal Eskander, MD and Chad Conatser, MD of Acute Care Clinic, Crossville, TN for entrusting in us with their Credentialing needs.

06/15/2016

We would like to take the time to thank Bennett Bridges-Carlos, LCSW of Sewanee, TN, for entrusting in us with her Credentialing needs.

06/15/2016

We would like to take the time to thank Wendy Henderson, NP-C and Wanda Price, NP-C with Exac Care of Crossville, TN for entrusting in us with their Credentialing needs!

02/03/2016

We would like to say thank you to Sunshine Specialty Clinic, Dr. Bowers and Kim Boring, NP-C of Crossville, TN for entrusting in me and my staff for their Credentialing needs!

We would like to thank The Center for Spine, Joint & Neuromuscular RehabilitationBrentwood|Hermitage|Mt. Juliet|Murfrees...
01/04/2016
Pain Management Nashville, TN | Nashville Pain Relief

We would like to thank The Center for Spine, Joint & Neuromuscular Rehabilitation
Brentwood|Hermitage|Mt. Juliet|Murfreesboro|Nashville
www.SJNMR.com
615-872-9966
For entrusting us with their Credentialing needs!

If you're in need of pain management in Nashville or simple relief for any type of pain, whether chronic or recent, our pain specialists at SJNMR can help.

Address

4318 Genesis Rd
Crossville, TN
38571

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

Telephone

(931) 248-1414

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