Reading Time: 4 minutes Silent PPO is a name used to describe when a contracted payer’s fee schedule is applied by a non-contracted payer or plan administrator to services rendered by a medical provider without that provider’s knowledge. How Silent PPO Happen Silent PPO is a complicated repricing scheme, around since the early 1990s, that sees the practice of […]
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Reading Time: 3 minutes What is Credentialing? Credentialing is the process by which a practitioner’s license, education, training, experience, and other qualifications are verified in order for them to provide care or services in or for a health care organization. This process’ role is to help maintain standards of quality in the medical community for the benefit of patients. […]
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