CAQH in Medical Billing

Credentialing isn’t the most glamorous part of healthcare—but it is one of the most essential. Without proper enrollment, a provider won’t get paid. This is where CAQH (Council for Affordable Quality Healthcare) steps in, revolutionizing how provider data is collected, stored, and shared with payers. For medical billers, practice managers, and independent providers, understanding CAQH … Read more

PECOS in Medical Billing: The Backbone of Medicare Provider Enrollment

PECOS in medical billing

n the ever-evolving world of medical billing, one system sits quietly behind the scenes, ensuring that providers are recognized, claims are processed, and compliance is maintained: PECOS. While it might not be as commonly discussed as coding practices or reimbursement strategies, PECOS (Provider Enrollment, Chain, and Ownership System) is an essential tool for medical billing … Read more