In the fast-moving world of healthcare, change is constant and that includes credentialing rules and compliance requirements. Insurance payers, state boards, and federal agencies frequently update their policies, and staying informed is critical to maintaining your practice’s good standing.
At Eyecare Billing Associates, we help providers stay credentialed and compliant by keeping a close eye on evolving regulations. Here’s how you can stay up to date on credentialing requirements and healthcare laws without becoming overwhelmed.
1. Subscribe to Official Sources
Regulatory bodies like the Centers for Medicare & Medicaid Services (CMS), the National Committee for Quality Assurance (NCQA), and your state medical board often release updates, guidance, and alerts. Subscribe to their newsletters or email alerts to receive accurate, real-time updates.
Pro Tip: Set up a dedicated email folder for credentialing updates to keep your inbox organized.
2. Monitor Payer Portals
Each insurance company may have different credentialing requirements and timelines. Payer portals (e.g., UnitedHealthcare, Blue Cross Blue Shield, Aetna) often publish updates regarding recredentialing, document changes, or policy shifts.
Check-in monthly, or better yet, assign a credentialing partner like Eyecare Billing Associates to manage it for you.
3. Join Professional Associations
Organizations like the American Medical Association (AMA), Medical Group Management Association (MGMA), and specialty-specific associations often provide valuable updates, webinars, and best practices related to credentialing and compliance.
Networking with other professionals in your field can also help you stay ahead of regulatory changes that affect your specialty.
4. Attend Webinars and Continuing Education
Many healthcare organizations offer free or low-cost webinars focused on compliance, payer enrollment, and credentialing trends. Make time for quarterly education, and make continuing education a habit, not just a requirement.
At Eyecare Billing Associates, we also offer educational resources and consulting services to keep our clients informed and proactive.
5. Partner With Credentialing Experts
Perhaps the most effective way to stay current is to work with a credentialing company that makes it its business to monitor regulatory changes. We stay ahead of healthcare laws, payer updates, and compliance deadlines, so you don’t have to.
Final Thoughts
Staying current on credentialing rules and healthcare regulations may seem overwhelming, but it’s essential for protecting your license, your income, and your reputation. With the right tools and expert support, you can stay compliant and stay focused on patient care.
Need help keeping up? Contact Eyecare Billing Associates today to put your credentialing on autopilot.