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Locum Tenens Credentialing: How It Works

Locum tenens credentialing works differently from standard credentialing because a locum usually bills under the absent physician's identity, not their own. It keeps the schedule covered without waiting out a 90-day credentialing cycle, but it comes with a specific set of rules: the Q6 modifier, the 60-day limit, exclusion screening, and wide payer variation. Here's…

Hospital Privileging vs Payer Credentialing: What’s the Difference?

Payer credentialing and hospital privileging get used interchangeably, but they answer completely different questions. One determines whether an insurer will pay you. The other determines whether a hospital will let you perform specific procedures on its premises. A provider can have one without the other, and confusing them creates costly gaps. Here's how they differ…

Behavioral Health Credentialing: Why It’s Different and What to Watch For

Behavioral health credentialing follows the same basic mechanics as any other credentialing, but a handful of differences make it harder, slower, and easier to get wrong: the carve-out structure most payers use, a thicket of license types that vary by state, supervision rules for associate-level clinicians, and separate substance use disorder requirements. Here's what makes…