Credentialing Archives - MedBillingTech

PECOS 2.0 Revalidation: What to Do When Your Notice Arrives

A Medicare revalidation notice is not paperwork you can file for later. It has a hard deadline, and missing it deactivates your billing privileges with a revenue gap you usually can't recover. Here's what revalidation is, when it's due, exactly what to do when the notice arrives, and what happens if you miss it.

By Mark Wood October 8, 2026Credentialing3 Comments

Credentialing

Oklahoma SoonerSelect Credentialing: The Transition Explained

Oklahoma moved most of its Medicaid population into managed care under SoonerSelect, and being a SoonerCare provider no longer means you can bill for most of your Medicaid patients. This guide explains how SoonerSelect works, the two-step enrollment it requires, and what trips providers up, especially behavioral health providers.

By Mark Wood October 5, 2026Credentialing4 Comments

Credentialing

Arkansas PASSE Provider Enrollment for Behavioral Health Groups

Arkansas covers most complex behavioral health Medicaid patients through the PASSE program, not standard Medicaid, and a Medicaid provider ID does not include PASSE participation. This guide explains how the four PASSEs work, who they cover, and how behavioral health groups enroll to bill their full patient panel.

By Mark Wood September 9, 2026Credentialing4 Comments

Credentialing

Introducing CredTrack: Real-Time Visibility Into Your Credentialing

Credentialing is usually a black box. You submit applications, hand off documents, then wait with no clear view of where anything stands. CredTrack changes that: a real-time credentialing portal with live application status, renewal reminders, secure document storage, and a full audit trail, free with every MedBillingTech credentialing engagement.

By MBT Team August 19, 2026Credentialing

Credentialing

Behavioral Health Credentialing in Tennessee: TennCare and Commercial

Behavioral health credentialing in Tennessee runs through a managed care model where nearly every Medicaid dollar flows through one of three private plans. Getting enrolled with the state is only the first step; contracting with the MCOs is what lets you bill. Tennessee also skips the behavioral health carve-out most states use. Here's how it all works, on both the TennCare and commercial sides.

By Mark Wood August 13, 2026Credentialing1 Comment

Credentialing

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 how it all works.

By Mark Wood July 16, 2026Credentialing

Credentialing

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 and why it matters.

By Mark Wood July 13, 2026Credentialing

Credentialing

Do You Need Credentialing Software or a Service?

The software-versus-service question really comes down to one thing: whether you have credentialing expertise in-house. Software is a tool that makes a knowledgeable person faster. A service is a team that supplies the knowledge and does the work. Buying the wrong one is how practices end up paying for a platform nobody has time to run. Here's how to tell which fits.

By Mark Wood July 9, 2026Credentialing

Credentialing

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 it distinct and how a group should handle it.

By Mark Wood July 6, 2026Credentialing