Medicare enrollment Archives

Credentialing a New Practice: The Startup Checklist

Credentialing a new practice is a sequencing problem: payers won't review a group without a tax ID, Type 2 NPI, bank account, and real address, and Medicare won't accept an application more than 60 days early. This checklist covers what to set up first, the order to file each payer, and the mistakes that stall new-practice launches.

By Mark Wood October 22, 2026CredentialingNo Comments

Credentialing

Medicare Enrollment Denials: Why CMS Returns Applications and How to Fix Each One

Most Medicare enrollment "denials" are really returns or rejections, and CMS treats each one differently. This guide explains why CMS returns, rejects, or denies an application, what each outcome costs you in lost effective date, and the exact fix and appeal deadline for each reason.

By Mark Wood October 19, 2026CredentialingNo Comments

Credentialing

How to Add a Provider to Your Group Without Losing Revenue

Enrollment lags behind a new provider's start date, and Medicare's 30-day retrospective billing rule means every extra day of delay is revenue you can't recover. Here's how the window works and how to bridge the gap while enrollment is pending.

By Mark Wood October 12, 2026Credentialing1 Comment