How Small Provider Practices Can Get Ahead of Credentialing Challenges

How Small Provider Practices Can Get Ahead of Credentialing Challenges

Provider credentialing can be challenging for any healthcare organization. However, smaller medical practices that deliver a large share of U.S. healthcare (47% of physicians worked in practices with 10 or fewer physicians in 2024) face a unique set of obstacles compared with their larger counterparts.

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Navigating the Complexities of a Payer Audit: How Preparation Makes All the Difference

Navigating the Complexities of a Payer Audit: How Preparation Makes All the Difference

For any healthcare organization, hearing that a payer audit is on the horizon can feel like being asked to walk a tightrope without a safety net. The good news is that with the right processes and an experienced team in place, that tightrope becomes a

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Credentialing Next: Episode 3

Credentialing Next: Episode 3

Putting a bot between your clients and your support team is the wrong way to use AI. In the newest episode of Credentialing Next, Brad Boyette, our VP of Client Experience and Operations, explains why. A bot can match a question to an answer. It

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Behind the Scenes of a High-Performing Credentialing Team

Behind the Scenes of a High-Performing Credentialing Team

Provider credentialing has a reputation for being complex, and that complexity is exactly why the right team makes such a difference. When you’re working with a high-caliber credentialing team, the process moves smoothly behind the scenes. But what does it actually take to keep a

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Why Behavioral Health Staffing Organizations Thrive With Modio’s Credentialing Software

Why Behavioral Health Staffing Organizations Thrive With Modio’s Credentialing Software

Behavioral health staffing organizations face complex credentialing challenges that can lead to significant financial issues. Providers need to be placed across multiple facilities and states, often into detox, residential, partial hospitalization, and intensive outpatient programs where compliance is scrutinized closely. A credentialing hiccup can delay

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Credentialing, Immigration, and the Doctor Shortage: Our Hot Take

Credentialing, Immigration, and the Doctor Shortage: Our Hot Take

Physicians born outside the U.S. have always played an integral role in American healthcare, keeping our healthcare sector functioning, driving innovation, and ensuring patients have access to care. In fact, foreign-born doctors are older than America itself, with England’s Dr. Thomas Wotton as the first

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From CPCS to Lean Six Sigma: The Credentials Shaping Credentialing in 2026

From CPCS to Lean Six Sigma: The Credentials Shaping Credentialing in 2026

Provider credentialing has come a long way. Historically considered a back-office function (despite being one of the most fundamental processes to healthcare working smoothly), credentialing is increasingly being recognized for what it is — a core piece of patient safety, compliance, and revenue performance. As

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Why Smart ASCs Are Bringing Credentialing Out of the Shadows

Why Smart ASCs Are Bringing Credentialing Out of the Shadows

Ambulatory surgery centers (ASCs) are under more pressure than ever to operate efficiently while continuing to grow. Labor costs, supply chain issues, anesthesia coverage, and payer contract negotiations all compete for leadership’s attention. One area that often gets overlooked in that mix? Provider credentialing. It’s

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Modio’s John Bou Talks Automation in Back-Office Healthcare Operations

Modio’s John Bou Talks Automation in Back-Office Healthcare Operations

Provider credentialing is one of those tasks that only gets noticed when something goes wrong. Our Co-Founder and President, John Bou, recently shared his perspective on this exact challenge in a Healthcare IT Today roundup on automation in back-office healthcare systems. His take: the industry

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[Healthcare De Jour] John Bou, Co-founder and President, Modio Health

[Healthcare De Jour] John Bou, Co-founder and President, Modio Health

Why does credentialing take 90 to 120 days? Spoiler: it’s rarely the doctor’s fault. 👀 In this episode of Healthcare de Jure, our own John Bou, Co-Founder and President of Modio Health, joins host Matt Fisher to expose what’s really slowing down credentialing (hint: it’s

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