How CAQH can help with Contracting and Credentialing matters?
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What is CAQH?
Council of Affordable Quality Healthcare (CAQH), is a non-profit organization, which was established in 2000. The reason of establishing CAQH is to collaborate the different healthcare business models altogether between insurances and healthcare providers. CAQH helps in maintaining the Healthcare database and provides a medium to transmit the required information to the Healthcare Insurances with the special permissions from the users.
Is it possible to have 2 different NPI’s under same Tax ID?
Many of the Vendors have successfully enrolled several practices to do so. But we never suggest to anyone to do so. It is better to make everything seperate.
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Is it possible to have different Specialties registered under same Tax ID?
Yes – There can be an option to have a Multi-Specialty Taxonomy to be added. At this level there are some important things which needs to be taken care properly. If you are running an Urgent Care and a Family Practice, than you can run with some problems during the reimbursement of your claims filled to many of insurances. Adopting different specialties under same Tax ID is a risky but still it is an option
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Why does most of the practices do not accept Medicaid?
The reason why the Practices do not accept Medicaid Patients is still not clearly known. But some surveys identified that the major reason to deny Medicaid Patients is of low reimbursement rates, where commercial insurances pay them a handsome amount for the same kind of services.
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