Billing & Credentialing Network - BCN

12/12/2025

Fridays are for FOLLOW-UP. Not “waiting until Monday,” not “we’ll check it later.”
Because if something has been sitting in pending since October… it’s not pending. It’s a payer problem that’s about to snowball if you don’t touch it before the weekend.

Before you log off today, take a minute to follow up on your prior authorizations, claims, denials, and credentialing updates. A little Friday follow-up keeps your revenue moving and your Monday smooth.

– BCN

11/12/2025

A lot of practices say, “We don’t bill Medicaid,” like it’s a preference… but the truth is, avoiding Medicaid often means avoiding revenue.

Medicaid doesn’t always mean low reimbursement — it usually means inconsistent processes, outdated enrollment, or billing errors that haven’t been cleaned up.
When your claims are accurate, Medicaid will pay.

And here’s the thing:
✔ Clean claims = faster payments
✔ Medicaid patients still need quality care
✔ Diversifying payers protects your practice
✔ A strong billing partner can make Medicaid profitable

If your practice has been saying “no” to Medicaid because of frustration, it might be time to reassess.
BCN can help you navigate every step.

Obtaining active status for providers by successfully completing initial and subsequent credentialing packages as required by government and commercial payers.

10/12/2025

🚨 Payer Update: Anthem Prior Auth Changes Coming 2026
CMS has reduced the required turnaround time for prior authorization approvals — from 14 days to just 7.
Anthem is updating workflows to meet the new deadline, and providers will need to adjust submission steps to prevent delays.

BCN is here to help you stay compliant, protect revenue, and avoid denials with clear documentation and accurate PA submissions.
Save this post and share it with your clinical and billing teams — smooth approvals start with correct workflows.

Billing and credentialing solutions for healthcare providers nationwide

09/12/2025

Billing should never steal time from patient care. When your staff is juggling codes, denials, and admin tasks, burnout rises while reimbursement slows down. At Billing & Credentialing Network, we streamline your workflows so providers can focus on patients and practices see faster, cleaner payments. Let’s take billing off your plate and protect the financial health of your practice. Message us or visit our website to get started today.

08/12/2025

Messy Monday — Patient Portals Edition 🧹

Let’s clear this up:
Patient portal communication is REAL care — and CMS now recognizes it with BILLABLE, reimbursable codes. 💸
Providers are spending hours messaging through portals like MyChart… documenting, reviewing charts, giving medical direction — and not getting paid for any of it. But that stops now.
✔️ The work is billable
✔️ The codes exist
✔️ Your revenue deserves better

If your billing team hasn’t updated workflows… it’s time to speak up. Don’t leave money sitting in the portal. 😉

05/12/2025

What started with a 6-year-old boy and $100 in Christmas money has grown into a movement. Ethan’s Heart has distributed 12,000+ care packages to people experiencing homelessness in Birmingham — offering food, clothing, hygiene items, and more.

Their Free Mobile Store & Educational Unit lets people choose what they need, restoring dignity while connecting them to vital resources like shelter and mental health support.

At BCN, we love seeing community + compassion in action. Learn more or support their mission: ethansheartbham.org

05/12/2025

Lately, the talk's been nonstop. Time to clear the air! CMS heard providers & dropped new billable codes for patient portal messaging & digital E&M. Reimbursement isn't huge ($14-$50), but it's something. This is exactly why we started Messy Mondays. Watch this Monday! Be sure to turn on your notifcations.

04/12/2025

Providers work too hard to battle payer pushback alone.
BCN pulls the exact data, documentation, and receipts needed to resolve insurance issues accurately and efficiently—so you can stay focused on patient care, not paperwork.

Need support with claims or insurance discrepancies?
📞 833-938-6226
🌐 bcnetw.com

03/12/2025

Payer Update for Providers
BCCHP and MMAI contracted providers must complete their required annual Blue Cross training by December 31.

There is one final guided training session available:
📅 December 16, 2025 — 10:00 AM to 12:30 PM

Training includes:
• Model of Care
• Fraud, Waste & Abuse
• Cultural Competency
• ADA & Independent Living
• Abuse, Neglect & Exploitation
• Medicare Parts C & D (MMAI only)
• ADA Site Compliance Survey

Avoid compliance issues and start the year clean by completing the training + attestation.

02/12/2025

Many practices celebrate a successful credentialing approval — and they should.
But one critical detail is often overlooked:

Approval does not guarantee billing readiness.
Your effective date does.

Here’s why this distinction matters:
• Effective dates vary by payer — some retroactively assign them, others delay activation beyond approval.
• Claims submitted before the effective date will be denied without exception.
• Scheduling providers before verifying active status leads to revenue gaps and unnecessary rework.
• Your effective date determines when billing can legitimately begin.

At BCN, we confirm approval, verify effective dates, and communicate payer-specific activation rules so that practices can schedule confidently and protect their revenue cycle.

Being credentialed is important — being credentialed and active is what gets you paid.

01/12/2025

Send the email! Don't fiddle and *think* you fixed it. If they deny it, we can't help if you didn't ask!

28/11/2025

Credentialing Timeline Reality Check for Providers

If you’re planning to bring on a new provider for early 2026, this is your reminder:
Credentialing needs to start NOW.

Most payers take 60–120 days to approve a provider — and with holiday slowdowns + January backlogs, the timeline can stretch even longer.

To avoid gaps in scheduling, billing delays, and revenue disruption, start the process early.

BCN handles the entire process for you — applications, follow-ups, verifications, and communication with payers — so your team can stay focused on patient care.

BCN | Billing & Credentialing Network
Helping providers stay ahead of every payer timeline.