Billing & Credentialing Network - BCN

Billing & Credentialing Network - BCN Our mission is to provide remarkable health administrative services to all medical professionals.

📢 Provider Update: Prior Authorization Expansion for Physician-Administered DrugsEffective Nov. 15, 2025, the South Caro...
07/11/2025

📢 Provider Update: Prior Authorization Expansion for Physician-Administered Drugs

Effective Nov. 15, 2025, the South Carolina Department of Health and Human Services (SCDHHS) will require prior authorization (PA) for additional physician-administered drugs under the Healthy Connections Medicaid Fee-for-Service program.

✅ Check the updated list of affected drugs in the Procedure Codes section of the Physician Services Provider Manual on the SCDHHS website.

Staying informed ensures timely authorizations and continued access to care for your patients.

Your practice doesn’t need more staff—it needs cleaner billing.Most revenue problems aren’t about headcount. They’re abo...
06/11/2025

Your practice doesn’t need more staff—it needs cleaner billing.
Most revenue problems aren’t about headcount. They’re about process.

👉 Every denied claim slows cash flow.
👉 Every credentialing delay risks contracts.
👉 Every error adds up.

Streamline your billing, strengthen your process, and your bottom line will follow.

Save this reminder for the next time you think you need “more help” when what you really need is a cleaner system.

Behavioral health providers — there’s good news from Medicare! 🎉CMS released a new FAQ (Oct 15) clarifying telehealth ru...
05/11/2025

Behavioral health providers — there’s good news from Medicare! 🎉

CMS released a new FAQ (Oct 15) clarifying telehealth rules, and we’ve broken it down for you:
✅ Patients can receive telehealth from anywhere — no rural or facility limits.
🔉 Audio-only sessions are still covered if video isn’t an option.
🏢 New clients need an in-person visit within 6 months; ongoing patients once every 12 months.
🏥 RHCs, FQHCs, and hospital-employed providers have until Jan 1, 2026, before this applies.
🧾 Billing reminder: Use POS 10 (home) or POS 02 (other telehealth sites).

💡 Bonus: MACs have officially lifted claim processing holds for services starting Oct 1, 2025 — so claims should begin moving again soon!

📌 Save this post for reference and share it with your team — staying informed is the best way to stay compliant.

Illinois Medicaid Behavioral Health update (effective January 1, 2026).Molina Healthcare of Illinois is changing inpatie...
03/11/2025

Illinois Medicaid Behavioral Health update (effective January 1, 2026).
Molina Healthcare of Illinois is changing inpatient Behavioral Health notification and review timelines to comply with the Healthcare Protection Act.

• Notify Molina within 48 hours of inpatient admission to receive a reference number.
• If notification is on time, concurrent review starts 72 hours after admission; if late, it starts day 1.
• To extend past 72 hours, submit a continued stay request within 12 hours after the initial 72-hour window with clinicals from admission through 72 hours + the reference number.
• Daily rounding required by a psychiatrist (MD/DO) or certified mental health NP in inpatient BH settings.

Tip: Make sure your admissions + UM teams have this saved, and verify Availity Essentials access for authorizations, eligibility, and claims.

Save & share with your team. Need help tightening your workflow? BCN can streamline your intake-to-UM steps.

31/10/2025

Beware… the ghost of unpaid claims is lurking! 👻

Even the bravest medical billers can get spooked by:
Mysterious denials that appear out of nowhere 🕵️‍♀️
Claims vanishing into the “void” of insurance portals 💀
The dreaded “resubmit” email at midnight 🕛

Fear not! At BCN, we tackle those billing monsters so you can focus on patient care instead of paperwork.

💡 Pro tip: Don’t let your revenue haunt you—let us handle the scary stuff!

Pre-authorizations don’t have to slow you down — unless you’re believing these myths:🚫 Delays are always the payer’s fau...
28/10/2025

Pre-authorizations don’t have to slow you down — unless you’re believing these myths:

🚫 Delays are always the payer’s fault
✅ Most delays come from incomplete submissions

🚫 You can’t check status once it’s submitted
✅ Many payers allow proactive follow-up

🚫 Every service needs pre-auth
✅ Only specific codes require it

🚫 One approval covers all visits
✅ Most are time-limited or visit-specific

Billing & Credentialing Network helps you streamline pre-authorizations so approvals come faster and payments arrive sooner.

Denied claims don’t mean lost revenue — they mean missed details.Here are a few common denial codes we see (and how to f...
27/10/2025

Denied claims don’t mean lost revenue — they mean missed details.

Here are a few common denial codes we see (and how to fix them):
✅ CO-97: Check modifiers and bundling rules.
✅ CO-16: Missing info — verify every required field.
✅ CO-50: Not covered — confirm pre-authorization.
✅ CO-29: Missed timely filing — review daily submissions.

At Billing & Credentialing Network, we help healthcare providers turn “denied” into “paid.”

Waiting on payments?Here are 5 ways to speed up your claim turnaround and protect your cash flow:✅ Verify insurance befo...
24/10/2025

Waiting on payments?
Here are 5 ways to speed up your claim turnaround and protect your cash flow:
✅ Verify insurance before every visit
✅ Submit claims daily
✅ Review denials weekly
✅ Keep provider info current
✅ Track top 5 payers for repeat issues

Every claim tells a story. Let BCN help you make sure yours leads to on-time payments.

It’s almost month-end—are your claims ready? 👀Don’t wait for the 31st! Every Thursday, spend 15 minutes to:📂 Clear pendi...
23/10/2025

It’s almost month-end—are your claims ready? 👀
Don’t wait for the 31st! Every Thursday, spend 15 minutes to:
📂 Clear pending claims
🧾 Review denied claims
📈 Track your top payers

A cleaner close = faster cash flow.

🚨 MESSY MONDAY RECAP — EPISODE 12Government Shutdown & Your Practice’s Cash FlowIf the government shuts down, patient co...
22/10/2025

🚨 MESSY MONDAY RECAP — EPISODE 12
Government Shutdown & Your Practice’s Cash Flow

If the government shuts down, patient coverage delays are possible — and that means potential reimbursement gaps.

Here’s what you can do right now:
💡 Verify coverage days before each visit.
💡 Watch for delays in claims processing.
💡 Keep patients informed so there are no surprises.

BCN keeps healthcare practices informed, compliant, and financially steady — even during uncertainty.

📺 Watch the full episode here: https://www.youtube.com/

💬 Comment “INFO” if you’d like us to send you the summary PDF from this week’s episode.
📌 Save & Share to help another provider stay ready!

2 simple tips = faster claims and fewer headaches.1️⃣ Double-check modifier usage. It’s one of the top reasons claims ar...
16/10/2025

2 simple tips = faster claims and fewer headaches.

1️⃣ Double-check modifier usage. It’s one of the top reasons claims are denied.
2️⃣ Use consistent documentation across your EMR and billing system. Mismatched notes delay approvals.

💡 Bonus tip? Let BCN review your process. You might be missing money and not even know it.

Save this if claims are getting stuck in limbo.

Q: Why get credentialed with multiple insurance companies?A: Self-pay is simple, but credentialing expands your reach. I...
10/10/2025

Q: Why get credentialed with multiple insurance companies?

A: Self-pay is simple, but credentialing expands your reach. It allows more patients to access care, reduces their out-of-pocket costs, and positions your practice for growth.

Being credentialed means:
✅ Better reimbursement leverage
✅ Compliance & trust
✅ Competitive edge
✅ Lower financial burden for patients
✅ Ability to offer specialized services

👉 Ready to get paneled with more carriers? We can help—reach out today.

Address

Chittagong Division

Opening Hours

Monday 09:00 - 17:00
Tuesday 09:00 - 17:00
Wednesday 09:00 - 17:00
Thursday 09:00 - 17:00
Friday 09:00 - 17:00

Telephone

+18339386226

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