Credentialing Guru

Credentialing Guru Expert coaching and training for behavioral health and addiction treatment professionals. Your success starts here!

Streamline processes, boost compliance, and thrive in credentialing and payer enrollment.

For behavioral health providers or those in credentialing those providers- who need some extra help in what the 2026 upd...
04/01/2026

For behavioral health providers or those in credentialing those providers- who need some extra help in what the 2026 updates are to the JACHO standards. I have put together a summary. If you are interested-check it out.

ifccredentialing.com

If you’ve ever opened the Joint Commission Behavioral Health manual and thought,“Where do I even start?” — this guide was created for you.This is a clear, structured breakdown of the most important Joint Commission Behavioral Health standards — translated into plain language with real-worl...

For years I have watched credentialing professionals struggle with the same problem.They know how to complete payer enro...
03/18/2026

For years I have watched credentialing professionals struggle with the same problem.

They know how to complete payer enrollments, but they have never been taught how to price their work.

Most credentialing consultants enter the field from billing, administration, or provider operations. They understand CAQH, PECOS, Medicaid enrollment, payer portals, and the technical process of credentialing.

But the business side of credentialing consulting is rarely discussed.

And the result is predictable.

Consultants often charge based on how long they think an application should take — not on the true lifecycle of payer enrollment.

The reality is that the application is only the beginning.

The real work happens in the weeks and months that follow:

• payer portal monitoring
• documentation requests
• corrections and resubmissions
• follow-ups with credentialing departments
• resolving administrative friction between providers and payers

In many credentialing projects, follow-ups alone consume 60–70% of the total labor.

This is why so many credentialing professionals feel like they are working far harder than they are being paid for.

Over the past several months, I began organizing my own time-tracking data, contractor invoices, and pricing models to better understand the economics of credentialing consulting.

That process turned into something larger.

I’ve just finished writing a new resource:

The Credentialing Consultant’s Pricing Workbook:
How to Price Insurance Credentialing and Provider Enrollment Services. Check it out ! It will change how you think about pricing your services.

ow to Price Insurance Credentialing and Provider Enrollment ServicesMost credentialing professionals know how to complete payer enrollments.But very few know how to price their services properly.As a result, many credentialing consultants unknowingly undercharge, overwork, and struggle to build sust...

Some people have beautifully organized desks.Color-coded folders. Neatly stacked papers. A calm workspace where everythi...
03/12/2026

Some people have beautifully organized desks.
Color-coded folders.
Neatly stacked papers.
A calm workspace where everything has a place.
And then there are the rest of us…

The “creative filing system” professionals — where important documents live somewhere inside a small mountain of papers, sticky notes, coffee cans, and the occasional pen that has mysteriously lost its cap.

The truth is, organization doesn’t come naturally to everyone.

But studies show that cluttered workspaces actually increase stress and reduce our ability to focus because the brain has to process all the visual noise around us. When things are organized, our brains can concentrate on the work that actually matters.

So if your desk occasionally looks like a paper tornado passed through… you’re not alone.

Just remember: sometimes purpose and productivity start with something very simple —

clearing one small corner of your desk.
(And maybe finding that document you printed three days ago.)

If your desk looks like this… don’t worry.
Mine has looked this way too.
But when it comes to credentialing, payer enrollment, and practice operations, a good system makes all the difference.

If you’re a behavioral health facility owner/provider who needs help getting organized with credentialing and contracting or growing your practice— I’m always happy to talk..

working on our website. We have neglected it... https://ifccredentialing.com/still not sure I love it. BUT... that being...
03/11/2026

working on our website. We have neglected it... https://ifccredentialing.com/

still not sure I love it. BUT... that being said. Our goal is to have more resources available and to highlight our services specific to coaching and consulting for other credentialing professionals. Personal and customized. We want to share what we know. Let us know if you have questions about how to best work with SUD
facilities and groups

Credentialing, consulting and insurance enrollment and contracting for mental health providers, facilities and groups.

Starting and growing your business. The details behind the work that can sink your or help you blossom. I had a great co...
02/27/2026

Starting and growing your business. The details behind the work that can sink your or help you blossom.

I had a great conversation yesterday with a fellow who was leaving Blue Cross Blue Shield- internal network management - to open his own small business. I was thinking in my head "good for you-BCBS is a hot mess- can you give me a secret phone number ?" 😁

What is his new business ? A cookie business !!! YAY- I love cookies. He told me about his plan, his passion was he loved baking- His product and how he was going to do this and that. I thought he had a great idea- it's amazing how you can think out of the box about a COOKIE business. I won't give away his secrets but I sat there thinking how many people I knew that I could connect him with that could create sales for him.

He had his business message down pretty good and was ready with samples.

Think about your business...you may have enough ongoing business that you don't feel the need to craft a good business message. who are you and what do you do?

"I sell cookies" That is not good enough.

1. Name of your business.

2. Your service ( or product).

3. Why is your service or product different or better?

Here is the wild thing. Down the road, you can change this ! You get a new idea, you expand your services- something new to offer. Craft a new message.

Think about who your customers are now. Are you measuring that success? I don't mean "tracking your applications" How happy are your clients?

Take a few minutes and journal about whether your interactions and communications are attracting the interest of customers, contributing to securing that agreement and are your good results increasing profits.

I realized after talking to the cookie guy there was a revenue model that might work for me that I had not considered.

**** If any of you are in the Dallas-Fort worth North metro and want a good cookie guy- let me know. ☺️

If you are looking for help in your provider business let me know.

Congratulations to the USA Hockey Team on bringing home Gold 🇺🇸🥇We love sports in our family. While hockey isn’t our spo...
02/23/2026

Congratulations to the USA Hockey Team on bringing home Gold 🇺🇸🥇
We love sports in our family. While hockey isn’t our sport — we’re more of a track & field household with a bit of basketball mixed in — the mindset of high performers is universal. while I wasn't the athlete in the family. My role was support. Cheering, driving to games, cheering - arguing with refs, buying pole vault poles, shoes, shoes, shoes - that's what Mom's do. 😁
Sports have a way of teaching lessons that extend far beyond competition:
Discipline. Resilience. Goal orientation. Healthy competitiveness.

And perhaps most importantly — teamwork.

High performers understand something fundamental: You must love the game and give 100% to the effort.

Excellence is rarely about talent alone. It’s about consistency, commitment, and showing up fully — especially when it’s hard.

Thank you, USA Hockey, for the reminder. I'm proud of you. Congrats on an incredible achievement.

Waiting on credentialing? Your patients still need care.If your in-network application has been submitted and is still p...
01/26/2026

Waiting on credentialing? Your patients still need care.

If your in-network application has been submitted and is still pending (and yes — 90+ days is common), that doesn’t mean treatment has to stop or be delayed.

When a patient needs medically necessary care before your network effective date, your billing team can request a Single Case Agreement (SCA) with the payer.

An SCA allows you to:
✔️ Treat a specific patient
✔️ Get paid at agreed-upon rates
✔️ While your credentialing is still in process

It’s temporary, case-specific, and designed to protect continuity of care — not replace network participation.

If you’re pending INN and a patient needs services now, ask:
👉 “Can we request a Single Case Agreement?”

Care doesn’t wait — and with the right process, neither should your practice.

if you need more info on how to manage a single case agreement see our library of resources

Credentialing delays are normal — but patient care can’t wait. This Single Case Agreement (SCA) Resource Bundle was created for providers and practice owners who are pending in-network and need a clear, compliant way to treat patients and get paid in the meantime. Inside, you’ll find plain-lan...

Life is not for the faint of heart. It will knock the breath out of you, sometimes before breakfast. It hands out losses...
01/13/2026

Life is not for the faint of heart.

It will knock the breath out of you, sometimes before breakfast. It hands out losses and disappointments with a casual shrug, as if to say, Yes, this too. You don’t get a warning. You don’t get a manual. You just get up, again and again, and do the best you can with what’s left in your hands. And somehow—miraculously—there are moments of astonishing beauty tucked right in the middle of the mess. Which makes the joy feel sharper, truer, earned.

The struggle is real, and it’s not just the big catastrophes. It’s the daily grind, the quiet griefs, the hopes that wobble, the plans that don’t pan out. These are the things that sand us down and shape us. They don’t make us perfect, but they make us honest. And they teach us how sweet the good moments are when they finally show up.

Most of the things we say to ourselves—the little phrases, the mantras, the steady reassurances—aren’t about being brave in public. They’re about survival. They’re how we talk ourselves through the day. How we stay upright. How we remind ourselves that we’re still here, still trying, still allowed to hope.

Now - get to work and call that payer.

If you need help setting up a new practice or taking on credentialing on your own-let us know. happy to help.

HAPPY DAY AFTER CHRISTMAS - HERE WE GO 2026January is the best time to clean up insurance credentialing before payer bac...
12/26/2025

HAPPY DAY AFTER CHRISTMAS - HERE WE GO 2026

January is the best time to clean up insurance credentialing before payer backlogs hit.

We are offering a January Credentialing Jumpstart for behavioral health providers who want to get positioned for payer panel in-network status without the overwhelm.

who want to start the year positioned for in-network success.

✔ CAQH audit, review, re-attesting & cleanup

✔ Medicare and Medicaid application

✔ Roster cleanup & provider adds

✔ Submission to 1–2 commercial payers

✔ Fee schedule review or contract rate increase request

✔ A Single Flat-Fee, done-for-you sprint

Limited January availability.

Comment “Jumpstart” or message me if you’d like details.

Perfect for small group practice or single providers. For OBOT or MAT looking for accreditation help: send me a message.

Recovery Made Possible—Even From Miles Away 🌄 From our collaborative partner IPILL. Meet Jake—he lives in a small rural ...
07/02/2025

Recovery Made Possible—Even From Miles Away 🌄 From our collaborative partner IPILL.

Meet Jake—he lives in a small rural town, hours from the nearest clinic. But he's committed to staying in recovery and following his medication-assisted treatment plan.

Before, Jake had to drive to the clinic every single day just to get his medication. It was exhausting, costly, and sometimes impossible with work and weather. But now, thanks to the FDA-approved iPill dispenser, Jake can receive his medication securely at home—with oversight from his provider—and stay on track.

✅ No daily clinic trips
✅ Safe, tamper-resistant dispenser
✅ Increased privacy and dignity
✅ Better consistency in treatment

The iPill dispenser is giving patients like Jake a real chance at long-term recovery—no matter where they live.

Recovery shouldn’t depend on your ZIP code. Learn more about how iPill is changing lives: www.ipilldispenser.com

Improving Opioid Treatment at Home. The iPill dispenser safely and securely delivers medication assisted therapy (MOUD) through its patent-protected device. iPill is a secure medication dispenser that helps remove barriers to Suboxone OUD therapy by offering safe, effective, at-home treatment.

As a contractor handling behavioral health credentialing and payer enrollment, you often join big organizations with mes...
06/21/2025

As a contractor handling behavioral health credentialing and payer enrollment, you often join big organizations with messy, broken processes.

It’s tempting to jump in, point out flaws and want to fix everything, but here’s a better approach:

Keep it positive, build relationships, and focus on your work. Take off your hard hat and put away your fix-it tools.

Stay Positive: A good vibe goes a long way. Even if the system’s a mess, bring energy and a can-do attitude. don't complain or gossip.

Connect with People: Chat with admins, clinicians, and staff. Listen, learn, and build trust—it’s your biggest asset.

Communicate Clearly: Fragmented systems breed confusion. Be upfront, share updates, and keep everyone on the same page.

Do Your Job Well: Complete your tasks—credentialing and enrollment. Show your value through results, not by tackling their chaos.

Share Ideas Later: As trust grows, you’ll get chances to suggest better processes. Don’t force it; let those convos happen naturally.

By staying positive, connecting with people, and delivering solid work, you’ll become a go-to partner. The system fixes? That’s a bonus, not your mission.



ipilldispenser.com credentialingguru.com

an ongoing challenge for recovery professionals is how do I help my outpatient client stay current with his OPT or MAT p...
06/13/2025

an ongoing challenge for recovery professionals is how do I help my outpatient client stay current with his OPT or MAT program? How can I help y remote clients who can't come into the office.

The answer is a system that bridges that service gap. An FDA approved medication dispenser. Specifically designed for the SUD provider.

It will generate revenue and there are many options for funding if you are a non profit provider.

Check it out and if you have questions about it email me nancy@ipillrcm.com

Improving Opioid Treatment at Home. The iPill dispenser safely and securely delivers medication assisted therapy (MOUD) through its patent-protected device. iPill is a secure medication dispenser that helps remove barriers to Suboxone OUD therapy by offering safe, effective, at-home treatment.

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