healthcare compliance and credentialing

symplr Blog

Articles to make governance, risk, & compliance the simplest part of your day.

Susan Ward

At symplr, Susan Ward is the Director of the Payor Enrollment Service product line. With 20+ years’ experience in physician practice management and provider enrollment, Susan is responsible for enrollment operations and relationships with Healthcare Systems, Hospitals, Physician and provider groups focusing on increasing the efficiency of provider onboarding during acquisitions, employment or new practice start up. Her previous experience includes over nine years at Community Health Systems in Franklin, TN, where she served as the Manager of Provider Enrollment, Acquisitions and RHC Enrollment. Her strengths in organizational structure, problem solving and relationship building, as well as her background and knowledge of CMS guidelines, are an asset to Payor Enrollment Services.

Blog Feature

New Arizona Law Speeds Up Payor Enrollment

New Arizona Law Speeds Up Payor Enrollment

By: Susan Ward
June 1st, 2018

It’s not every day that laws are passed unanimously, but that’s exactly what the Arizona legislature did when it passed HB2322. Requiring healthcare insurers to speed up the process of credentialing new providers into their networks, this bill is a welcome change.

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Blog Feature

Payor Enrollment

Three Reasons to Consider Outsourcing Payor Enrollment

By: Susan Ward
March 6th, 2017

Your staff is shrinking, the workload is growing and your healthcare organization has acquired a practice with 50 new providers. How do you get them onboard, enrolled with payors and credentialed by the end of the fiscal year?

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symplyr top blog posts of 2017

Top 10 Posts of 2017

It's packed with valuable insights to make governance, risk, and compliance the simplest part of your day.

Blog Feature

Payor Enrollment | Payor

3 Best Practices to Master Payor Enrollment Efficiency NOW

By: Susan Ward
June 9th, 2015

Want to secure timely payments and ensure a steady flow of income? (Of course you do.) But what do you do if your information is not accurate, timely, and thorough? Well, for starters, you’ll delay the processing of your applications for approval in provider networks, which can have several repercussions (including losing new patients!) because you are not In-Network or having to write off huge amounts due to non-network status.

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Payor Enrollment | Payor

Simplifying Provider Enrollment: FAQs

By: Susan Ward
June 2nd, 2015

Here at symplr, we get a lot of questions about payor, or provider, enrollment – and for good reason! Although payor enrollment can be complicated, it’s an absolute necessity for healthcare providers. Read on to see if we’ve answered your questions, and to learn how symplr can help.

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Payor Enrollment | Provider Relations | Payor

The Top Ten Things You Need to Know to be an Enrollment Pro

By: Susan Ward
May 5th, 2015

Enrollment So, in the inimitable style of David Letterman here are the Top ten things an enrollment professional needs to know to be successful during the upcoming busy season (and any other time actually):

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Blog Feature

Centers for Medicare & Medicaid Services | Payor

Locum Tenens Billing

By: Susan Ward
November 12th, 2014

Doctors are humans. They get sick, take vacations, go on maternity leave, or need time to sharpen their skills with continuing medical education. And when a doctor can’t be there, s/he uses a substitute physician, commonly known as locum tenens. However, there are some common misconceptions when billing for a locum tenens. CMS (Centers for Medicare and Medicaid) has specific billing guidelines; just because you’re using a locum tenens agency doesn’t mean they consider your substitute physician a locum tenens for billing purposes.

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