Is the other half. Miss a re-credentialing or revalidation deadline, and your network participation can be suspended and your claims denied. In Episode 14 of the MediBillMD Podcast, Sarah and credentialing specialist Ryan explain provider re-credentialing: how it differs from revalidation and CAQH re-attestation, how often each payer requires it, the 6-step process, and how to make sure you never miss a deadline.
Who this episode is for: providers already in network with Medicare, Medicaid, or commercial payers, plus credentialing coordinators and office managers who track renewal deadlines.
📖 Read the full guide: https://medibillmd.com/blog/provider-recredentialing-guide/
In this episode, you'll learn:
✅ What provider re-credentialing is
✅ Re-credentialing vs. revalidation vs. CAQH re-attestation
✅ Why re-credentialing protects compliance, patient safety, and revenue
✅ How often Medicare, Medicaid, commercial payers, and hospitals re-credential
✅ The 6-step re-credentialing process
✅ What happens if you miss a re-credentialing deadline
✅ Best practices to stay ahead of every renewal
⏱️ Chapters
0:00 Intro
0:36 What is re-credentialing? (vs. revalidation & CAQH re-attestation)
1:32 Why re-credentialing matters
1:50 How often re-credentialing happens
2:19 The 6-step re-credentialing process
3:10 What happens if you miss a deadline
3:38 Best practices to stay on track
3:56 How MediBillMD can help
📋 Typical re-credentialing cycles:
- Medicare revalidation: generally every 5 years (DMEPOS suppliers: every 3 years)
- Commercial payers: typically every 2–3 years
- Medicaid: 5-year federal baseline (states may require more often)
- Hospitals and facilities: typically every 3 years
- CAQH re-attestation: every few months, to keep profile data current
Note: cycles vary by payer and state. Always confirm each payer's current requirements.
📋 The 6-step process:
1. Notification from the payer
2. Updated application and attestation
3. Primary source verification
4. Performance and sanctions review
5. Credentialing committee decision
6. Notification of outcome and next review date
Never miss a re-credentialing deadline. MediBillMD's credentialing team tracks every re-credentialing and revalidation deadline and handles the submissions, so your providers stay in network and keep getting paid.
📞 Call: (877) 353-9542
🌐 Website: https://medibillmd.com
✉️ Email: info@medibillmd.com
🔗 Credentialing services: https://medibillmd.com/services/medical-credentialing-services
📅 Book a free consultation: https://medibillmd.com/appointment
#Recredentialing #ProviderCredentialing #MedicareRevalidation #InsuranceCredentialing #MediBillMD
