Mellissa Harmon, VP of Provider Services, Healthcare Revenue Group | CPCS-Certified

I am a results-driven Contracting and Credential Senior Director with over 13 years of experience. My passion is to help organizations/clinics grow, develop and become successful. I bring extensive experience in managing contracting and credentialing processes. My commitment to compliance, attention to detail, and strategic approach have contributed to successful outcomes for both organizations and healthcare providers.

M115 Denial Code: Why Credentialed Providers Still Get Denied

TL;DR. The M115 denial code means a payer treats the provider as non-contracted. Often the real...

NCQA Credentialing Standards 2026: What Practices Must Absorb

TL;DR. The NCQA credentialing standards tightened in 2026. Ongoing monitoring is now at least every...

Billing Under Another Physician: What Actually Holds Up

Key Finding: Billing under another physician is legal, but only in narrow cases. Reciprocal billing...

OIG Exclusion Screening: Whose Job Is It for Referrals?

Key Finding OIG exclusion screening is not just for your own staff. If you bill for a service...

Behavioral Health Provider Services: The Complete Guide

TL;DR Behavioral health provider services face real 2026 shifts. NCQA renamed its MBHO...

Medicaid Credentialing: State-by-State Basics

TL;DR Medicaid credentialing is not one process. It is 50-plus separate state programs, each with...

Medicare Provider Enrollment: Payer-by-Payer Timelines

TL;DR: Medicare provider enrollment usually runs 45 to 90 days. Medicaid and commercial payers...

Orthopedic Insurance Credentialing: The Complete Guide

TL;DR: Orthopedic insurance credentialing enrolls each surgeon with every payer and facility that...

ABA Therapy Insurance Credentialing: The Complete Guide

TL;DR: ABA technicians often sit trained and unbillable for months. ABA therapy insurance...

Community Mental Health Insurance Credentialing: The Complete Guide

TL;DR: Behavioral health clinicians often see clients for months before a plan pays. Community...