5 Common Credentialing Mistakes That Cost Therapy Practices Revenue
Credentialing errors can lead to claim denials, billing gaps, and lost revenue. Here are the five most common mistakes we see therapy pra...
OB/GYN
Track ABOG board certifications, CNM credentials, state licenses, and DEA renewals across your OB/GYN practice. Credentialing Now replaces spreadsheets with a system designed for women's health providers.
OB/GYN credentialing involves ABOG certification cycles, multi-state licensure, DEA renewals, and a mix of physician and CNM providers. We built our platform to handle these specifics.
Monitor ABOG initial certification and Maintenance of Certification (MOC) renewal dates for every physician. Get alerts well before continuing certification deadlines.
Track state medical and CNM licenses, renewal deadlines, and CE requirements across every jurisdiction where your providers practice — all from one dashboard.
Manage Certified Nurse-Midwife credentials, AMCB certification renewals, and state-specific CNM licensure alongside your physician providers in a single system.
Monitor DEA registration expirations and state controlled substance permits for every prescriber. Lapsed DEAs disrupt prescribing and billing — we catch them before they expire.
Track CAQH attestation cycles, manage commercial payer panel applications, and stay on top of Medicaid maternity provider revalidation timelines so your billing keeps flowing.
If your providers cover multiple offices, hospitals, or birthing centers, organize credentialing status by facility and region from a single dashboard.
Set up profiles for your obstetricians, gynecologists, CNMs, and mid-level providers. Upload ABOG certificates, state licenses, DEA registrations, and payer enrollment documents. We'll help with the initial setup.
Credentialing Now monitors ABOG MOC deadlines, license renewals, DEA expirations, CAQH attestations, and payer revalidation. Get alerts before anything is due.
With credentialing running smoothly in the background, your practice stays compliant, your billing stays uninterrupted, and your team can focus on delivering exceptional maternal and gynecologic care.
OB/GYN credentialing runs on two tracks at once: payer enrollment for the practice, and hospital privileging for every facility where your physicians deliver. Miss a date on either track and the impact is immediate.
Payers and hospitals both verify American Board of Obstetrics and Gynecology certification, at initial credentialing and again at every re-credentialing cycle. ABOG's continuing certification program has annual requirements, so a physician who lets them lapse can show as not meeting requirements when a hospital or payer checks. Certification status belongs in each physician's file with the documentation behind it.
An obstetrician cannot deliver at a hospital without privileges there, and each hospital or birthing center runs its own credentialing committee, application, and reappointment cycle. A physician covering two hospitals has two complete privilege files with different renewal dates. This track is entirely separate from payer enrollment, so it needs its own dates and documents in your tracking.
OB malpractice premiums are among the highest of any specialty, and payers and hospitals look closely at certificates of insurance, coverage limits, and claims history during credentialing. Expect to produce a current COI for every application and re-credentialing cycle, and to explain any gaps in coverage. Keeping COIs and claims-history documents stored against each provider saves a scramble every time one is requested.
Most OB malpractice policies are claims-made, which means a physician who leaves a carrier needs tail coverage for claims reported after the policy ends. Hospitals and payers ask for evidence of continuous coverage, so a new hire's tail from their prior employer is a credentialing document, not just an HR one. Collect it at onboarding and keep it with the rest of the malpractice file.
Certified nurse-midwives carry their own AMCB certification, state APRN license, Type 1 NPI, CAQH profile, and payer enrollments — none of it inherited from a supervising or collaborating physician. Many states also require a written collaboration or practice agreement that has its own renewal date. A CNM's file is as full as a physician's and expires on completely different cycles.
Medicaid covers a large share of births in the United States, so for most OB/GYN practices Medicaid enrollment is not optional. That means enrolling each provider with the state program and often with multiple Medicaid managed-care plans, each with its own application and revalidation schedule, on top of Medicare's five-year revalidation. A missed revalidation stops maternity claims until enrollment is reinstated.
Commercial payer enrollment typically takes 60 to 150 days from a complete application, and hospital privileging runs on its own separate timeline through each facility's credentialing committee. Because an OB/GYN needs both before practicing fully, start both tracks the day the contract is signed. The slowest single item is often gathering documents — COIs, claims history, tail coverage evidence — so collecting them up front shortens everything downstream.
Most malpractice policies in obstetrics are claims-made, meaning they only cover claims reported while the policy is active. Tail coverage extends protection for claims reported after the policy ends — critical in OB, where a claim can surface years after a delivery. Credentialing applications ask for evidence of continuous coverage, so when a physician changes carriers or employers, the tail certificate becomes a document you must produce alongside the current COI.
Yes. A CNM needs their own Type 1 NPI, CAQH profile, state APRN license, AMCB certification, and individual enrollment with each payer — none of it is covered by a physician's credentials. CNMs who attend deliveries at a hospital or birth center also need their own privileges there. Many states additionally require a collaboration or practice agreement, which has its own expiration to track.
The recurring calendar is dense: CAQH re-attestation every 120 days, Medicare revalidation every five years, commercial payer re-credentialing typically every two to three years, and hospital reappointment on each facility's own cycle. Add state Medicaid and managed-care revalidations and every provider carries several independent clocks. This is exactly the kind of schedule that outgrows a spreadsheet — automated expiration alerts and a daily digest keep it manageable.
See how Credentialing Now handles ABOG tracking, CNM credentials, and payer enrollment for OB/GYN practices.
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