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Conquering The Provider Enrollment Process

MedTrainer

Enrollment delays cost nearly a third of organizations polled in a 2023 MedTrainer survey money, and 26% believe credentialing delays increase compliance risks that can significantly drain coffers. Any delay in the provider enrollment process means less revenue for the organization – and the longer the holdup, the harder the hit.

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Healthcare & Life Science M&A Activity Plummets 1H’22

HIT Consultant

CMS Proposed Changes to the Physician Fee Schedule 2023 : On July 7, 2022, the CMS announced that it is soliciting public comment on proposed policy changes for Medicare payments under the Physician Fee Schedule (“PFS”) effective on or after January 1, 2023. in CY 2023. from $34.61 in CY 2022 to $33.08

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Introduction to Telebehavioral Health

AIHC

Most private insurers and Medicaid cover telebehavioral health care, but check for reimbursement restrictions and obtain professional coding and billing guidance to avoid overpayment situations. Store-and-forward is less commonly reimbursed by Medicare and Medicaid programs. This is also called “store-and-forward telemedicine.”

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Medical Credentialing Services in Colorado

MedTrainer

Uniform State Application Repealed Until March 2023, providers seeking medical credentialing in Colorado were required to submit a uniform application (Colorado Health Care Professionals Credentials Application). Background Checks. Payer Enrollment.

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Managing Healthcare Compliance in Ohio

MedTrainer

The Ohio Department of Medicaid is responsible for administering the state’s Medicaid, a comprehensive healthcare program that provides medical coverage to low-income individuals and families in Ohio. This department focuses on ensuring access to quality healthcare services while managing the state’s Medicaid budget and policies.

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Private Equity: Investigation and Enforcement

Med Law Blog

In March 2023, the House Ways and Means Committee hosted an investigative hearing on “private equity’s expanded role in the US healthcare system”. However, although the volume has leveled off or in some cases subsided, enforcement and investigation activity appears to be ramping up.

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What Is Provider Credentialing?

MedTrainer

It involves collecting and reviewing information such as education, training, licensure, certifications, work history, malpractice history, and references — all in pursuit of verifying that providers are who they say they are and qualified to deliver legitimate, safe, and ethical care.