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8 Common Physician Credentialing Mistakes to Watch in 2024

HIT Consultant

Credentialing lapses can expose a healthcare organization to malpractice suits and accreditation problems. This creates the potential for negative patient outcomes, which can lead to expensive malpractice lawsuits. Thorough and ongoing physician screening is critical to avoid costly negligent credentialing and malpractice claims.

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Medicare Provider Enrollment Changes Effective January 1, 2024

Hall Render

On November 16, 2023, the Centers for Medicare & Medicaid Services (“CMS”) published proposed changes to the Medicare provider enrollment requirements in the Calendar Year 2024 Physician Fee Schedule final rule (“Final Rule”).

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Medicare Enrollment & Behavioral Health Credentialing

MedTrainer

Behavioral health credentialing exploded in 2023 and 2024 as providers could enroll in Medicare for the first time. Download Now Common Challenges in Behavioral Health Credentialing Where behavioral health credentialing diverges from typical provider credentialing is Medicare enrollment.

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What Is Hospital Credentialing? Complete and The Best Guide in 2024

Physician Credentialing Company

The Joint Commission, the Centers for Medicare & Medicaid Services (CMS), and other accrediting bodies have obliged healthcare organizations to comply with the regulatory policies. By doing so, hospitals ensure that their staff is highly skilled and equipped with enough knowledge to perform the medical techniques.

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Understanding CPT code 90834- PCC Quick Guide

Physician Credentialing Company

Medicare and Medicaid may have different payment systems from those of the private health insurance plans. The lack of documentation may result in an audit, leading to claim denial and fines for noncompliance with Medicare and Medicaid regulations. 2022: $112.29 2021: $103.28 2020: $94.55 The reimbursement rate had risen to 9.2%

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Managing Healthcare Compliance in Ohio

MedTrainer

Hospital Licensure Effective September 30, 2024 , Ohio hospitals must obtain licensure from the Ohio Department of Health (ODH). To be eligible, hospitals must submit a complete application, be certified or accredited by the Centers for Medicare and Medicaid Services (CMS), demonstrate compliance with ODH standards, and specify bed numbers.

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Health Provider News

Hall Render

health care spending hits $4.5 Million in Retaliation Suit John Muir, Tenet scrap hospital deal after FTC challenge Kaiser to lay off 79 administrative employees Leaning toward big wins in schizophrenia and vaccines, venture group raises new fund of $389 million Madera hospital creditors want to be paid, including CEO.