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Can Providers See Patients Before Payer Credentialing is Done

Physician Credentialing Company

Therefore, it is necessary to verify the legitimacy of all providers’ credentials before enrolling them in health insurance plans. Compliance And Liability Issues Seeing patients without payer credentialing being done leads is risky, and providers may face legal issues.

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Can Your Hospital Afford Not to Outsource Credentialing?

Verisys

According to recent surveys of major metropolitan hospitals , departments that typically share the responsibility for credentialing include: The Compliance Office. Checks credentialing for Health Insurance Portability and Accountability Act (HIPAA) compliance. Occupational Health. Human Resources.

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Introduction to Telebehavioral Health

AIHC

Compliance Considerations for Best Outcomes Written in collaboration with the AIHC Volunteer Education Committee Delivering mental health services via telehealth has increased since the COVID-19 pandemic. Not all forms of technology are recognized as services which can be reimbursed by health insurance.

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Reproductive Health & the New Final Rule

AIHC

Written by Joanne Byron , BS , LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, OHCC, ICDCT-CM/PCS of the American Institute of Healthcare Compliance (AIHC), a non-profit healthcare education organization. The effective date of the Final Rule was June 25, 2024 with a compliance date of December 23, 2024. What is this Final Rule?

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Why Is Credentialing Management Software Important?

MedTrainer

Good credentialing management opens the door to a wide range of benefits at both the facility and organization levels: Compliance With Regulatory Standards. Credentialing management helps organizations maintain compliance with regulatory standards set by accrediting bodies, government agencies, and industry regulators.

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EU and US Regulatory Challenges Facing AI Health Care Innovator Firms

Bill of Health

Although the cross-sectoral AI legislation that is now introduced by the European Commission’s Digital Strategy aims to be integrated with existing sectoral legislation such as the MDR, the IVDR and the Machinery Directive, it is uncertain how overlapping regulatory compliance requirements for AI-driven medical devices will be managed in practice.

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Medisys: Mental Health Billing and Credentialing Services Provider

Medisys Compliance

Our Mental Health Billing Services Receiving accurate and timely insurance reimbursement for mental health services can be challenging. Limited mental health insurance coverage; high co-pays & deductibles; and frequent pre-authorization requirements makes it challenging to collect mental health insurance reimbursements.