MedTrainer

MARCH 23, 2024

Inability to receive reimbursement: Insurance companies and government payers require medical credentialing to authenticate a provider’s qualifications to practice. Without verifying qualifications, healthcare organizations won’t receive reimbursement for patient care services from insurance or government payers.

Licensing 52

Licensing Malpractice Governance Nurses 52

Verisys

DECEMBER 5, 2023

An Office of Inspector General (OIG) search of the List of Excluded Individuals/Entities (LEIE) indicates if the licensee is excluded from participating in government-funded programs. The policy issuer for malpractice insurance verifies insurance coverage. The Primary Source Organizations. Unpublished Data.

Governance 52

Governance Licensing Malpractice Medicaid 52

MedTrainer

MARCH 12, 2024

To underline the significance and complexity of this system, we will explore what are reportable events in healthcare, the regulatory requirements that govern them, the types of reportable events, and the importance of proper reporting. Each state has its own set of laws and regulations dictating what must be reported and when.

Compliance 52

Compliance Malpractice Governance Public Health 52

MedTrainer

MAY 6, 2024

Download Now Aetna Provider Enrollment Guidelines Aetna requires that all providers meet standard credentialing criteria to become a healthcare professional in its network. Download our guide – Tools to Conquer Provider Enrollment – for valuable tips on speeding up the time from credentialing to enrollment approval.

Licensing 52

Licensing Malpractice Health Insurance Medicaid 52

MedTrainer

MARCH 14, 2024

Additionally, the credentialing specialist may request a record of any pending and past medical malpractice cases and disciplinary actions from the appropriate authority. Download Now What are Provider Privileges? Whether it’s government regulation or healthcare facility requirements is a matter.

Malpractice 52

Malpractice Licensing Hospitals Compliance 52

Verisys

MARCH 1, 2022

An Office of Inspector General (OIG) search of the List of Excluded Individuals/Entities (LEIE) indicates if the licensee is excluded from participating in government-funded programs. The policy issuer for malpractice insurance verifies insurance coverage. Government and Non-Government Sources. Criminal history.

Governance 52

Governance Licensing Malpractice Medicaid 52

MedTrainer

JULY 28, 2023

Download “Compliance Reports You Can’t Live Without” for OIG reporting templates and tips. While learning of an inspection can cause alarm, oftentimes it’s a routine occurrence required by the federal government to ensure the overall quality and delivery of healthcare services. What Prompts an OIG Inspection?

Fraud 98

Fraud Compliance Medicaid Medicaid 98