Download, Licensing and Malpractice - Health Care Compliance Brief

Conquering The Provider Enrollment Process

MedTrainer

MARCH 30, 2024

Download our Credentialing Reality Worksheet to find out! Download Now Credentialing Software Drives Speedy Provider Enrollments Credentialing software offers several benefits that help credentialers speed up the provider enrollment process. How much are enrollment delays costing your organization?

Malpractice

Malpractice Licensing Medicaid Medicaid

UnitedHealthcare Provider Enrollment: What To Expect

MedTrainer

MAY 7, 2024

Here are the key steps: Gather Training and Education Gather Licensing and Certification Gather Work History Details Gather Payer-Specific Requirements Following Application Submission Get the tools you need to eliminate delays in your provider enrollment process. Easily assign multiple enrollments to staff, update statuses, and prioritize.

Malpractice

Malpractice Licensing Medicaid Medicaid

Cigna Provider Enrollment: What To Expect

MedTrainer

MARCH 22, 2024

Here are the key steps: Gather Training and Education Gather Licensing and Certification Gather Work History Details Gather Payer-Specific Requirements Following Application Submission Get the tools you need to eliminate delays in your provider enrollment process. Easily assign multiple enrollments to staff, update statuses, and prioritize.

Malpractice

Malpractice Licensing Hospitals

How To Prepare for an OIG Inspection

MedTrainer

JULY 28, 2023

Download “Compliance Reports You Can’t Live Without” for OIG reporting templates and tips. This ensures that medical facilities are not engaging in malpractice and following program rules and regulations. One of the OIG’s top priorities is to safeguard funding and protect the country’s most vulnerable citizens.

Fraud

Fraud Compliance Medicaid Medicaid

7 Examples of What Could Happen Without Medical Credentialing

MedTrainer

MARCH 23, 2024

Many other licensed healthcare providers must be credentialed: nurses, physical therapists, speech pathologists, and behavioral health therapists. For example, a healthcare organization verifies a provider’s state license by calling or searching the state license registration board. BLS/ACLS certifications status.

Licensing

Licensing Malpractice Governance Doctors

Aetna Provider Enrollment: What To Expect

MedTrainer

MAY 6, 2024

Here are the key steps: Gather Training and Education Gather Licensing and Certification Gather Work History Details Gather Payer-Specific Requirements Following Application Submission Get the tools you need to eliminate delays in your provider enrollment process. Easily assign multiple enrollments to staff, update statuses, and prioritize.

Licensing

Licensing Malpractice Health Insurance Medicaid

Choosing the Best Healthcare Credentialing Software

MedTrainer

JULY 22, 2024

It provides a centralized system for collecting, storing, and managing all the essential data and documentation related to a healthcare professional’s background, including education, training, certifications, licenses, work history, and malpractice history. Download the guide to Essential Credentialing Data.

Licensing

Licensing Compliance Malpractice Hospitals

Privileges and Credentialing Aren’t the Same

MedTrainer

MARCH 14, 2024

The specialist authenticates the provider’s education, work history, licenses, and other information during provider credentialing. Additionally, the credentialing specialist may request a record of any pending and past medical malpractice cases and disciplinary actions from the appropriate authority.

Malpractice

Malpractice Licensing Hospitals Compliance

FQHCs and Private Payers: Mastering the Credentialing Process for Growth

MedTrainer

DECEMBER 2, 2024

Familiarize yourself with any payer-specific requirements such as proof of malpractice insurance, state-approved alternatives, and specific forms like the special needs survey or disclosure of ownership statement. Identify whether you are submitting an individual, group, or delegated application to avoid confusion.

Licensing

Licensing Malpractice Compliance Medicaid

Medical Credentialing Services in Oklahoma

MedTrainer

MAY 29, 2024

Controlled Dangerous Substance (CDS) Required The Oklahoma State Bureau of Narcotics and Dangerous Drugs Control requires registration as well as a controlled dangerous substance (CDS) license. This is in lieu of a DEA license. Primary Source Verification. Payers in Oklahoma have specific requirements. Background Checks.

Licensing

Licensing Medicaid Medicaid Malpractice

Tackle the Unique Aspects of ASC Credentialing

MedTrainer

APRIL 18, 2024

Download Now Common Challenges in ASC Credentialing Revenue is of critical importance in an ASC. Credentialing Delays: The credentialing process can be lengthy, often involving gathering and verifying extensive documentation, including education, training, licensure, certifications, malpractice history, and references.

Licensing

Licensing Malpractice Compliance

What Is CAQH Credentialing?

MedTrainer

OCTOBER 26, 2023

Download this guide for tips on how digitization helps to speed up your credentialing process. Licenses & Certifications: Current and past medical licenses, DEA certifications, and other relevant certifications with details like issuing state, license number, and expiration date.

Licensing

Licensing Malpractice Hospitals

Dental Credentialing From Application To Approval

MedTrainer

APRIL 26, 2024

Primary source verification involves contacting original sources — such as educational institutions, licensing boards, and certification bodies — to confirm the authenticity and accuracy of the documents and qualifications provided by the provider. If the dentist is being credentialed in a state with its own portal, set that up as well.

Medicare

Medicare Medicare Licensing Malpractice

Medicare Enrollment & Behavioral Health Credentialing

MedTrainer

APRIL 18, 2024

Download Now Common Challenges in Behavioral Health Credentialing Where behavioral health credentialing diverges from typical provider credentialing is Medicare enrollment. This may include proof of licensure, certification, accreditation, malpractice insurance, DEA registration (if applicable), and other supporting documentation.

Medicare

Medicare Medicare Licensing Compliance

Understanding the Privileging Process in Healthcare

MedTrainer

AUGUST 5, 2024

Automated Reminders: The software sends automatic reminder emails for expiring licenses or upcoming recredentialing processes for timely updates and compliance. Provider Document Uploads: Providers can upload all documents, licenses, and more through a secure link. Shorten your privileging process with this free checklist.

Compliance

Compliance Licensing Medicaid Medicaid

Medical Credentialing Services in Texas

MedTrainer

MAY 29, 2024

The interactive PDF is available through the Texas Department of Insurance, but providers or credentialers can easily download a pre-filled application from CAQH — the format changes slightly per payer, but it includes almost the same information as any other “standard” application. Primary Source Verification. Background Checks.

Medicaid

Medicaid Medicaid Malpractice Licensing

The Importance of Primary Source Verification for Practitioner Credentials

Verisys

DECEMBER 5, 2023

State licensing boards verify practitioner license type and status. The policy issuer for malpractice insurance verifies insurance coverage. Delivery of data ranges from a print-out sent by mail, a spreadsheet sent through email, a CSV download from a secure server, or an online searchable database. Unpublished Data.

Governance

Governance Licensing Malpractice Medicaid

The Importance of Primary Source Verification for Practitioner Credentials

Verisys

MARCH 1, 2022

State licensing boards verify practitioner license type and status. The policy issuer for malpractice insurance verifies insurance coverage. Delivery of data ranges from a print-out sent by mail, a spreadsheet sent through email, a CSV download from a secure server, or an online searchable database. Unpublished Data.

Governance

Governance Licensing Malpractice Medicaid

Audio-Video Telehealth, Mobile Device Management & You

AIHC

APRIL 25, 2022

Are providers and professionals allowed to download mobile applications to mobile devices? As AIHC advises, another resource is legal advice through your malpractice insurance company. Click Here for Cross-State Licensing information. o If so, where and for how long should the data be stored? ?

HIPAA

HIPAA COVID-19 Compliance Compliance Officers

Reproductive Health & the New Final Rule

AIHC

JULY 1, 2024

For example, an individual discloses to their doctor that they obtained reproductive health care from an unlicensed person and the doctor knows that the specific reproductive health care must be provided by a licensed health care provider. Download a copy of the model attestation from OCR. What is the New Form Requirement About?

HIPAA

HIPAA Compliance Malpractice Licensing

Health Care Compliance Brief

Conquering The Provider Enrollment Process

UnitedHealthcare Provider Enrollment: What To Expect

Trending Sources

Cigna Provider Enrollment: What To Expect

How To Prepare for an OIG Inspection

7 Examples of What Could Happen Without Medical Credentialing

Aetna Provider Enrollment: What To Expect

Choosing the Best Healthcare Credentialing Software

Privileges and Credentialing Aren’t the Same

FQHCs and Private Payers: Mastering the Credentialing Process for Growth

Medical Credentialing Services in Oklahoma

Tackle the Unique Aspects of ASC Credentialing

What Is CAQH Credentialing?

Dental Credentialing From Application To Approval

Medicare Enrollment & Behavioral Health Credentialing

Understanding the Privileging Process in Healthcare

Medical Credentialing Services in Texas

The Importance of Primary Source Verification for Practitioner Credentials

The Importance of Primary Source Verification for Practitioner Credentials

Audio-Video Telehealth, Mobile Device Management & You

Reproductive Health & the New Final Rule

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