This site uses cookies to improve your experience. To help us insure we adhere to various privacy regulations, please select your country/region of residence. If you do not select a country, we will assume you are from the United States. Select your Cookie Settings or view our Privacy Policy and Terms of Use.
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Used for the proper function of the website
Used for monitoring website traffic and interactions
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Strictly Necessary: Used for the proper function of the website
Performance/Analytics: Used for monitoring website traffic and interactions
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?
Download Now How Bad Data Leads to Financial Losses Revenue loss from poor provider data management mistakes is largely driven by denied claims, billing errors, and enrollment delays. As AI and automation continue to evolve, technology can streamline data management processes and improve accuracy to prevent costly mistakes.
Healthcare providers face ever-increasing risks of malpractice, with 55% of cases resulting from miscommunication. Jeenie is available for download on any mobile device or tablet in the App Store or Google Play Store , and on desktop through the Jeenie client portal. Experienced Medical Interpreters At Your Fingertips. Availability.
Would you want a provider whos been disbarred due to patient abuse or malpractice providing your care? Download Now Exclusion Checks vs. Exclusion Monitoring Same concept, different strategy, different outcomes. Working with individuals and entities on the exclusion list also vastly compromises patient safety. We wouldnt either.
Download Now UnitedHealthcare Provider Enrollment Guidelines UnitedHealthcare requires that credentialiers ensure all providers meet standard credentialing criteria to become a healthcare professional in its network. Easily assign multiple enrollments to staff, update statuses, and prioritize.
Risk Management: Healthcare organizations face numerous risks, from malpractice claims to cybersecurity threats. Download our Latest White Paper Qualified compliance professionals do the heavy lifting for you, simplifying regulatory change management Our in-house team works tirelessly to monitor U.S.
Download Now Cigna Provider Enrollment Guidelines Cigna Healthcare requires that all providers meet standard credentialing criteria to become a health care professional in Cigna’s network. Download our guide – Tools to Conquer Provider Enrollment – for valuable tips on speeding up the time from credentialing to enrollment approval.
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.
Reduce Medical Malpractice Risk: Ensuring patient safety is a fundamental component of compliance plans. By maintaining high standards of care and safety, healthcare organizations can reduce the risk of medical malpractice claims and associated liability.
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.
For organizations, burnout translates to increased turnover, lost productivity, and increased malpractice lawsuits” (Plemmons, 2018). Download the full article here. Employees who feel burnout are three times more likely to leave and 63% more likely to take a sick day.
Credentialing Requirements This specifies what needs to be included in the submission of a credentialing application (a minimum of six factors), as well as primary source verification (PSV) of: providers license, DEA permit or CDS certificate, education, board certification, work history, malpractice, and sanctions.
Without it, healthcare companies are subject to potential lawsuits for medical malpractice, negligence, and others. Download Now The post 7 Examples of What Could Happen Without Medical Credentialing appeared first on MedTrainer. If a healthcare provider’s competency isn’t reviewed, they pose potential patient safety issues.
Legal Implications: The landscape of medical malpractice and legal liability is intrinsically linked to reporting. Download Now Build a Reporting Culture Organizational culture is one of the most challenging aspects of healthcare incident reporting. Be ready for inspections from OSHA, OCR, CMS, and OIG.
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? Upon completion and approval, the provider can begin billing for medical services.
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.
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. Background Checks. Payer Enrollment.
Download 5 Ways To Improve Your Credentialing Process. Without thorough verification, healthcare organizations miss critical red flags like previous malpractice incidents or serious performance concerns at other facilities. Poor provider credentialing impacts everything from patient care to financial stability.
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.
Comprehensive background checks help rule out any criminal history, malpractice claims, disciplinary actions, or other records that might send up red flags. This is in lieu of a DEA license. Uniform Credentialing Application Oklahoma uses a uniform credentialing application , which streamlines the process. Background Checks. Payer Enrollment.
Comprehensive background checks help rule out any criminal history, malpractice claims, disciplinary actions, or other records that might send up red flags. Download Now Tips To Speed Up Dental Credentialing The time it takes to credential dentists can vary depending on a variety of factors. Background Checks. Payer Enrollment.
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.
The most common “download and start” version used by so many people is not HIPAA compliant. In light of these growing threats, we are at or near a point where cyber liability insurance is as essential as malpractice insurance or business liability insurance. The video-calling application Zoom is a prime example.
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.
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. The Primary Source Organizations. Some organizations compile and publish data monthly. Unpublished Data.
Download this guide for tips on how digitization helps to speed up your credentialing process. Professional Liability Insurance: Information on your malpractice insurance, such as the coverage amounts, providers, and effective dates. What Information Is Required for CAQH ProView/CAQH Provider Data Portal?
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. The Primary Source Organizations. Some organizations compile and publish data monthly. Unpublished Data.
This includes all credential types: license to practice, board certification, work history, malpractice history, state licensing sanctions, and both Medicare/Medicaid sanctions and exclusions. Download Now Automated License Verification With NCQA shrinking license verification timelines, automation just makes sense.
Download Now The post Understanding the Privileging Process in Healthcare appeared first on MedTrainer. We strive to solve your issue immediately or within two business days if the problem is more complex. Contact us to see how MedTrainer can help streamline your privileging processes.
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. Are there restrictions on the type of information providers and professionals can store on mobile devices? Recovery/Deactivation of Mobile Devices ?
Contact your risk attorney through your malpractice insurance company for guidance which is obtained through no additional cost (part of the service you get when paying the insurance premium). Download the CMS Model Notice and Consent forms. Know your state laws and when Federal laws supersede state rules. Identify eligible cases.
Download a copy of the model attestation from OCR. Consult with Legal Counsel & Malpractice Carrier Due to the complexities of complying to the 2024 Final Rule, it is advised that regulated entities seek legal counsel and guidance regarding policies and procedures from your Risk Attorney through your malpractice insurance company.
We organize all of the trending information in your field so you don't have to. Join 26,000+ users and stay up to date on the latest articles your peers are reading.
You know about us, now we want to get to know you!
Let's personalize your content
Let's get even more personalized
We recognize your account from another site in our network, please click 'Send Email' below to continue with verifying your account and setting a password.
Let's personalize your content