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?

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MedTrainer

MAY 7, 2024

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.

Malpractice 52

Malpractice Licensing Medicaid Medicaid 52

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.

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Medicaid Medicaid Malpractice Licensing 52

MedTrainer

JULY 28, 2023

Earlier this year, an in-depth OIG investigation resulted in a six-day trial of a former Louisiana health clinic CEO , who was ultimately convicted of Medicaid fraud and sentenced to 82 months in federal prison. Download “Compliance Reports You Can’t Live Without” for OIG reporting templates and tips. What Prompts an OIG Inspection?

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Fraud Compliance Medicaid Medicaid 98

MedTrainer

MAY 29, 2024

One of the newest changes that impacts medical credentialing services in Oklahoma is a major change to SoonerCare, the state’s Medicaid program. Ensuring the provider’s CAQH profile is up to date, and if the provider will also be enrolling in SoonerCare, Oklahoma’s Medicaid program, you’ll want to ensure the provider has a profile.

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Licensing Medicaid Medicaid Malpractice 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.

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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? Upon completion and approval, the provider can begin billing for medical services.

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Malpractice Licensing Hospitals Compliance 52