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Webinar Recap: OIG’s 2023 Guidance for Navigating Compliance Changes

Provider Trust

In our recent webinar, ProviderTrust’s Chief Compliance Officer, Donna Thiel, shared her expertise and valuable feedback from the 2023 HCCA Compliance Institute. In this post, we recap the key takeaways from the webinar. With this update, organizations must ask themselves which state exclusion lists they should monitor.

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Webinar Recap: Elevate Your Referring and Ordering Physician Monitoring

Provider Trust

In a recent webinar , ProviderTrust Founder Michael Rosen and Chief Compliance Officer Donna Thiel detailed ways in which your organization can effectively monitor your unique provider populations. Acquiring license information about providers can be difficult. See Our License Monitoring Solution. How can ProviderTrust help?

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Quick Guide to the National Practitioner Data Bank (NPDB)

Provider Trust

A holistic approach to exclusion monitoring and license verifications must include monitoring of disciplinary databases such as the National Practitioner Data Bank (NPDB). ProviderTrust previously collaborated with an NPDB expert, Alex Fisher (Attorney, Frost, Brown, Todd), in a webinar. Healthcare Legislation & Regulations.

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Essential Data for a Credentialing Tracking Worksheet

MedTrainer

Traditionally, credentialers call the appropriate entities to verify transcripts, licenses, etc. Multiple Data Sources : Information comes from state licensing boards, educational institutions, previous employers, and professional organizations. WEBINAR: Credentialing Is Evolving.

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Are Provider Enrollment and Credentialing the Same?

MedTrainer

Provider enrollment is when a healthcare provider is registered with insurance networks or government payers , like Medicaid or Medicare. This process typically involves submitting an application with detailed information regarding the provider’s qualifications and licenses. What is Provider Credentialing?

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The Importance of Insurance Credentialing

MedTrainer

Insurance credentialing is the process where a healthcare organization registers a healthcare professional through specific insurance networks or government payers , like Medicare or Medicaid, to receive reimbursement for services rendered during a patient’s visit.

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Understanding the Privileging Process in Healthcare

MedTrainer

WEBINAR: Hear how Kasey Krabler of Rocky Mountain Surgical Center completes privileging in 30 days. Proper privileging documentation is also critical to meet the standards of regulatory bodies such as the Centers for Medicare and Medicaid Services ( CMS ) and the National Committee for Quality Assurance ( NCQA ).