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Data inaccuracies: A misspelled name, incorrect license number, or missing documentation might seem minor, but they can lead to license and certification rejections, compliance violations, and delayed insurance reimbursementspotentially causing financial and operational headaches.
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.
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?
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.
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.
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?
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 ).
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.
Medicare, Medicaid, and TRICARE: How Enrollment Standards Differ. Provider enrollment in Medicare, Medicaid, TRICARE, and other government health programs all involve a lengthy process, with some variation. Software options to ensure provider data integrity and optimized enrollment management. New regulatory requirements.
The specialist authenticates the provider’s education, work history, licenses, and other information during provider credentialing. Watch this on-demand webinar for insights to improve your internal credentialing. Expedite your healthcare organization’s credentialing process by using MedTrainer.
WEBINAR: Identifying Compliance Priorities To Make a Big Impact Watch Now Consequences of Non-Compliance Without question, the importance of compliance extends beyond just meeting the requirements. Loss of Licenses: Healthcare providers may lose their professional licenses, hindering their ability to practice.
In this 30-minute webinar, join industry leaders at ProviderTrust in a conversation about the state of the industry for provider credentialing. And respondents hope technology can help.
Watch these recorded webinars posted to the AIHC YouTube channel, then decide. Introduction to Auditing for Compliance Webinar Checklist Guide to Performing an Audit Webinar What is a Business System Audit? You may consider enrolling in the online Auditing for Compliance course. Undecided about becoming an auditor?
Hear from a compliance veteran in this webinar: Identifying Compliance Priorities To Make a Big Impact What Are the Key Healthcare Compliance Regulations? Stark Law The Stark Law , primarily enforced by Centers for Medicare & Medicaid Services (CMS), deals specifically with physician referrals.
This article will focus on the federal changes, but make sure to check with all states where your providers are licensed to stay up-to-date. CMS Burden Reduction Final Rule (84 FR 51732) The Centers for Medicare & Medicaid Services (CMS) permanently extended changes made to the Burden Reduction Final Rule.
Listen to a candid discussion on lessons learned from the 2023 federal investigation that uncovered fraudulent medical practice nationwide in this on-demand webinar: Moving Forward From the Nursing Fraud Scheme. Primary source verification is done by contacting educational institutions, licensing boards, and other relevant authorities.
Webinar: Tips To Efficiently Meet Healthcare Training Requirements Watch Now 8 Misconceptions About Healthcare Compliance Education Healthcare compliance education is foundational, which makes it even more important to avoid these common misconceptions.
Alerts and Notifications: Track whether staff has completed required compliance activities and updated expiring licenses without having to send dozens of reminder emails. WEBINAR: Compliance Insights Straight From Surveyors Watch Now The post Who Audits For Healthcare Compliance? appeared first on MedTrainer.
In a recent webinar, ProviderTrust took a look at impactful healthcare trends to monitor in 2023 and beyond. What about license verification and screening? What questions would you ask the current organization you are acquiring as it relates to its existing compliance program? Do you have any risk based on poor standards of practice?
Now that President Joe Biden has declared the COVID-19 pandemic over, the ATA's Telehealth Awareness Week policy update webinar explored how federal and state telehealth policies may be affected as Congress decides whether or not to end the public health emergency (PHE). WHY IT MATTERS. THE LARGER TREND.
Supreme Court tosses Medicaid work requirement cases. IAFNS and Arkansas Children’s Nutrition Center Team Up for 3-Part Webinar Series. San Francisco’s Laguna Honda Hospital Loses Medicaid, Medicare Funding. Iowa licensing board loses legal fight over subpoenaed patient records. Hospitals to receive a proposed 3.2%
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