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Avoiding Costly Credentialing Issues in Healthcare

Verisys

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.

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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. ProviderTrust analyzed the public outpatient Medicare claims data of a large health system. billion in Medicare charges.

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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. Still, managed care continues to grow, and the associated dollars increase along with it.

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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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The Changing Landscape of Credential Verification: How Automated, Always-Accurate Provider Data Reduces Network Redundancies & Saves Time

Provider Trust

8, 2023 | 12pm CST Reserve Your Spot With new regulations and a changing payer demographic—marked by health plans entering new contracts such as Medicare Advantage—the demands for credentialing support can quickly outpace an organization’s available resources. Wednesday, Nov. And respondents hope technology can help.

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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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What Is Provider Enrollment?

Verisys

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. The following items are required for enrollment in Medicare: A primary place of service must be in operation.