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How Staff Education in Healthcare Drives Excellence

Healthcare Blog

Maintain Regulatory Compliance Non-compliance with just one regulation can put patients’ health and organizational operations at risk. It can also result in costly fines, a tarnished reputation, and exclusion from essential federal programs like Medicare.

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Understanding Sanction Screening: Safeguarding Healthcare Integrity Under HIPAA

Total Medical ComplianceHIPAA

These screenings search through various databases containing records of individuals or organizations barred from participating in Medicaid, Medicare, or other federal/state healthcare programs due to fraud, abuse, or other offenses. Why is Sanction Screening Vital Under HIPAA?

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Can a Non-Credentialed Provider Bill Under Another Provider

Physician Credentialing Company

It acts as a shield against malpractice claims under the False Claim Act. Medicare guidelines should be checked if you are billing this payer. In case of suspicion of non-compliance, claims can be rejected, and even healthcare facilities may have serious implications. Sixty days is a consecutive limit, including the days off.

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What Is Provider Credentialing?

MedTrainer

It involves collecting and reviewing information such as education, training, licensure, certifications, work history, malpractice history, and references — all in pursuit of verifying that providers are who they say they are and qualified to deliver legitimate, safe, and ethical care.

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Understanding the Privileging Process in Healthcare

MedTrainer

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 ). Ongoing Process: Privileging is not a one-time event.