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Navigating Mental Health Credentialing

MedTrainer

Credentialing confirms the providers’ eligibility to bill for services under government and accreditation regulations. Here’s what a typical credentialer’s workflow looks like: Like other providers, mental health professionals must be licensed in states where they offer services and enrolled with payers doing business in those areas.

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7 Examples of What Could Happen Without Medical Credentialing

MedTrainer

Many other licensed healthcare providers must be credentialed: nurses, physical therapists, speech pathologists, and behavioral health therapists. For example, a healthcare organization verifies a provider’s state license by calling or searching the state license registration board. BLS/ACLS certifications status.

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Aetna Provider Enrollment: What To Expect

MedTrainer

Here are the key steps: Gather Training and Education Gather Licensing and Certification Gather Work History Details Gather Payer-Specific Requirements Following Application Submission Get the tools you need to eliminate delays in your provider enrollment process. Easily assign multiple enrollments to staff, update statuses, and prioritize.

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The Importance of Primary Source Verification for Practitioner Credentials

Verisys

State licensing boards verify practitioner license type and status. An Office of Inspector General (OIG) search of the List of Excluded Individuals/Entities (LEIE) indicates if the licensee is excluded from participating in government-funded programs. Here are some examples: Medical schools verify completion of education.

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Exploring Healthcare Compliance Auditing Software

MedTrainer

It ensures organizations comply with government guidelines and regulations, optimize daily operations, improve service delivery, maintain patient safety, and secure confidential information. Regulatory Audits: Carried out by government agencies or regulatory bodies to ensure adherence to laws and regulations.

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Telehealth and RPM help St. John's reduce healthcare disparities

Healthcare IT News - Telehealth

John's Well Child and Family Center due to the stringent "safer at home" order from local government as well as the need to meet residents' healthcare needs while protecting the safety of both providers and patients. "Patients do not have to download an app and can just use their telephones. " PROPOSAL.

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Fraud Schemes in a Telehealth Era: What Healthcare Payers Should Know

HIT Consultant

Licensed Clinical Social Worker. But if healthcare payers and government agencies can quickly identify, investigate, stop, and prevent suspicious telehealth activity and incorrect payments, the entire healthcare ecosystem benefits by avoiding massive, unnecessary, and otherwise avoidable costs.”. Physician/Psychiatry.

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