Remove 2010 Remove Fraud Remove Licensing Remove Medicaid
article thumbnail

ProviderTrust Achieves 2 Major Milestones – HITRUST Certification and Monitoring of 10 Million Healthcare Individuals and Entities

Provider Trust

This landmark milestone represents a continued commitment by ProviderTrust and its nearly 1,000 healthcare client organizations to ensure Medicare and Medicaid dollars are protected from fraud, waste, and abuse. Healthcare compliance plays an instrumental role in the success of the entire healthcare ecosystem.

Fraud 52
article thumbnail

ProviderTrust Launches Impact Compliance™ Program to Solve Gaps in Healthcare Compliance Monitoring

Provider Trust

ProviderTrust was founded in 2010 with a mission to create a safe healthcare experience for everyone. Since that time, the organization has uniquely led the way in providing innovative solutions that uphold data integrity for ongoing exclusion monitoring, timely license and credential verification, and healthcare vendor data collection.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Emergency Suspension Orders and Medicaid Fraud

The Health Law Firm

State of Florida Department of Health , Dr. Mendelsohn's license to practice medicine was suspended under an Emergency Suspension Order (ESO). According to the ESO, Dr. Mendelsohn is licensed to practice medicine in Florida pursuant to the provisions of chapter 458, Florida Statutes. Doctor Pleas Nolo Contendre to Fraud Charge.

Fraud 40
article thumbnail

The History of Healthcare Compliance

MedTrainer

Licensing and credentialing were introduced to regulate healthcare professionals and ensure minimum standards of care. Medicare and Medicaid (1960s): The introduction of government-funded healthcare programs brought about increased scrutiny and regulation. Compliance efforts expanded to encompass EHR security.

article thumbnail

How to Increase Your Health Plan’s CMS Star Ratings to Earn More Revenue In 2021

Innovaare Compliance

Annually, the Centers for Medicare & Medicaid Services (CMS) releases star ratings, which measure the quality of care health plans deliver for its members. Inovaare’s A&G software optimizes your processes so you can handle large volumes of data, reduce costs and ensure transparency to prevent fraud at every step. References.