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Understanding Compliance for Healthcare Vendors

Provider Trust

So what does that mean for your healthcare organization’s compliance program? Is your organization properly vetting and monitoring compliance of your entire vendor network? Which regulations govern vendor compliance?

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How HHS-OIG, Regulators Enforce Vendor Compliance

Provider Trust

What the HHS-OIG says about vendor compliance. Additionally, check out this HHS-OIG 2016 report, Medicare: Vulnerabilities Related to Provider Enrollment and Ownership Disclosure , which revealed “vulnerabilities that could allow potentially fraudulent providers to enroll in the Medicare program.”. Case Study: S.

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8 Common Provider Credentialing Mistakes and How to Avoid Them

Verisys

3: Allowing a physician to treat patients before credentialing is completed Courts have held hospitals liable when a physician falsifies credentials, and the hospital fails to do its due diligence in verifying them. Therefore, due diligence requires background checks to identify current and historical adverse actions.

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Updated Compliance Tool for Developers of Mobile Health Apps

Hall Render

For example, reimbursement under Medicare and Medicaid for certain telemedicine services was significantly increased due to the COVID-19 pandemic. Hall Render blog posts and articles are intended for informational purposes only. Your primary Hall Render contact.

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CMS Releases CY2024 Final Rule for PACE Organizations

Healthcare Law Blog

On April 12, 2023, the Centers for Medicare and Medicaid Services (“CMS”) released a final rule updating key regulations pertaining to Programs of All-Inclusive Care for the Elderly (“PACE”) (the “ Final Rule ”). Overall, these changes, summarized below, will offer significant administrative and operational flexibilities.

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What Is Provider Credentialing?

MedTrainer

After that, the credentialing process is periodically reviewed and renewed to ensure ongoing compliance with standards and regulations. However, it’s important to remember how critical this process is for mitigating risk, improving compliance, and earning trust. Why Is Provider Credentialing Important?

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Eight Common Physician Credentialing Mistakes

Verisys

Therefore, due diligence requires background checks to identify both current and historical adverse actions be performed. Verisys’ credentialing services help organizations maintain compliance and mitigate risk. Hospital and health systems will be held accountable for a physician’s omission. Mistake No. Contact us to learn more.