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Tort Liability is a Potentially Powerful Tool for Pandemic Response

Bill of Health

In this blog post, I will describe why this represents a lost opportunity. public health infrastructure nor American political culture support the kind of muscular central government mandates that have characterized the COVID-19 policies of many other countries. Neither the U.S.

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Are Provider Enrollment and Credentialing the Same?

MedTrainer

In this blog, we’ll discuss the two processes and key differences between provider enrollment and credentialing. Provider enrollment is when a healthcare provider is registered with insurance networks or government payers , like Medicaid or Medicare. So, what is the difference between provider enrollment and credentialing?

Insiders

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HRSA Credentialing: Master the Operational Site Visit

MedTrainer

In this blog, we’ll look at the unique aspects of HRSA credentialing requirements and why many community health centers, FQHCs , and look-alikes use credentialing software to prepare for a successful on-site visit. Government-issued picture identification. Keeping these straight in a very fast-paced healthcare environment is tough!

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Getting Credentialed with Insurance Companies

MedTrainer

In this blog, we’ll review insurance credentialing and the steps to getting credentialed with insurance companies. The insurance credentialing process is when a healthcare organization registers a provider through specific insurance carriers or government payers. There are several steps to this time-consuming process.

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7 Red Flags to Watch for During Healthcare Credentialing

Verisys

Here are seven red flags to look out for and the reasons why: Incomplete or inconsistent application: Missing or conflicting data regarding education, training, work history, licensure, or malpractice history might indicate false information or attempts to conceal relevant details.

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7 Examples of What Could Happen Without Medical Credentialing

MedTrainer

Inability to receive reimbursement: Insurance companies and government payers require medical credentialing to authenticate a provider’s qualifications to practice. Without verifying qualifications, healthcare organizations won’t receive reimbursement for patient care services from insurance or government payers.

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The Importance of Primary Source Verification for Practitioner Credentials

Verisys

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. The policy issuer for malpractice insurance verifies insurance coverage.