HIT Consultant

JULY 10, 2023

What You Should Know: Verifiable , an API-first innovator to the antiquated provider network management software category, has raised $27 million in Series B funding led by Craft Ventures to accelerate its next stage of growth and product innovation. The funding will also further accelerate Verifiable’s collaboration with Salesforce.

Compliance 40

Compliance 40

MedTrainer

DECEMBER 18, 2023

In the Healthcare Learning Management System (LMS) category, G2 reviewers rated MedTrainer #1 for Best Results, Easiest Admin, Easiest Setup, and Highest User Adoption. This functionality is built specifically for healthcare’s unique needs from getting policies acknowledged to securing board signatures.

Compliance 98

Compliance 98

HIPAA Journal

MAY 19, 2023

with someone else’s login credentials) – a fine of up to $100,000 and/or a prison sentence of up to five years. The update would add a new category of uses and disclosures (“attestation”) to those that already exist (“required”, “permitted”, “opportunity to agree”, and “authorized”).

HIPAA 85

HIPAA Licensing Compliance 85

Verisys

JANUARY 4, 2022

Consider partnering with a Credentials Verification Organization (CVO) to save time and expedite your provider credentialing. It can be difficult for health plans to complete provider credentialing without the help of a CVO. 2) Explain the difference between credentialing and contracting. By Scott Alsup. Contact us today.

Nursing Homes 52

Nursing Homes Nurses 52

Provider Trust

JUNE 1, 2022

The ongoing nurse staffing crisis is creating a multitude of complexities for hospitals and health systems, especially verifying credentials in a timely manner. In this post, we’ll explore three current challenges impacting the healthcare license and credential verification process.

Licensing 52

Licensing Nurses COVID-19 Compliance 52

MedTrainer

NOVEMBER 29, 2023

The phased implementation of this requirement, which began in 2018, ensures that various categories of practitioners, including those in emergency departments and pain management clinics, integrate INSPECT checks into their prescribing practices. Additionally, annual credential renewal is mandatory.

Compliance 52

Compliance Licensing Governance Public Health 52

HIT Consultant

FEBRUARY 7, 2024

Most Improved Awards Most Improved Software Product: Lightbeam Health Solutions (population health management) Most Improved Services Solution: AGS Health (extended business office services) Most Improved Physician Practice Product: eClinicalWorks EHR/PM for small, independent practices Best in KLAS Winners by Category The 2024 Best in KLAS awards (..)

Nurses 105

Nurses Governance Compliance Hospitals 105

Provider Trust

APRIL 26, 2023

Unfortunately, travel nurses are, in general, a challenging population regarding ongoing compliance and credential monitoring. As the largest category of licensed caregivers, they are also the most commonly excluded discipline. Accessible healthcare does not have to compromise the standard of care.

Licensing 52

Licensing Nurses Compliance Hospitals 52

Verisys

DECEMBER 17, 2021

Verisys Corporation, a credentials verification organization to the healthcare sector serving some of the largest health systems and retail pharmacies in the country, is named as one of the Best Companies to Work for by Utah Business magazine among a prestigious list including Zions Bank, Domo, and SelectHealth.

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Innovaare Compliance

FEBRUARY 7, 2022

Systematic audits and performance review are to validate the pre-delegation audit results and to ensure continuous compliance within the areas of Credentialing, Sales and Marketing, Claims Processing, Utilization Management, Quality Improvement and other delegated administrative and health services functions.

Compliance 52

Compliance Medicare Medicare Medicaid 52

Medisys Compliance

MARCH 29, 2022

You need to be clear about what falls in the category of charity so that your billing team can account for them accurately without any confusion. Provide may not be credentialed with payer so payer won’t be paying any amount. We assist you in every step of providing credentialing and submit every claim within the standard time limit.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medicare Medicare 52

Healthcare IT Today

FEBRUARY 21, 2023

Tuned serves patients of all ages by connecting qualified and credentialed audiologists to patients via an easy-to-use clinically validated platform. Tuned is a new approach to hearing health, designed by leading audiologists and focused on rethinking how to deliver hearing care to more people, more easily.

FDA 83

FDA 83

MedTrainer

DECEMBER 5, 2023

The act defines personal data broadly and includes a category for “sensitive data.” Credentialing Compliance in Connecticut Connecticut participates in the Interstate Medical Licensure Compact (IMLC), which is designed to make it easier for physicians who practice in multiple states.

Compliance 52

Compliance Licensing Public Health Governance 52

Healthcare IT News - Telehealth

AUGUST 2, 2022

Compliance and credentialing. "The enterprise-wide platform also has motivated the further development of a robust telehealth compliance program and credentialing process, crisis management infrastructure, and further commitment to infrastructure development," Kelly noted.

Hospitals 130

Hospitals COVID-19 Electronic Medical Records Patient Satisfaction 130

HIT Consultant

FEBRUARY 9, 2023

. – Impact Advisors tied with Nordic to be a co-winner of the Overall IT Services category. Impact Advisors also excelled in several individual categories, winning Best in KLAS awards for ERP Implementation Leadership, Financial Improvement Consulting, and Security & Privacy Consulting Services.

Nurses 52

Nurses Compliance Hospitals 52

Medisys Compliance

FEBRUARY 20, 2022

As discussed above, incident-to billing applies only to Medicare; and, the incident-to billing does not apply to services with their own benefit category. A Medicare-credentialed physician must initiate the patient’s care. Billing Requirements for ‘Incident-to’ Services.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Medicare Medicare 52

MedTrainer

MAY 21, 2020

May 21, 2020 – MedTrainer, the creator of the only all-in-one learning, compliance, accreditation and credentialing management suite, announces it has been named the Best Compliance Management Solution Provider in the 2020 MedTech Breakthrough Awards. REDLANDS, Calif. – About MedTrainer. For more information visit?

Compliance 40

Compliance Governance 40

AIHC

OCTOBER 19, 2021

Respect is earned, not automatically “given,” after achieving a credential such as “ Certified Healthcare Auditor ” which has been offered by the American Institute of Healthcare Compliance since 2004. Are you a credentialed member of the American Institute of Healthcare Compliance (AIHC)?

Compliance 52

Compliance Governance 52

HIPAA Journal

NOVEMBER 18, 2022

Medibank said the threat actor infiltrated its systems using “high-level credentials,” which had the necessary clearance to access large amounts of data, and that multi-factor authentication was protecting those accounts. How those credentials were stolen and MFA was bypassed has not been made public. The Hackers Show No Mercy.

Ransomware 61

Ransomware Health Insurance HIPAA Governance 61

Provider Trust

AUGUST 16, 2023

While medical providers comprise a large percentage of healthcare vendors, other facility staff members also fall under this category. Technology also streamlines license and exclusion monitoring by centralizing provider information and creating a unified platform containing vendor credentials and certification information.

Fraud 52

Fraud Compliance Licensing Compliance Officers 52

Healthcare IT Today

FEBRUARY 2, 2023

Begin by setting the scope to establish clear parameters regarding the time period you want to cover and the error categories you will look for in the audit. Encounter errors: Incorrect dates of service, missing provider signatures, and flagged provider credentials are all errors that can occur during patient encounters.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

HIPAA Journal

JANUARY 21, 2024

However, it will still be necessary to monitor access in order to identify when passwords are shared impermissibly or when login credentials are compromised. A new category of “attested” uses and disclosures to prevent reproductive health care data being used or disclosed for a “non-health” purpose.

HIPAA 57

HIPAA Compliance Due Diligence Medicare 57

NY Health Law

FEBRUARY 13, 2024

Professional Technical Titles: This includes Physician Assistant, Licensed Mental Health Counselor, Master of Social Work, Credentialed Alcoholism and Substance Abuse Counselor, Certified Pharmacy Technician, Certified Medical Assistant, and Respiratory Therapist.

Medicaid 52

Medicaid Medicaid Nurses Medicare 52

AIHC

NOVEMBER 29, 2023

Risk adjustment is a reimbursement method originally designed to estimate future health care costs using Hierarchical Condition Category (HCC) coding which are to be submitted annually beginning January 1st. We value our members, credentialed professionals and greatly appreciate the talents offered by our member volunteers!

Medicare 59

Medicare Medicare Medicaid Medicaid 59

AIHC

AUGUST 8, 2023

Analyze them for repeat offenders which appear consistently not only within categories but between categories. Learn more about the CHA credential - auditing for compliance. Learn more about conducting internal investigations and CIHFA credential.

Compliance 52

Compliance Fraud Medicaid Medicaid 52

AIHC

NOVEMBER 29, 2023

Risk adjustment is a reimbursement method originally designed to estimate future health care costs using Hierarchical Condition Category (HCC) coding which are to be submitted annually beginning January 1st. We value our members, credentialed professionals and greatly appreciate the talents offered by our member volunteers!

Medicare 52

Medicare Medicare Medicaid Medicaid 52

AIHC

MARCH 2, 2023

Remote Worker is the category I am in. This could be in the format of hitting the 20% in the beginning of the Go to meeting which would also give them a clear message and the following part of the call more relaxed and interactive. This principle could also add to less calls with more impact of material in a lessor amount of time.

Compliance Officers 52

Compliance Officers Compliance Fraud Medical Billing 52

MedTrainer

DECEMBER 15, 2023

Credentialers everywhere are cringing as they think of how much work will need to be completed to credential these providers for the first time. It’s not just the credentialing team facing huge changes. If you haven’t already begun the credentialing process, reach out to your providers NOW for the information and documents you need.

Medicare 98

Medicare Medicare Hospitals Medicaid 98

New Jersey Healthcare Blog

MARCH 3, 2021

It requires individuals who apply for licensure to provide the Board with comprehensive evaluation of their degree performed by the National Register of Health Service Psychologists or a foreign credential evaluation service that is member of the National Association of Credential Evaluation Services (NACES). See N.J.A.C.

Nurses 40

Nurses Licensing Hospitals Public Health 40

AIHC

MAY 31, 2022

Categories often involve allegations of total neglect or no services, worthless services, inadequate and inferior services and products, and aggressive patient treatment. Other areas of fraud involve misrepresentation of credentials, upcoding of services, unbundling of services, and misrepresentation of patient data or populations.

Fraud 52

Fraud Compliance Officers Compliance Medicare 52

MedTrainer

JULY 28, 2022

We have been working to make selecting courses for your staff even easier, with new searchable categories! Managing your credentialing just got easier. One of the many pieces of credentialing is performing verifications. Here are the new features and updates we’ve recently made. Date: Jul 20, 2022. Course Catalog. Activity logs.

Licensing 98

Licensing HIPAA Nurses 98

AIHC

NOVEMBER 15, 2023

ICD-10-CM Coding is Category B02 B02.9 Consider enrolling in the online Clinical Documentation Improvement course w/option to certify online to earn your Certified Medical Documentation Professional (CMDP) credential. Skim through the general listing or click on a topic under “Categories”.

Compliance 59

Compliance Hospitals COVID-19 HIPAA 59

AIHC

NOVEMBER 15, 2023

ICD-10-CM Coding is Category B02 B02.9 Consider enrolling in the online Clinical Documentation Improvement course w/option to certify online to earn your Certified Medical Documentation Professional (CMDP) credential. Skim through the general listing or click on a topic under “Categories”.

Compliance 52

Compliance Hospitals COVID-19 HIPAA 52

AIHC

FEBRUARY 16, 2024

The Cobra Effect - A Study in Laws of Unintended Consequences Written by Carl Byron , CCS, CHA, CIFHA, CMDP, CPC, CRAS, ICDCT-CM/PCS, OHCC A long-term AIHC credentialed member and subject matter expert EVERY decision or action we make carries unintended consequences. Just continually reevaluate to make certain of the conclusion(s) 6.

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

AIHC

FEBRUARY 16, 2024

The Cobra Effect - A Study in Laws of Unintended Consequences Written by Carl Byron , CCS, CHA, CIFHA, CMDP, CPC, CRAS, ICDCT-CM/PCS, OHCC A long-term AIHC credentialed member and subject matter expert EVERY decision or action we make carries unintended consequences.

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

Healthcare Law Blog

NOVEMBER 13, 2023

The analysis would specifically examine the impact of PAs at the plan level on enrollees who receive the low-income subsidy, who are dually eligible for Medicare and Medicaid, or who have a disability and compare that impact with the impact of PAs on those who are not in those categories.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

Healthcare IT News - Telehealth

MARCH 19, 2020

“Using acute telemedicine for tele-triage is helping keep staff in a low-risk category for infection by completely eliminating exposure for those doctors or other hospital staff.” “Another limitation for hospitals may be needing to credential new doctors,” Hallock said. ” Playing catch-up with telehealth.

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COVID-19 Telemedicine Hospitals Doctors 216