Provider Trust

MAY 17, 2022

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?

Compliance 52

Compliance Medicare Medicare Due Diligence 52

Health Care Law Brief

JUNE 5, 2023

In 2013, Jelly Bean contracted with the Florida Health Kids Corporation (“ FHKC ”)—a state-created entity that offers health and dental insurance for Florida children—to create, host, and maintain HealthyKids.org, where, in part, parents and others could apply for state Medicaid insurance coverage for eligible children.

Fraud 52

Fraud Due Diligence Medicaid Medicaid 52

HIPAA Journal

MARCH 15, 2023

FHKC receives Medicaid funds and state funds for providing health insurance programs for children in Florida. The contract was renewed by FHKC through 2020, with the federal government covering 86% of the payments to Jelly Bean Communications Design.

Health Insurance 72

Health Insurance HIPAA Due Diligence Fraud 72

Health Care Law Brief

NOVEMBER 9, 2021

Additionally, and as we touched upon in our January 7, 2021 post on the No Surprises Act , these new measures supplement state laws governing surprise medical billing, and so in cases where a state No Surprises law applies, the state law generally determines an individual’s OON payment rate. [1]. Patient-Provider Dispute Resolution.

Medical Billing 75

Medical Billing Due Diligence Compliance Patient Satisfaction 75

HIT Consultant

FEBRUARY 5, 2024

Therefore, due diligence requires background checks to identify both current and historical adverse actions to be performed. Under Charlie’s guidance, Verisys has positioned itself as the leading provider of governance, risk and compliance data in the industry, contributing to the safety and integrity of the healthcare system.

Malpractice 96

Malpractice Licensing Due Diligence Hospitals 96

MedTrainer

AUGUST 2, 2023

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?

Malpractice 52

Malpractice Due Diligence Compliance Licensing 52

AIHC

JUNE 22, 2022

If the provider is not enrolled in the plan, you will not be able to bill for services rendered, ESPECIALLY with Medicare and Medicaid. Code of Federal Regulations (CFR) have, as a result, become the best standard for due diligence. CFR regulations (U.S. As we say in the credentialing world… Happy Credentialing!

Medicaid 52

Medicaid Medicaid Due Diligence Medicare 52