article thumbnail

Understanding Proposed Rule Changes to ACO Participation in Medicare Shared Savings Program

MedTrainer

This is the case for proposed changes to the Medicare Shared Savings Program, as they’ll impact ACOs in more ways than one if they’re enacted. Before we discuss the proposed changes to the Medicare Shared Savings Program, let’s take a moment to review ACOs. What Are the Changes to the Medicare Shared Savings Program?

article thumbnail

Conquering The Provider Enrollment Process

MedTrainer

Schedule your demo to see MedTrainer Credentialing Software in action. Take the Next Step To Improve Your Provider Enrollment Process Download Tools to Conquer Provider Enrollment , an in-depth guide with valuable tips on speeding up the time from credentialing to enrollment approval.

Insiders

Sign Up for our Newsletter

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

article thumbnail

Healthcare Compliance Risks with Urine Drug Testing Overpayments 

YouCompli

According to the OIG, prior error rate testing has suggested an improper payment rate of almost 30% for Medicare. For example, the government regularly asserts Medicare claims must be “reasonable and necessary for the diagnosis or treatment of an illness or injury.” Once identified, Medicare should perform audits on those providers.

article thumbnail

OIG in Healthcare: The Integrity of Healthcare Services

Compliancy Group

Schedule a Demo See the software that makes getting compliant a breeze! Schedule Now × Schedule a Demo Find Out More! Please Wait. Something is wrong with your submission. To protect patients and maintain high standards of care, healthcare providers must perform regular OIG background checks on their employees and vendors.

article thumbnail

Forging a Secure Healthcare Future: HHS OCR Achieves Resolution with L.A. Care Health Plan in HIPAA Security Rule Case

Compliancy Group

Entities such as LA Care must protect the health information of its insureds while providing health care for the most vulnerable residents of Los Angeles County through its coverage, which includes Medicaid, Medicare, and Affordable Care Act health plans.” Schedule a Demo See the software that makes getting compliant a breeze!

HIPAA 52
article thumbnail

UnitedHealthcare Provider Enrollment: What To Expect

MedTrainer

Schedule your demo to see MedTrainer Credentialing Software in action. Here is a list of the information you’ll need to gather for UnitedHealthcare credentialing: Training and Education Practitioner degree (M.D., Easily assign multiple enrollments to staff, update statuses, and prioritize.

article thumbnail

Understanding the Medicaid Fraud Control Unit’s 2023 Annual Report

Provider Trust

Book a Demo Plus, our data oversight team investigates any potential matches for you at no extra cost, returning exact matches only. Learn more about our customizable solutions from a team member today.

Fraud 52