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Can a Non-Credentialed Provider Bill Under Another Provider

Physician Credentialing Company

However, the question arises whether there is any condition in which a non-credentialed provider can be billed independently or under a supervising provider in medical billing. There are a lot of federal and payer-specific policies about billing non-credentialing providers.

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How Embedded Finance is Transforming the Health and Medical Industry

HIT Consultant

Even with insurance, unexpected medical bills and out-of-pocket costs can add up fast, leading to financial hardship. Patients can now easily gain access and more quickly to doctors, an array of assessments and medical and blood tests that can be done from home for everyday ailments.

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Fraud, Waste, and Abuse (FWA) Refresher Training

American Medical Compliance

Fraud, Waste, and Abuse (FWA) remain critical challenges in the healthcare industry, impacting patient care, financial integrity, and regulatory compliance. Cracking Down on Healthcare Fraud In a significant enforcement effort, a total of 33 Texas doctors have settled allegations related to healthcare fraud.

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Which Contract is Most Often Used in the Medical Office?

Physician Credentialing Company

These contracts map out the working partnership between the health care organizations and medical practices with regard to work expectations, payment, and the limitations of practice. Which Contract Is Most Used in the Medical Billing Office? Regulatory Compliance: Compliance with ever-changing federal and state requirements.

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Credentialing in Healthcare: Essential Processes and Best Practices

Physician Credentialing Company

For example, when a doctor claims to have graduated from a certain medical school, the credentialing team contacts that school directly to confirm. Regulatory Compliance: Helps healthcare organizations comply with industry standards and regulations, avoiding legal penalties and enhancing credibility.

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Who Needs CPR Training in Healthcare and Who Does Not

MedTrainer

From doctors and nurses to billing specialists and IT, this blog post outlines the CPR training requirements and expectations for each professional role. By understanding who needs to be certified and why, you can ensure your healthcare organization is compliant with regulatory standards.