MedTrainer

MAY 6, 2024

Download Now Aetna Provider Enrollment Guidelines Aetna requires that all providers meet standard credentialing criteria to become a healthcare professional in its network. Download our guide – Tools to Conquer Provider Enrollment – for valuable tips on speeding up the time from credentialing to enrollment approval.

Licensing 52

Licensing Malpractice Health Insurance Medicaid 52

Verisys

DECEMBER 5, 2023

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 Centers for Medicare & Medicaid Services (CMS) Medicare and state Medicaid lists show practitioners who have opted out of those programs.

Governance 52

Governance Licensing Malpractice Medicaid 52

MedTrainer

JULY 28, 2023

Earlier this year, an in-depth OIG investigation resulted in a six-day trial of a former Louisiana health clinic CEO , who was ultimately convicted of Medicaid fraud and sentenced to 82 months in federal prison. Download “Compliance Reports You Can’t Live Without” for OIG reporting templates and tips. What Prompts an OIG Inspection?

Fraud 98

Fraud Compliance Medicaid Medicaid 98

MedTrainer

MARCH 14, 2024

Additionally, the credentialing specialist may request a record of any pending and past medical malpractice cases and disciplinary actions from the appropriate authority. Download Now What are Provider Privileges? Whether it’s government regulation or healthcare facility requirements is a matter.

Malpractice 52

Malpractice Licensing Hospitals Compliance 52

Verisys

MARCH 1, 2022

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 Centers for Medicare & Medicaid Services (CMS) Medicare and state Medicaid lists show practitioners who have opted out of those programs.

Governance 52

Governance Licensing Malpractice Medicaid 52

AIHC

APRIL 25, 2022

Are providers and professionals allowed to download mobile applications to mobile devices? As AIHC advises, another resource is legal advice through your malpractice insurance company. Medicaid programs often restrict the type of providers that can be reimbursed when delivering services via telehealth.

HIPAA 52

HIPAA Compliance COVID-19 Compliance Officers 52