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Aetna Provider Enrollment: What To Expect

MedTrainer

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.

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The Importance of Primary Source Verification for Practitioner Credentials

Verisys

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.

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How To Prepare for an OIG Inspection

MedTrainer

OIG Inspections in Healthcare The OIG focuses its resources on oversight of Medicare and Medicaid — programs that represent a large portion of the federal budget. Download “Compliance Reports You Can’t Live Without” for OIG reporting templates and tips. Medicare/Medicaid Compliance Reviews. What Prompts an OIG Inspection?

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Privileges and Credentialing Aren’t the Same

MedTrainer

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.

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The Importance of Primary Source Verification for Practitioner Credentials

Verisys

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.

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Audio-Video Telehealth, Mobile Device Management & You

AIHC

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. Are there restrictions on the type of information providers and professionals can store on mobile devices? Recovery/Deactivation of Mobile Devices ?

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