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UnitedHealthcare Provider Enrollment: What To Expect

MedTrainer

Benefits of Enrolling Your Providers With UnitedHealthcare Here are some key advantages of becoming an in-network provider with UnitedHealthcare: Expanded Revenue Opportunities: UnitedHealthcare is the 4th largest health insurer in the U.S.,

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Aetna Provider Enrollment: What To Expect

MedTrainer

Benefits of Enrolling Your Providers With Aetna Here are some key advantages of your organization enrolling providers with Aetna: Broad revenue opportunities: Aetna is the 6th-largest health insurer in the U.S. and offers your providers access to ~22 million medical insurance members.

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PHI Exposed in Data Incidents at Anthem, WellMed Medical Management and CareOregon

HIPAA Journal

On August 5, 2022, Anthem discovered that an unauthorized individual had gained access to a database and downloaded files containing plan members’ protected health information, including names, addresses, dates of birth, phone numbers, email addresses, Medicare ID numbers, and Medicaid ID numbers.

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Everything You Need To Know About NPI Numbers

Verisys

Providers, employers, health plans, and payers use these numbers for billing purposes. CMS.gov The Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) required the creation of a standard, unique health identifier for healthcare providers, which the NPI satisfies.

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Who Is Responsible For Compliance In Healthcare?

MedTrainer

Licensing and credentialing were introduced to regulate healthcare professionals and ensure minimum standards of care. Clinical & Administrative Departments Adheres to regulations and guidelines within their specific licensing boards and department policies and procedures. Automated escalation speeds up resolution.

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What is Required for Home Health Aide Training? 

MedTrainer

The Bureau of Labor Statistics defines a home health aide as a professional who “monitors the condition of people with disabilities or chronic illnesses and helps them with daily living activities.” The Code of Federal Regulations ( Section 484.80 ) provides the qualification guidelines for home health aides.

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Everything You Need To Know About NPI Numbers

Verisys

An NPI number is shared with other providers, employers, health plans, and payers for billing purposes. CMS.gov’s Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 ( HIPAA ) mandated the adoption of a standard, unique health identifier for each healthcare provider.

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