MedTrainer

MARCH 30, 2024

Download our Credentialing Reality Worksheet to find out! Download Now Credentialing Software Drives Speedy Provider Enrollments Credentialing software offers several benefits that help credentialers speed up the provider enrollment process. How much are enrollment delays costing your organization?

Malpractice 98

Malpractice Licensing Medicaid Medicaid 98

MedTrainer

MAY 7, 2024

Download Now UnitedHealthcare Provider Enrollment Guidelines UnitedHealthcare requires that credentialiers ensure all providers meet standard credentialing criteria to become a healthcare professional in its network. Easily assign multiple enrollments to staff, update statuses, and prioritize.

Malpractice 52

Malpractice Licensing Medicaid Medicaid 52

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

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?

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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? Upon completion and approval, the provider can begin billing for medical services.

Malpractice 52

Malpractice Licensing Hospitals Compliance 52

Verisys

DECEMBER 5, 2023

The Centers for Medicare & Medicaid Services (CMS) Medicare and state Medicaid lists show practitioners who have opted out of those programs. The policy issuer for malpractice insurance verifies insurance coverage. The Primary Source Organizations. Some organizations compile and publish data monthly. Unpublished Data.

Governance 52

Governance Licensing Malpractice Medicaid 52

MedTrainer

APRIL 18, 2024

Download Now Common Challenges in Behavioral Health Credentialing Where behavioral health credentialing diverges from typical provider credentialing is Medicare enrollment. This may include proof of licensure, certification, accreditation, malpractice insurance, DEA registration (if applicable), and other supporting documentation.

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Medicare Medicare Licensing Compliance 52