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Conquering The Provider Enrollment Process

MedTrainer

Enrollment Application Checklist Gather Training and Education Practitioner degree (MD, DO, DPM), post-graduate education or training Medical or professional education/training details Designated specialty residency completion Gather Licensing and Certification Current license/certification in the state(s) where provider will be practicing No temporary (..)

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Can Your Hospital Afford Not to Outsource Credentialing?

Verisys

By outsourcing medical credentialing, hospitals can significantly reduce their costs. According to recent surveys of major metropolitan hospitals , departments that typically share the responsibility for credentialing include: The Compliance Office. million dollars for an average-sized hospital. Follow us on LinkedIn.

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8 Common Provider Credentialing Mistakes and How to Avoid Them

Verisys

Hospitals or health systems may not allocate adequate resources or staff to complete the medical credentialing process. 3: Allowing a physician to treat patients before credentialing is completed Courts have held hospitals liable when a physician falsifies credentials, and the hospital fails to do its due diligence in verifying them.

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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. Courtesy: This is when a hospital occasionally allows a provider to admit and treat a patient. However, not all providers need hospital privileges.

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Aetna Provider Enrollment: What To Expect

MedTrainer

Here is a list of the information you’ll need to gather to credential a provider with Aetna: Licensure and/or certification verified through state licensing boards in geographical areas where network practitioners will care for members Board certifications (when applicable) Loss of/limitation of hospital admitting privileges (when applicable) Current (..)

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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. Medicare/Medicaid Compliance Reviews. The OIG performs regular compliance reviews of Medicare and Medicaid providers. What Is the Scope of an OIG Inspection?

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Here's what primary care clinicians say they need to effectively implement telehealth

Healthcare IT News - Telehealth

"It made sense that all eyes were on the hospitals, because they were overwhelmed with sick patients," said Dr. Donna R. Review, revise and communicate telehealth malpractice policies. Shelley, a professor in the Department of Policy and Public Health Management at the New York University School of Global Public Health.

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