Provider Trust

APRIL 18, 2024

Since that time, the organization has uniquely led the way in providing innovative solutions that uphold data integrity for ongoing exclusion monitoring, timely license and credential verification, and healthcare vendor data collection. That’s how we play differently; that’s how we partner to ensure safer healthcare for all.”

Compliance 52

Compliance Licensing Fraud Medicaid 52

MedTrainer

JANUARY 4, 2024

Physician credentialing is an essential aspect of healthcare operations that ensures medical professionals meet the necessary qualifications and standards to provide care. However, deciding if the physician credentialing services cost is worth it can be a daunting task. So how much does physician credentialing services cost?

Compliance 52

Compliance Nurses 52

MedTrainer

NOVEMBER 2, 2023

Credentialing in healthcare is one of the first steps to a provider being able to practice. In this blog post, we’ll explore what credentialing entails, its significance, and why it remains an indispensable aspect of healthcare. What Is the Purpose of Credentialing in Healthcare?

Compliance 52

Compliance Hospitals Licensing 52

MedTrainer

FEBRUARY 20, 2024

Healthcare providers must complete insurance credentialing to receive reimbursement for services. In this blog, we’ll review what is insurance credentialing, the process, and who’s required to complete insurance credentialing. We’ll also discuss how healthcare organizations manage credentialing and why it’s essential.

Licensing 52

Licensing Medical Billing Compliance Medicaid 52

HealthIT Answers

JANUARY 30, 2024

NOW on demand, The Tate Chronicles with host Jim Tate and guest Jason Barr, the VP of Healthcare for ID.me, the market leading digital identity and credentials network. They explore the challenges and solutions of patient identity mapping - Step One of interoperability.

64

64

Medisys Compliance

OCTOBER 30, 2023

However, managing the administrative aspects of their practice, including mental health billing and credentialing, can be a significant challenge. What is Mental Health Credentialing? Mental health credentialing is the process of becoming an approved provider with insurance companies or government health programs.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Malpractice Licensing 59

MedTrainer

OCTOBER 13, 2023

Credentialing is evolving. There have been monumental shifts in credentialing in the past few years. In fact, my colleague and I did an entire webinar on the evolution of credentialing earlier this year. And we spent very little time on what’s becoming the biggest challenge in credentialing. Because no one talks about it.

Fraud 52

Fraud Medicaid Medicaid Medicare 52

MedTrainer

JANUARY 22, 2024

MedTrainer Director of Credentialing Services Brent Althoff speaks with Outcomes Rocket podcast host Saul Marquez in an episode titled Protecting the Revenue Cycle With Credentialing. Brent shares his experience working both with medical and dental groups as well as with one of the nation’s largest payers. “My

Compliance 52

Compliance 52

HIT Consultant

SEPTEMBER 20, 2023

Leveraging Patient Access to Enable Seamless Retrieval of Clinical Data Healthcare support organizations can now leverage Patient Access to enable consumers to seamlessly retrieve and share their comprehensive clinical data from a nationwide network of clinics, hospitals, and EHR systems in near real-time.

Hospitals 121

Hospitals 121

Healthcare IT Today

NOVEMBER 14, 2023

Even when digital tools are utilized, it’s not uncommon for provider network teams to use a combination of siloed point solutions, disparate spreadsheets, and a series of complex process steps for keeping status information up to date in multiple disconnected systems. How is provider data shared in your organization?

US Department of Health and Human Services 81

US Department of Health and Human Services Licensing Nurses Compliance 81

Medisys Compliance

AUGUST 7, 2023

This is where mental health billing and credentialing services come into play. Mental health billing and credentialing services are essential aspects of the healthcare industry. About Medisys Data Solutions (MDS) Medisys Data Solutions (MDS) is a dependable and trustworthy mental health billing company.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Regulatory Compliance Medical Billing Compliance 52

Verisys

NOVEMBER 14, 2023

The Importance of Thorough Credentialing The credentialing process for hospitals and health systems prioritizes in-depth research and meticulous accuracy, which means that it is not a speedy process, often taking from 90 to 120 days to complete. However, verifying a provider’s credentials is essential.

Licensing 52

Licensing Medicaid Medicaid Governance 52

HIPAA Journal

MAY 18, 2023

The BianLian group primarily gains access to victims’ networks by using Remote Desktop Protocol (RDP) credentials, which may be obtained through brute force attacks to guess weak credentials, purchasing credentials from initial access brokers, or phishing attacks.

Ransomware 93

Ransomware HIPAA Public Health 93

Verisys

AUGUST 31, 2023

7 Red Flags to Watch for During Healthcare Credentialing Provider credentialing is a crucial aspect of any healthcare organization. It takes time to thoroughly credential one provider, from several weeks to a few months. As you can probably guess, provider credentialing is tedious and time-consuming.

Malpractice 52

Malpractice Fraud Medicaid Medicaid 52

MedTrainer

OCTOBER 23, 2023

Learning how to become a credentialing specialist might be the perfect path for you. It is the credentialing specialist who guarantees that practitioners are qualified to provide the care patients trust them with. Read on to discover the steps on how to become a credentialing specialist. What Is a Credentialing Specialist?

Compliance 52

Compliance Licensing Doctors Hospitals 52

HIPAA Journal

JULY 13, 2022

Microsoft has warned of a large-scale phishing campaign targeting Office 365 credentials that bypasses multi-factor authentication (MFA). The user is redirected to a website that hosts a popular open source phishing kit, which is used to harvest credentials. In addition to harvesting credentials, session cookies are stolen.

HIPAA 124

HIPAA 124

HIPAA Journal

MAY 18, 2022

Multifactor authentication should be enforced on all accounts to block attempts to use stolen credentials. Use of default credentials and configurations. The failure to change default credentials provides attackers with easy access, as default credentials are often in the public domain. Suggested Mitigations.

Ransomware 117

Ransomware HIPAA 117

HIT Consultant

JANUARY 2, 2024

What You Should Know: – CareCloud , a leader in health tech solutions, and Kovo HealthTech , a prominent billing-as-a-service provider, have announced a strategic collaboration. Strengthening Billing and Beyond Kovo boasts a vast network of over 2,250 healthcare providers already benefiting from its efficient billing solutions.

52

52

HIT Consultant

FEBRUARY 6, 2023

Flexible Solution for Staffing Shortage Historically, traditional staffing providers have focused on the travel nursing segment due to the high margins where several large players control the market. ShiftMed is positioned to provide health systems with a regulatory compliant W-2 solution that leverages local and part-time resources.”

Nurses 97

Nurses Hospitals 97

Verisys

FEBRUARY 12, 2024

Verisys Solution – Transparency and Accountability: Verisys helps ensure that healthcare providers and organizations maintain high standards of professional conduct and accountability. It’s about ensuring that the organization meets external legal requirements as well as internal policies and procedures.

Compliance 52

Compliance Governance Health Insurance HIPAA 52

Verisys

DECEMBER 5, 2023

Although credentialing and recredentialing standards were temporarily changed due to COVID, many regulations are returning to the former protocol. That’s why it’s important to understand primary source verification, methods of accessing primary sources, and how to get help with practitioner credentials verification if you need it.

Governance 52

Governance Licensing Malpractice Medicaid 52

HIT Consultant

NOVEMBER 9, 2023

NeuroWorks Natus Electroencephalogram (EEG) software solution is widely used across clinics, hospitals, large teaching facilities and medical device providers for EEG, LTM, ICU, sleep, and research studies.

Hospitals 82

Hospitals 82

Verisys

DECEMBER 1, 2023

The Importance of NCQA Certification for CVOs Verifying credentials for practitioners and affiliated organizations is a key component of patient safety in healthcare. It allows organizations to stay compliant with state and federal requirements and maintains their accreditation with Medicare, Medicaid, TRICARE, and other programs.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Healthcare IT Today

JULY 28, 2023

Verifiable’s comprehensive suite of network management solutions and real-time verifications empowers healthcare organizations to expedite credentialing from multiple weeks to a matter of days. Humana chose Verifiable to insource, automate and centralize credentialing operations on the Salesforce platform.

Compliance 52

Compliance 52

MedTrainer

NOVEMBER 15, 2023

Physician credentialing is a necessary step for medical professionals before becoming providers. In order to actually provide services to patients, one must be credentialed to prove that they’re competent. What Is Provider Credentialing? Provider Credentialing Provider credentialing is a critical process in healthcare.

Medicaid 52

Medicaid Medicaid Doctors Medicare 52

Verisys

AUGUST 17, 2023

Let’s take this opportunity to review the importance of primary source verification during the healthcare credentialing process. Defining healthcare credentialing and primary source verification Healthcare credentialing is the tedious process of assessing a healthcare provider’s qualifications, experiences, and competency.

Malpractice 52

Malpractice Licensing Compliance Medicaid 52

MedTrainer

SEPTEMBER 20, 2023

Credentialing is the behind-the-scenes process that turns this implication into reality, and it’s a critical part of running a responsible healthcare facility. Negligent credentialing practices break this bond of trust, and introduce risk into the healthcare environment. What Is Negligent Credentialing? Legal Liability.

Malpractice 52

Malpractice Licensing Due Diligence Compliance 52

MedTrainer

AUGUST 11, 2022

“Credentialing is just a lot of paperwork. Regulatory compliance in healthcare , and credentialing in particular, can be a tedious, manual process that takes hours of concentration. Unfortunately, credentialing can also take several rounds of trial and error. ??. Farewell to binders and credentialing spreadsheets.

Regulatory Compliance 52

Regulatory Compliance Compliance 52

Symplr

JULY 3, 2023

Healthcare worker burnout, siloed technology solutions , and gaps in the credentialing infrastructure are among the factors which can lead to noncompliance. Hospitals and health systems today face an unprecedented number of challenges to ensure vendor compliance and protect their employees and patients.

Compliance 70

Compliance Hospitals 70

HealthStream

DECEMBER 19, 2019

Leaders are looking to optimize software solutions which provide methods to improve efficient communication and required payer ongoing verifications, as well as integration with the Council for Accountable Quality Healthcare (CAQH), State Medicaid, and Medicare enrollment.

Medicaid 40

Medicaid Medicaid Medicare Medicare 40

Provider Trust

APRIL 14, 2023

When a healthcare provider or organization bills a payer for services rendered, payers need up-to-date credentialing data to ensure these providers are properly licensed to give expert clinical services. Regardless of your approach, the credentialing process can be quite complex.

Licensing 52

Licensing Compliance Malpractice Medicaid 52

Healthcare IT Today

APRIL 16, 2024

According to Ryan Witt, Vice President, Industry Solutions at Proofpoint, Inc. The hospital uses actual phishing email and SMS messages that have come in to do simulations that teach staff how to recognize fake requests for credentials. phishing emails are still the most prevalent and dangerous sources for security breaches.

Hospitals 100

Hospitals 100

MedTrainer

AUGUST 2, 2023

The credentialing process — also called provider credentialing, physician credentialing, or medical credentialing — is a critical part of onboarding. The National Committee for Quality Assurance (NCQA) has established a set of standards that currently act as a guideline on how to credential health care providers.

Due Diligence 52

Due Diligence Malpractice Licensing Compliance 52

Healthcare IT Today

OCTOBER 4, 2023

If a file is deemed malicious, this solution takes action to prevent the code from executing, thus protecting the network and digital assets. Attackers often use phishing attacks with malicious links or files to trick users into sharing their credentials and gain access to critical resources.

Ransomware 96

Ransomware Electronic Medical Records Telemedicine HIPAA 96

HIPAA Journal

AUGUST 12, 2022

The emails have an Evernote-themed lure to trick recipients into downloading a Trojan file that generates a login prompt to steal credentials. The file includes JavaScript code that renders an Adobe or Microsoft-themed page that attempts to harvest Outlook, IONOS, AOL, or other credentials.

Ransomware 100

Ransomware HIPAA 100

MedTrainer

JANUARY 22, 2024

Striving to be the digital consciousness of healthcare leadership, innovation, and problem-solving, the podcast inspires collaborative thinking amongst healthcare leaders to solve problems and create healthcare solutions. Learn more about our mission at www.outcomesrocket.health.

Compliance 52

Compliance 52

MedTrainer

JANUARY 22, 2024

Striving to be the digital consciousness of healthcare leadership, innovation, and problem-solving, the podcast inspires collaborative thinking amongst healthcare leaders to solve problems and create healthcare solutions. Learn more about our mission at www.outcomesrocket.health.

Compliance 52

Compliance Compliance Officers 52