Providertrust.com

Understanding Compliance for Healthcare Vendors

WEBHealthcare organizations that contract with vendors are responsible for vetting and monitoring the continued compliance and status of its own vendor networks …

Actived: 3 days ago

URL: https://www.providertrust.com/blog/understanding-compliance-for-healthcare-vendors/

Healthcare Exclusion Sources: What You Need to Know

WEBHealthcare Exclusion Sources: What You Need to Know. When it comes to exclusion monitoring, there are a myriad of lists that need to be monitored, both at the …

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What is PECOS and How to Verify a Provider

WEBPECOS stands for Provider, Enrollment, Chain, and Ownership System. It is the online Medicare enrollment management system that allows individuals and entities …

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OIG Exclusion List Monitoring: What You Need to Know

WEBThe HHS Office of the Inspector General (OIG) Exclusion Program serves to protect federal healthcare programs by limiting the impact of fraudulent and bad actors. …

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What is an NPI & How to Apply & Search the NPPES Registry

WEBMost healthcare professionals are familiar with the term NPI (National Provider Identifier) because it is commonly used to validate and verify a wide range of …

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How to Conduct an Effective Healthcare Compliance Audit

WEBAll of these are important steps in creating an effective compliance audit. To be effective you need to properly prepare, taking time to consider what tools and/or resources you …

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How to Look Up a Provider with an NPI

WEBThe NPI Number is a hyperlink, navigating to the NPI Details page when selected. Name: The Legal Business Name associated with the Provider. For individual …

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Quick Guide to the National Practitioner Data Bank (NPDB)

WEBThe National Practitioner Data Bank (NPDB) is a confidential information clearinghouse operated by the U.S. Department of Health and Human Services (HHS) …

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7 Characteristics of an Effective Healthcare Compliance Officer

WEBHowever, I’ll gladly add to the ‘list’ with these characteristics of which, to me, are vital in shaping and forming a pyramid topped with the outcome of “effectiveness”. …

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3 Qualities of an Effective Healthcare Compliance Officer

WEB3 Ways a Healthcare Compliance Officer Makes Organizations Healthier. Compliance Officers can be tasked with developing and managing a safe and intuitive compliance …

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Healthcare Exclusion Monitoring for Vendor Owners and Managers

WEB1. 15-Year Exclusion A Reminder to Industry. Washington, DC – On August 17, 2018, Administrative Law Judge (ALJ) Bill Thomas upheld OIG’s 15-year exclusion of Karim …

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Top Accreditation Credentialing Standards for Healthcare Clinicians

WEBHealthcare credentialing for licensed or certified clinicians has been a challenge for quite some time. Whether it’s obtaining the right information from state …

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Healthcare License Monitoring Best Practices

WEBHealthcare License Monitoring Best Practices. When it comes to measuring healthcare license monitoring and identifying how it applies to various organizations, HR …

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Nursing License Verification: Necessary, But Complex

WEBLicense verification, especially nursing license verification, is essential to ensuring that only the most qualified practitioners are seeing your patients. Although …

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Quick Guide to the Medicare Opt Out List

WEBIf a physician or provider decides not to be included in the Medicare program, the individual must submit an affidavit to the Centers for Medicare and Medicaid Services (CMS). …

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OIG, SAM.gov, & State Exclusion Lists Explained

WEBExclusions are administrative actions that are placed upon an individual or entity by HHS OIG, a state agency or Medicaid Fraud Control Unit (MFCU), or by one of …

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Three Challenges Impacting Healthcare License Verifications

WEBTo ensure patients receive care from qualified nurses, verifying credentials is imperative. During a time of staffing shortages, this can be a costly and disjointed process.Checking …

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Corporate Integrity Agreements: A Brief History

WEBA Corporate Integrity Agreement (CIA) is a serious option available to the HHS Office of Inspector General (OIG) to resolve allegations of healthcare fraud and …

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