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March 2020 HHS OIG Work Plan Updates
March HHS OIG Work Plan updates include CMS protocol for assessing hospitals' compliance with the Conditions of Participation, Medicare hospital payments involving acute and post-acute care transfer policies, and more.
ProviderTrust Response to Coronavirus (COVID-19)
As COVID-19 cases continue to increase around the world, ProviderTrust is committed to providing a safe environment for our team members and ensuring business continuity in service to you, our clients and partners.
We love you, Nashville.
Last night was devastating for the city we love so much. We saw our families, neighbors, and friends face a vicious tornado that ripped through Nashville and claimed the lives of multiple people and destroyed homes and businesses in its path across the region. Nashville is a part of the ProviderTrust story, and we are deeply committed to helping our friends and neighbors rebuild.
ProviderTrust Kicks Off Milestone Anniversary With Introduction Of New Solution for Health Plans
Dash underscores ProviderTrust’s commitment to meet the evolving needs of its customers and the industry at large, empowering a safer healthcare through smarter monitoring.
2020 HCCA Managed Care Conference Takeaways
We had a blast at the 2020 HCCA Managed Care Conference. Take a look at some of the highlights from the event.
February 2020 HHS OIG Work Plan Updates
February HHS OIG Work Plan updates include a review of the impact on MA risk adjustment payments, Medicare Part D audits, MCO and PBM pricing, Medicaid waiver programs, and more.
The Story Behind the HR Leader Bundle
At ProviderTrust, we're all about helping people grow and succeed and our HR Leader Bundle helps you do just that. Here’s why we chose each of the items.
Joint Commission Compliance for Healthcare Licenses and Credentials
Learn more about Joint Commission compliance requirements, the auditing process for healthcare administrators, and some of the common gaps in ongoing license verification and credential monitoring for providers.
HHS OIG Recommends CMS Require NPIs for Ordering Providers
HHS OIG recommends that CMS require MAOs to submit NPIs for ordering providers. Explore the reasons why this information would be helpful to prevent FWA, and the concerns from payers in regard to the accuracy of CMS encounter data.
Top 5 Benefits of Comprehensive Sanctions Screening
Many healthcare organizations committed to patient safety go beyond the minimum required monitoring and build complete profiles of providers’ history with comprehensive sanctions screening.
January 2020 HHS OIG Work Plan Updates
January HHS OIG Work Plan updates include a review of IRF early transfer policies, an audit of the Office of Refugee Resettlement's placement and transfer of children, an audit for CMS Medicaid PERM program, and more.
How to Screen Referring, Ordering, and Prescribing Physicians
Learn how to screen your non-employed provider populations (referring, ordering, prescribing physicians with NPI verification and ongoing sanction/exclusion monitoring.
Top Vulnerabilities of Personal Care and Home Health Services
The steady rise in demand for home health and personal care services and lack of certain controls has produced vulnerabilities in government healthcare programs to eliminate fraud, waste, and abuse.
Quick Guide to Sanction Screening
In healthcare, “sanction” is a general term applied to a variety of disciplinary and administrative actions. It can be taken against an individual or a medical license. Healthcare personnel can be sanctioned for a variety of reasons.
December 2019 HHS OIG Work Plan Updates
December HHS OIG Work Plan updates include reviews and audits of the UAC program, cyber security controls for VAERS, national background checks for long term care facilities, and more.
HHS OIG Releases 2019 Fall Semiannual Report to Congress
HHS OIG Acting Inspector General, Joanne M. Chiedi releases the Fall Semiannual Report to Congress, summarizing department activities and accomplishments.
November 2019 HHS OIG Work Plan Updates
November HHS OIG Work Plan updates include HHS IT audits, an opioid crisis toolkit, MAO collection of ordering provider information, MFCU oversight, and more.
HHS OIG Criteria for Imposing Healthcare Exclusions
Learn how HHS OIG makes a decision on when to impose permissive exclusions for healthcare providers, managing employees, owners, vendors, and more.
October 2019 HHS OIG Work Plan Updates
October HHS OIG Work Plan updates include supplier Medicare compliance, hospice cap calculations, Medicare Part B payment reviews, FDA medical device surveillance, and more.