Blogs
HHS OIG: 1 in 5 Medicare Advantage Organizations Not Using NPI for Program Integrity Oversight
HHS OIG recently released another report about Medicare Advantage organizations including NPIs within encounter data and leveraging these identifiers for program integrity oversight.
Stay in Touch
Get the latest healthcare news, advice from industry experts, and all things related to monitoring solutions delivered straight to your inbox.
Innovation Alert! Instant to Ongoing Exclusion Screening
We are excited to introduce our newest innovation! Instantly screen new providers for exclusions when they enter your workflow, then add them to ongoing exclusion monitoring for continued peace of mind.
OFAC Search and Sanctions: What You Need to Know
What is OFAC? Should healthcare organizations search OFAC sources? In this post we provide an overview of OFAC SDN for healthcare.
International Clients’ Day
Celebrating Our Partners Today, March 19th, is International Clients’ Day! On this day, ProviderTrust celebrates all of our clients who partner with us to make healthcare smarter and safer. The past year has been tough. From transitioning to remote work and adapting your policies and procedures, to battling physician burnout and taking care of the […]
Data Enrichment of OIG Exclusion Lists Prompts Dismissed Investigation
OIG exclusion list monitoring is critical for healthcare organizations. But sometimes, excluded providers can go undetected for years. In this post, we explore how our data enrichment strategy caught a previously undetected exclusion that impressed the OIG enough for them to drop an investigation against our client.
OIG Issues Statement on Telehealth: What You Need to Know
In 2020, telehealth became a vital lifeline for both providers and patients. In this post, we recap the recent statement by HHS-OIG and offer a few tips for ensuring your telehealth services uphold program integrity and protect patients.
Closing the Maternal Health Gap with Homeland Heart
In this conversation with Kristin Mejia-Greene, founder of Homeland Heart & Wellness Collective, we discuss maternal health and mortality, how doulas can prove a powerful advocate within care teams, and how her organization Homeland Heart is working to provide better care for Black mothers in Nashville.
With Deadlines Looming, Payers Need a Strategic Response to Provider Directory Data
Provider directories and the data that power them must evolve to meet the needs of both changing regulatory requirements and an increasingly digital member base.
International Day of Women and Girls in Science
Today marks International Day of Women and Girls in Science – a UN holiday that highlights the gender gap in science, technology, engineering, and math (STEM) and activism to close said gap. In honor of the day, we asked two of our team members what it means to be women in science.
Why Your Low-Quality OIG Exclusion Monitoring is Costing More than You Think
In this post, we’ll explain why the low-quality (and risky!) OIG exclusion matches that you’ll find from other vendors can end up costing your organization.
Update on the Arizona Exclusion List
After a good run, in January 2021, the state of Arizona stopped publishing their own exclusion list. In this post, we’ll explain what we know about the Arizona exclusion list and how to adapt your screening processes in light of its discontinuance.
