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We had a blast at the 2020 HCCA Managed Care Conference. Take a look at some of the highlights from the event.
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.
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.
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 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.
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 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.
Learn how to screen your non-employed provider populations (referring, ordering, prescribing physicians with NPI verification and ongoing sanction/exclusion monitoring.
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.
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 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 Acting Inspector General, Joanne M. Chiedi releases the Fall Semiannual Report to Congress, summarizing department activities and accomplishments.
November HHS OIG Work Plan updates include HHS IT audits, an opioid crisis toolkit, MAO collection of ordering provider information, MFCU oversight, and more.
Learn how HHS OIG makes a decision on when to impose permissive exclusions for healthcare providers, managing employees, owners, vendors, and more.
October HHS OIG Work Plan updates include supplier Medicare compliance, hospice cap calculations, Medicare Part B payment reviews, FDA medical device surveillance, and more.
We had a blast at ASHHRA 2019! Take a look at some of the latest HR insights we took away from this year's conference.
Learn how to screen DEA and FDA databases for sanctioned physicians and prescribers.
September HHS OIG Work Plan updates cover the ORR efforts to ensure health and safety of unaccompanied children, reviews of Medicaid specialty drugs, and an evaluation of new policies for Indian Health Services.
As CMS releases the final rule around Program Integrity Enhancements to the Provider Enrollment Process, prepare for new affiliations and disclosure requirements.
