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.
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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.
License Monitoring Checklist
Not all license monitoring solutions are created equal. Download the checklist to determine what solution is right for your organization.
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.
Provider Network Enrollment Checklist
Download the provider network enrollment screening checklist to help you evaluate your current screening sources and identify opportunities for improvement.
Compliance in 2020: Where to Focus in the New Year
In this webinar we'll take a look at the latest industry trends and recent investigations to prioritize some of the main components of effective compliance for this year.
A Guide to Selecting a License Monitoring Solution
Download the guide and learn how to evaluate if your current license monitoring setup is meeting your expectations, as well as some helpful tips for you to consider if this is your first time choosing a vendor.
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.
How Exclusion Monitoring Can Better Protect Patients
Learn how your organization can leverage exclusion monitoring to better protect vulnerable patient populations and combat healthcare disparities as we unpack a recent Johns Hopkins study.
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.
Connecting HR and Compliance: Success in 2020
In this webinar, we'll outline best practices, case studies, and measurement techniques for inter-departmental collaboration between HR and Compliance.
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.
Protect Networks and Control Recoupment Through Exclusion Monitoring
In this webinar, we'll discuss how health plans are getting smarter about their exclusion monitoring to ensure compliance today and reduce recoupment tomorrow.
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.