As CMS releases the final rule around Program Integrity Enhancements to the Provider Enrollment Process, prepare for new affiliations and disclosure requirements.
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Continuous license and credential verification is a complex, risky process that any healthcare HR team struggles to solve.
It's no secret that recruiting top healthcare talent to fill open roles with critical patient care responsibilities is becoming more challenging in today's healthcare landscape.
Read about how we transitioned a large health plan client from a prior process of manually verifying thousands of false positives every month to our automated, exact-match exclusion monitoring. Our solution leveraged our enhanced primary source data to catch exclusions their previous process never found.
Read how our smarter monitoring identified an excluded provider, resulting in the OIG closing an investigation due to data gaps at the primary source.
Don’t be fooled! There is a difference between the requirements for a pre-employment background check and ongoing exclusion monitoring.
Read how we identified and resolved a 30% gap across the required licenses and credentials neccessary for providing care, as outlined by our client's internal policy.
A comprehensive guide to healthcare license monitoring and verification.
Learn about the Appalachian Regional Prescription Opioid Strike Force (ARPO) and how federal and state agencies are working to curb the opioid epidemic.