What Expanded CMS Authorities Mean for Providers and Payors
In this webinar, you'll learn more about the latest CMS rule designed to combat fraud in healthcare and its implications for your organization.
Tag: Compliance
Best Practices for DEA and FDA Physician Screening
Learn how to screen DEA and FDA databases for sanctioned physicians and prescribers.
September 2019 HHS OIG Work Plan Updates
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.
CMS Announces Higher Compliance Standards for Provider Enrollment
As CMS releases the final rule around Program Integrity Enhancements to the Provider Enrollment Process, prepare for new affiliations and disclosure requirements.
August 2019 HHS OIG Work Plan Updates
August updates to HHS OIG Work Plan include a review of the use of telehealth in Medicaid Managed Care, an investigation into Medicaid and Medicare Part D in overprescribing, nursing home oversight reporting, and more.
July 2019 HHS OIG Work Plan Updates
The July 2019 HHS OIG Work Plan update includes one new item - Quality of Maternal Healthcare in Indian Health Service Hospitals.
Case Dismissed: Enhanced Data Leads to HHS OIG Dropping an Exclusion Investigation
Read how our smarter monitoring identified an excluded provider, resulting in the OIG closing an investigation due to data gaps at the primary source.
Healthcare Pre-employment Screening vs. Ongoing Exclusion Monitoring
Don’t be fooled! There is a difference between the requirements for a pre-employment background check and ongoing exclusion monitoring.
Conducting an Effective Internal Investigation
Join ProviderTrust as we discuss what you need to know when conducting an internal investigation.
Healthcare License Monitoring: The Essential Guide
A comprehensive guide to healthcare license monitoring and verification.
The Ultimate Guide to Exclusions
Learn about the OIG and the risks of doing business with an excluded provider and how to avoid those fines.
An Addicted Appalachia: Opioid Risks and Catching Over-prescribers
Learn about the Appalachian Regional Prescription Opioid Strike Force (ARPO) and how federal and state agencies are working to curb the opioid epidemic.
Quick Guide to the Medicare Opt Out List
Learn more about the Medicare Opt Out Affidavit list and how to automate provider verification for billing, claims processing, referral networks and more.
April 2019 OIG Work Plan Updates
April updates to HHS OIG Work Plan include managed care organization denials, an audit of EHR interoperability, a review of Medicaid data quality, and more.