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.
Tag: Health Plan
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.
What Expanded CMS Authorities Mean for Providers and Payors
Learn more about the latest CMS rule designed to combat fraud in healthcare and its implications for your organization.
More Than 300 Exclusions Caught in First 2 Weeks of Automated Monitoring
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.
How to Develop an SIU that is Effective, Dynamic, and Audit-Ready
Join ProviderTrust as we outline best practices for building SIU teams that are responsive, preventive, and audit-ready.
CMS Preclusion List Update
Learn more about the provider information found on the CMS Preclusion List, and how it affects Medicare Advantage Plans and Part D prescribers.
How to Leverage an NPI for Provider Directory Accuracy
Learn more about the challenges of maintaining provider directories and how to utilize an NPI to fill in the gaps of provider data.
CMS Preclusion List: What It Is and How to Prepare
It's finally here. Learn all about the new CMS Preclusion List, what it is, who is included, how to monitor it, and how to prepare your organization.
The ABCs of OIG Exclusion List Monitoring
Learn the basics of OIG exclusion lists, compliance best practices, and a brief description of the federal exclusion databases.
