As the meaningful data surrounding the mid and long term effects of the COVID-19 crisis begin to come into focus, one aspect of the dramatically impacted healthcare industry is becoming clear: growing Medicaid MCO enrollment.
Tag: Health Plan
Learn the best practices for exclusion and preclusion monitoring for pharmacies and prescribers.
Dash, by ProviderTrust, allows your organization to verify and monitor clinician licenses and credentials for provider networks.
ProviderTrust hosts a live conversation for health plan executive leadership on best practices for building an effective provider network strategy in a COVID world.
In this webinar, we'll discuss how health plans can mitigate risk in provider networks in 2020 and how COVID-19 is reshaping care delivery.
In this webinar, we discuss the latest COVID-19 updates related to provider network eligibility, share best practices, and how to monitor non-par providers.
Dash underscores ProviderTrust’s commitment to meet the evolving needs of its customers and the industry at large, empowering a safer healthcare through smarter monitoring.
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.
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.
In this webinar, we'll discuss how health plans are getting smarter about their exclusion monitoring to ensure compliance today and reduce recoupment tomorrow.
Learn more about the latest CMS rule designed to combat fraud in healthcare and its implications for your organization.
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.
Join ProviderTrust as we outline best practices for building SIU teams that are responsive, preventive, and audit-ready.
Learn more about the challenges of maintaining provider directories and how to utilize an NPI to fill in the gaps of provider data.