Health Plans and COVID-19: Understanding Risk in the Year Ahead
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.
Tag: Health Plan
Managing and Monitoring Non-Par Providers During COVID-19
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.
ProviderTrust Kicks Off Milestone Anniversary With Introduction Of New Solution for Health Plans
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.
2020 HCCA Managed Care Conference Takeaways
We had a blast at the 2020 HCCA Managed Care Conference. Take a look at some of the highlights from the event.
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.
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.
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.
2019 HCCA Managed Care Compliance Conference Takeaways
We had a blast at the 2019 HCCA Managed Care Conference. Take a look at some of the highlights from the event.
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.
