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.
Tag: Health Plan
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.
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.
We had a blast at the 2019 HCCA Managed Care Conference. Take a look at some of the highlights from the event.