With the new rule, CMS can reject a provider’s or supplier’s enrollment in Medicare, Medicaid or Children’s Health Insurance Program (CHIP) if they are affiliated with businesses that have had their enrollments revoked due to fraud, abuse or waste.
Read MoreThe Arkansas Division of Medical Services (DMS), part of the Department of Human Services (DHS), has made great strides recently to strengthen the Medicaid provider enrollment process.
Read MorePECOS, the Provider Enrollment and Chain/Ownership System, implemented Release 7.37 on June 30, 2019.
Read MoreMedical credentialing means doing a kind of background check on doctors and other healthcare providers. So credentialing is required for individuals who provide health care.
Read MoreWhether you are a new provider or you have been in practice for some time, the Centers for Medicare & Medicaid Services (CMS) may pay enrolled providers a visit for a medical record review and audit.
Read MoreOnce your practice is enrolled in Medicare, don’t just sit back and relax! There are certain business changes that must be reported to the Centers for Medicare & Medicaid Services (CMS) on a timely basis, or your practice risks suspension or losing eligibility for Medicare reimbursements.
Read MoreThe Texas Health and Human Services Commission (HHSC) is getting ready to roll out its new provider and enrollment system. By consolidating and replacing some processes and systems, the new Provider Management and Enrollment System (PMES) will reduce administrative burden for providers.
Read MoreIn the world of medical credentialing, it’s essential to ensure that information and documentation are accurate. The best way to accomplish this is by using a primary source to verify provider credentials.
Read More1st Assistant is excited to announce our new proprietary software product 1st Cred!
This sophisticated, comprehensive credentialing software has been developed BY credentialing professionals FOR credentialing professionals. 1st Cred contains complete processes for payer enrollment and primary source verification services.
Read MoreThe Centers for Medicare & Medicaid Services (CMS) recently issued a revised MLN Notice concerning the new Medicare Beneficiary Identifier (MBI).
Read MoreMarch 1, 2016 seems like a long time ago. That is the date that the Federal Register published a proposed rule titled “Medicare, Medicaid and Children’s Health Insurance programs; Program Integrity Enhancements to the Provider Enrollment Process.”
Read MoreThe Health and Human Services Department (HHS) is working to make digital health data accessible to individuals on smartphones or other devices.
Read MoreIt’s known as a TPE review. Have you heard of it? A Centers for Medicare & Medicaid Services (CMS) Targeted Probe and Education audit is a periodic review with the goal of reducing claim denials and appeals by providing claim review along with one-on-one provider education.
Read MoreThe Centers for Medicare & Medicaid Services (CMS) has lifted its temporary home health agencies (HHA) moratorium for Medicare and Medicaid provider enrollment in certain states.
Read MoreThe Centers for Medicare & Medicaid Services (CMS) has developed and received approval for a new Medicare Enrollment Application.
The new form applies to both physicians and non-physician practitioners who use paper applications to Medicare.
Read MoreThe healthcare industry is making progress in automating business processes. That is the conclusion of the recently released Council for Affordable Quality Healthcare (CAQH) 2018 Index Report.
Read MoreDo you have idle staff members looking for more work to do? Do you and your team have so much extra time that you are constantly creating busywork for them? In short, are you fulfilling all your payer enrollments, reenrollments and medical credentialing tasks perfectly, accurately and with plenty of time to spare?
Read MoreA recent online article from the Kaiser Family Foundation covered important Medicaid issues to watch in 2019.
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