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.
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Read how our smarter monitoring identified an excluded provider, resulting in the OIG closing an investigation due to data gaps at the primary source.
Don’t be fooled! There is a difference between the requirements for a pre-employment background check and ongoing exclusion monitoring.
Read how we identified and resolved a 30% gap across the required licenses and credentials neccessary for providing care, as outlined by our client's internal policy.
A comprehensive guide to healthcare license monitoring and verification.
Join CCO Donna Thiel and Alex Fisher, Senior Associate Attorney at Frost Brown Todd, as they discuss best practices monitoring practitioners.
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Join Michael Rosen and Donna Thiel as they outline best practices for effectively screening a referring physician network and why management of NPI data is at the core of a successful strategy.