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Highlights from the OIG Spring 2026 Semiannual Report to Congress

The U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG) has released its Spring 2026 Semiannual Report to Congress, summarizing its oversight […]
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What 150 Healthcare Executives Really Think About Provider Eligibility Data Featured Image Blog

What 150 Healthcare Executives Really Think About Provider Eligibility Data

Provider eligibility data touches nearly every corner of a healthcare organization. It underpins some of the most consequential decisions an organization makes — from hiring […]
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A Race Against Time: Why Timely MFCU Reporting Is Vital to Medicaid Program Integrity Featured Image Blog

A Race Against Time: Why Timely MFCU Reporting Is Vital to Medicaid Program Integrity

Do you have the resources; time and or people? Do you have the expertise? Do you have an internal audit team or are you using contract auditors?

How often should you audit? What do you do with the audit findings? I am tired already, and we haven’t even gotten started.

*Updated from original post on 11/15/2016

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SFTP vs API : Which Integration Method Is Best? Featured Image Blog

The Credentialing Data Gap: Why Payer Teams Are Still Chasing Data Manually

Do you have the resources; time and or people? Do you have the expertise? Do you have an internal audit team or are you using contract auditors?

How often should you audit? What do you do with the audit findings? I am tired already, and we haven’t even gotten started.

*Updated from original post on 11/15/2016

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Blog

How to Conduct an Effective Healthcare Compliance Audit

Do you have the resources; time and or people? Do you have the expertise? Do you have an internal audit team or are you using contract auditors?

How often should you audit? What do you do with the audit findings? I am tired already, and we haven’t even gotten started.

*Updated from original post on 11/15/2016

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Why ProviderTrust Is Launching an AI Trust & Integrity Program — and Why It Matters to Your Team Featured Image Blog

Why ProviderTrust Is Launching an AI Trust & Integrity Program — and Why It Matters to Your Team

The truth is that daily verification just doesn’t move the needle as much as some of our competitors claim. It’s time to retire the idea of daily verification as the answer to the complex problem of license verification, and we’re here to explain why.

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Keeping Fraud, Waste, and Abuse Out of Home Health Care Featured Image Blog

Keeping Fraud, Waste, and Abuse Out of Home Health Care

The truth is that daily verification just doesn’t move the needle as much as some of our competitors claim. It’s time to retire the idea of daily verification as the answer to the complex problem of license verification, and we’re here to explain why.

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7 Reasons to Retire Daily License Verification Featured Image Blog

7 Reasons to Retire Daily License Verification

The truth is that daily verification just doesn’t move the needle as much as some of our competitors claim. It’s time to retire the idea of daily verification as the answer to the complex problem of license verification, and we’re here to explain why.

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Unpacking the 2025 NCQA Credentialing Guideline Updates Featured Image Blog

Unpacking the 2025 NCQA Credentialing Guideline Updates

As payers prepare to meet new NCQA standards, three areas will likely require the highest lift: monthly credential expiration tracking, reduced verification timelines, and increased ongoing monitoring requirements.

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