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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
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.
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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