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Blog

When “Excluded” Doesn’t Mean Gone: Exclusion Evasion in a $4.75M Medicare Case

Exclusion from Medicare and Medicaid is meant to be a hard stop — no billing federal programs, no working in a billing-connected role, and no […]
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Research Reports

Provider Network Integrity: A Data Intelligence Report

Provider directories matter because members rely on them. When a health plan member searches for an in-network doctor, they’re trusting that the listing is current, […]
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Blog

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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Strengthening Home Health Fraud Prevention Featured Image Case Studies

Strengthening Home Health Fraud Prevention

Read the Full Report
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How an Enterprise Payer Partnered with ProviderTrust for a Compliance Overhaul Featured Image Case Studies

How an Enterprise Payer Partnered with ProviderTrust for a Compliance Overhaul

Learn how a large payer organization partnered with ProviderTrust to replace outdated processes with accurate, primary source verifications.

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Understanding the Medicaid Fraud Control Unit’s 2023 Annual Report Featured Image Blog

Understanding the Medicaid Fraud Control Unit’s 2023 Annual Report

Learn about the key takeaways from the 2023 Medicaid Fraud Control Unit's annual report and how to prevent Medicaid fraud, waste, and abuse.

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The Changing Landscape of Credential Verification Featured Image Events

The Changing Landscape of Credential Verification

Join industry leaders at ProviderTrust to learn about the state of the industry for provider credentialing and gain valuable insights on provider data within health plans.

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How the No Surprises Act Affects Provider Directories Featured Image Blog

How the No Surprises Act Affects Provider Directories

Even after the No Surprises Act, provider directories still contain inaccuracies. Learn how you can improve and maintain your provider data.

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Pitfalls of the "Pay and Chase" Model: How to Maintain Better Payment Integrity Featured Image Blog

Pitfalls of the “Pay and Chase” Model: How to Maintain Better Payment Integrity

Learn about the pitfalls of the "Pay and Chase" model and what proactive strategies you can implement to improve payment integrity.

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