Resource Library

Learn how ProviderTrust solves credentialing challenges with its automated, ongoing credential and license verification solution.

Join Donna Thiel, ProviderTrust’s Chief Compliance Officer, and Cynthia Holland, Director of Billing Compliance at the University of South Alabama (USA) Health, for a fireside chat on the compliance challenges facing academic health systems and how Holland and her team engaged ProviderTrust to tackle them.

See the biggest takeaways from our Elevate Your Referring and Ordering Physician Monitoring webinar.

Join industry leaders at ProviderTrust in a conversation about the latest OIG updates and enforcement trends, best practices for elevating your referring and ordering physician monitoring, and uses cases for reducing risk.

Learn the best practices for exclusion and preclusion monitoring for pharmacies and prescribers.

Learn how to screen your non-employed provider populations (referring, ordering, prescribing physicians with NPI verification and ongoing sanction/exclusion monitoring.

Learn how to screen DEA and FDA databases for sanctioned physicians and prescribers.

Learn more about the Medicare Opt Out Affidavit list and how to automate provider verification for billing, claims processing, referral networks and more.

Seems like a simple question. But the answer may surprise you. There are three things that are needed for a referral to be legitimate and to avoid potential civil fines, penalties and OIG exclusions.

1.  Does the Physician have a current license without restrictions?

2.  Is the Physician privileged or credentialed at the hospital?

3.  Is the Physician excluded from participating in Medicare/Medicaid or other federal health care dollar reimbursed programs?