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Category: HIPAA

Latest Articles

Healthcare Sanctions Monitoring: A Guide to Ongoing Credentialing Compliance

Healthcare organizations across the U.S. face a compliance risk that does not disappear after a provider clears initial credentialing. In fiscal year 2024, the HHS...

Dental Credentialing: A Complete Guide for Dental Practices

Introduction If you are opening a new dental practice, hiring an associate dentist, or expanding to a new insurance network, dental credentialing is the first...

Medicare Provider Credentialing & Enrollment: A Step-by-Step Guide

For any healthcare provider who intends to treat Medicare patients and receive reimbursement, completing Medicare credentialing and enrollment is not optional. It is the prerequisite...

OIG Exclusion List & Credentialing: What Healthcare Organizations Must Do

Every healthcare organization participating in Medicare or Medicaid carries a non-negotiable obligation: screen every provider, employee, contractor, and vendor against the OIG exclusion list before...

URAC vs NCQA: Which Credentialing Accreditation Does Your Organization Need?

If you’ve started researching credentialing accreditation for your healthcare organization, two names come up almost immediately: NCQA and URAC. Both are nationally recognized, nonprofit, and...