"Result for provider"

A nightmare for both Healthcare Providers and Medicaid Enrollment Analysts

October 5, 2016

Providers are struggling – Providers face a tough challenge in filling paper applications costing weeks and even months due to the increasingly complex eligibility and documentation requirements. The inherent complexity often leads to large percentage of deficiencies and rejections due to errors and omissions. Portals where available remain simple and static and are often less preferred than paper due to severe limitations.

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Effective Screening with Provider Risk Scores

February 7, 2016

The National Health Care Anti-Fraud Association (NHCAA) estimates that financial losses due to healthcare fraud are in the tens of billions of dollars each year. A small minority of dishonest health care providers commits majority of the fraud. Health care payers have stepped up the due diligence upfront while enrolling providers in their network.

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