by nCred AI | Healthcare Industry News |
Humana Inc. made an important announcement today regarding its future business focus. The company has decided to discontinue its involvement in the Employer Group Commercial Medical Products business, which includes various medical plans such as fully insured,...
by nCred | Healthcare Industry News |
Governor Brian P. Kemp of Georgia has signed a new law that will come into effect on July 1st, which requires medical specialists to have proper credentials to support their claims. Georgia Senate Bill 197, known as the “Health Care Practitioners Truth and...
by nCred | Healthcare Industry News |
Optum was selected by the North Carolina Department of Health and Human Services to streamline enrollment, credentialing and data management for more than 90,000 health care providers serving patients in the state’s Medicaid program. “We are honored to partner with...
by nCred | Healthcare Industry News |
In response to the increased utilization of telehealth due to the COVID-19 pandemic, there has been growing concern over how telehealth vendors and practitioners protect and use health data. Policymakers and regulators have proposed or implemented policies to address...
by nCred | Healthcare Industry News |
The Department of Health and Human Services (HHS) Notice of Benefit and Payment Parameters for 2023 Final Rule for Marketplace health plans has a Network Adequacy provision regarding telehealth services. As of January 2023, HHS requires health plans to identify and...
by nCred | Healthcare Industry News |
Provider enrollment refers to the process of becoming a participating provider in a health insurance plan or network. This process is typically required for healthcare providers, such as doctors, nurses, and other medical professionals, who wish to provide care to...
by nCred | Healthcare Industry News |
The Michigan Department of Health and Human Services (MDHHS) has issued Bulletin Number MMP 22-38 to re-establish provider enrollment and revalidation rules. Bulletin MSA 20-28 was issued in April 2020 to relax enrollment requirements and to suspend the provider...
by nCred | Healthcare Industry News |
In October, CMS began activities that were halted due to the public health crisis including: Application FeesCriminal background checks associated with fingerprint-based criminal background checksProvider/Supplier Revalidation Providers and suppliers that are required...
by nCred | Healthcare Industry News |
UnitedHealthcare has introduced a new online portal allowing out-of-network providers to electronically register their taxpayer ID numbers and practice demographics. Prior to submitting claims to UnitedHealthcare as an out-of-network provider, the following...
by nCred | Healthcare Industry News, Medicare Provider Enrollment |
On November 2, 2021, the Centers for Medicare and Medicaid Services (“CMS”) released its Final Medicare Physician Fee Schedule for 2022 (the “Final 2022 MPFS”), revising certain payment policies for services provided to Medicare beneficiaries by healthcare...
