Poorly managed provider enrollment processes can prove costly. If you would like to share your RCM best practices, please email Carrie Pallardy at cpallardy@beckershealthcare.com to be featured in the ...

Provider fraud in Medicare and Medicaid is a persistent, complex, and costly challenge, threatening the integrity of the nation’s most vital healthcare programs. Fraudulent activities, ranging from ...

We collaborate with the world's leading lawyers to deliver news tailored for you. Sign Up for any (or all) of our 25+ Newsletters. Some states have laws and ethical rules regarding solicitation and ...

We collaborate with the world's leading lawyers to deliver news tailored for you. Sign Up for any (or all) of our 25+ Newsletters. Some states have laws and ethical rules regarding solicitation and ...

Providers and suppliers enrolled with Medicare prior to March 25, 2011, must revalidate their enrollment information by March 23, 2013, according to a CMS Medicare Learning Network report. However, ...

Contractors working to modernize a provider enrollment system have been shown the door, the Centers for Medicare & Medicaid Services (CMS) announced. Instead, CMS will work with the highly influential ...

In Medicare, online tools such as the Provider Enrollment, Chain, and Ownership System (PECOS) help streamline the enrollment of doctors and healthcare organizations. This makes it easier for them to ...

As healthcare costs continue to rise, employers face a pressing challenge: designing plans that do more than provide coverage. They must guide members toward better care at a lower cost. The most ...

FARGO, N.D. (Oct. 12, 2022) – Noridian Healthcare Solutions, LLC (Noridian), a leader in developing solutions for federal, state and commercial health care programs, announces the promotion of ...

FARGO, N.D.--(BUSINESS WIRE)--Noridian Healthcare Solutions, LLC (Noridian), through its partnership with HHS Technology Group, LLC™ (HTG), has been awarded the Iowa Medicaid Enterprise Modernization ...