BC Advantage - 2012 Issue 11

Comprehensive Medicaid Provider Screening is Imminent: Electronic Credentials Management Is Required

Through the Supreme Court's recent upholding of the Affordable Care Act (ACA), the healthcare industry received confirmation that nationwide expansion of healthcare coverage is on the horizon. This decision is unparalleled in its impact to the healthcare industry at large. A significant aspect of this legislation, Medicare and Medicaid fraud, waste and abuse (FWA) prevention via extended provider screening requirements must now be implemented across the US.  Perhaps the least controversial of the legislation requirements, many industry leaders believe that in 20 years, it is the FWA efforts that will have caused the most significant impact on the...

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