The Centers for Medicare and Medicaid Services has taken down a new Medicare provider directory after discovering it exposed some healthcare providers’ Social Security numbers. The database feeding ...

Provider data are the foundation of healthcare operations, but, for health plans, managing those data is a major pain point. Inaccurate provider directories, credentialing delays and disjointed ...

In navigating the evolving landscape of regulatory reforms, intensifying competition and escalating pricing pressures, health plans stand at a pivotal juncture where the accuracy and currency of ...

Provider data accuracy is now a pivotal factor for compliance, revenue protection, and patient access in healthcare. With stricter regulations, increased audits, and payer demands, outdated or ...

Last year, researchers looked at the directories of the nation’s five largest health plans and found that four out of five entries were inaccurate. This is more than a minor inconvenience. It’s a ...

Healthcare organizations have long grappled with the complex challenge of managing provider data and networks. The process has traditionally been laden with manual verification, paper-based workflows ...

Inaccurate provider data is leading to a hidden crisis in the healthcare field — one that threatens patients’ access to timely care, according to Sarah Ahmad, CEO of the Council for Affordable Quality ...