Welcome to your daily briefing on healthcare developments in Rhode Island. Today we're covering 3 key stories including updates on rhode island healthcare headlines, background & context. Let's dive in.
1 story
The Rhode Island Department of Health, with over 10,000 followers on LinkedIn, continues to focus on disease prevention and health promotion in Rhode Island.
This ongoing commitment is crucial for healthcare professionals in RI as it shapes public health initiatives and policies that impact patient care and community health.
Reach healthcare professionals
2 stories
Covered entities must annually recertify their 340B eligibility through HRSA. Missing the recertification window pushes the entity to inactive status, which means immediate loss of 340B pricing and potentially diversion violations on previously dispensed drugs. Reinstatement requires a new application.
The discount value of 340B pricing for a covered entity often exceeds six figures annually. Letting the recertification lapse for paperwork reasons is one of the most expensive administrative errors in the regulation.
Three application defects routinely delay payor enrollment: incomplete work-history explanations for any gap over 30 days, a malpractice carrier-history that does not reconcile with the explanation, and CAQH attestation that has lapsed. Each forces a back-and-forth with the credentialing committee.
A new clinician without active payor enrollment cannot bill for covered services for most plans. Each month of delay is foregone revenue that does not retroactively recover.
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