Compliance Fraud Licensing Malpractice 
MedTrainer
JULY 28, 2023
Earlier this year, an in-depth OIG investigation resulted in a six-day trial of a former Louisiana health clinic CEO , who was ultimately convicted of Medicaid fraud and sentenced to 82 months in federal prison. That mean, maintaining compliance standards, efficient reporting, and conducting thorough internal audits are vital.
MedTrainer
FEBRUARY 5, 2024
This process typically involves submitting an application with detailed information regarding the provider’s qualifications and licenses. Provider enrollment confirms the healthcare provider meets and maintains certain compliance standards for the insurance or payer network. What is Provider Credentialing?
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Provider Trust
JULY 8, 2022
A holistic approach to exclusion monitoring and license verifications must include monitoring of disciplinary databases such as the National Practitioner Data Bank (NPDB). Department of Health and Human Services (HHS) and contains medical malpractice payments and adverse action reports on healthcare professionals.
Verisys
JULY 20, 2023
An organization must verify all certifications and licenses for every provider who administers patient services. 4: Not updating and verifying information Healthcare practitioners need to renew their licenses and credentials on a regular basis, according to federal and state laws. Mistake No. Mistake No. Mistake No. Mistake No.
MedTrainer
MARCH 14, 2024
The specialist authenticates the provider’s education, work history, licenses, and other information during provider credentialing. Additionally, the credentialing specialist may request a record of any pending and past medical malpractice cases and disciplinary actions from the appropriate authority.
AIHC
SEPTEMBER 5, 2023
Compliance Considerations for Best Outcomes Written in collaboration with the AIHC Volunteer Education Committee Delivering mental health services via telehealth has increased since the COVID-19 pandemic. This compact does not apply to nurse practitioners (NPs) because they are licensed under state boards of nursing and not medicine.
Verisys
DECEMBER 5, 2023
State licensing boards verify practitioner license type and status. The policy issuer for malpractice insurance verifies insurance coverage. Because they have first-hand knowledge, these primary sources can confirm if the information claimed is accurate. Here are some examples: Medical schools verify completion of education.
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