Remove Compliance Remove Governance Remove Licensing Remove Malpractice
article thumbnail

Managing Healthcare Compliance in Ohio

MedTrainer

Managing healthcare compliance in Ohio presents a unique set of challenges for compliance officers, healthcare professionals, and administrators. Organizations need to successfully navigate the regulatory landscape in order to provide efficient and ethical healthcare services, and to avoid consequences for non-compliance.

article thumbnail

Are Provider Enrollment and Credentialing the Same?

MedTrainer

Provider enrollment is when a healthcare provider is registered with insurance networks or government payers , like Medicaid or Medicare. This process typically involves submitting an application with detailed information regarding the provider’s qualifications and licenses. What is Provider Credentialing?

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

HRSA Credentialing: Master the Operational Site Visit

MedTrainer

The visit usually lasts three days, during which the surveyor will meet with center leaders and board members to gather information and assess compliance. Credentialing Activity LIP OLCP; Other Clinical Staff Verification of identity (for initial credentialing) Government-issued picture identification.

article thumbnail

Quick Guide to the National Practitioner Data Bank (NPDB)

Provider Trust

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.

article thumbnail

Primary Source Verification: One of the Hidden Secrets to Ensuring Excellence in Any Healthcare Organization

Verisys

Compliance with regulatory standards Compliance with regulatory standards from CMS or other regulatory-setting bodies should be non-negotiable. This helps guarantee that all practitioners in your organization meet the requisite licensing and certification requirements.

article thumbnail

How To Prepare for an OIG Inspection

MedTrainer

That mean, maintaining compliance standards, efficient reporting, and conducting thorough internal audits are vital. Download “Compliance Reports You Can’t Live Without” for OIG reporting templates and tips. This is done to ensure compliance with regulations, identify areas for improvement, and assess program effectiveness.

Fraud 98
article thumbnail

Privileges and Credentialing Aren’t the Same

MedTrainer

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.