Verisys

SEPTEMBER 18, 2023

Best Practices for Healthcare License Monitoring Did you know that for every 1,000 licensed healthcare practitioners there will typically be 20 with inactive licenses, 10 with a suspended license, and another six practitioners with either a restricted or revoked license, or on probation?

Licensing 52

Licensing Malpractice Compliance Hospitals 52

Medisys Compliance

MARCH 21, 2023

By credentialing doctors, insurance companies can ensure that their customers receive high-quality care and that the doctors they work with are qualified and licensed to provide the care they need. By verifying a doctor’s credentials, insurance companies can mitigate the risk of malpractice claims and ensure patient safety.

Doctors 52

Doctors Malpractice Licensing Medical Billing Outsourcing 52

MedTrainer

APRIL 27, 2024

The visit usually lasts three days, during which the surveyor will meet with center leaders and board members to gather information and assess compliance. Verification of current licensure, registration, or certification Primary source verification (PSV) directly from the state licensing agency/body.

Licensing 52

Licensing Compliance Malpractice Governance 52

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). The National Practitioner Data Bank (NPDB) is a confidential information clearinghouse operated by the U.S. For more information, view the webinar on demand.

Licensing 52

Licensing Malpractice Fraud Compliance 52

MedTrainer

JULY 10, 2023

That’s why medical credentialing is such a crucial part of compliance for healthcare organizations and the providers working within them. It’s an absolutely essential part of compliance management. There are numerous important objectives behind the process of medical credentialing — many of them rooted in compliance.

Malpractice 52

Malpractice Compliance Licensing Hospitals 52

Verisys

AUGUST 17, 2023

Missing critical information in the credentialing process can significantly affect your organization. Compliance with regulatory standards Compliance with regulatory standards from CMS or other regulatory-setting bodies should be non-negotiable. However, primary source verification (PSV) should not be rushed.

Malpractice 52

Malpractice Licensing Compliance Medicaid 52

MedTrainer

APRIL 18, 2024

CAQH credentialing is designed to alleviate the work for providers because many major payers can access that information without the provider completing a separate application. This may include proof of licensure, certification, accreditation, malpractice insurance, DEA registration (if applicable), and other supporting documentation.

Medicare 52

Medicare Medicare Licensing Compliance 52

MedTrainer

JULY 10, 2023

That’s why medical credentialing is such a crucial part of compliance for healthcare organizations and the providers working within them. It’s an absolutely essential part of compliance management. There are numerous important objectives behind the process of medical credentialing — many of them rooted in compliance.

Malpractice 40

Malpractice Compliance Licensing Hospitals 40

Verisys

FEBRUARY 4, 2022

Credentialing lapses can expose a healthcare organization to malpractice suits and accreditation problems. All certifications and licenses must be verified for every provider who administers services to patients. The average physician enrollment application requires an overwhelming amount of information and data. Mistake No.

Malpractice 52

Malpractice Licensing Due Diligence Hospitals 52

MedTrainer

MARCH 14, 2024

The specialist authenticates the provider’s education, work history, licenses, and other information during provider credentialing. The specialist contacts other parties and primary sources to verify the provider’s information – prior employers, references, and educational institutions.

Malpractice 52

Malpractice Licensing Hospitals Compliance 52

MedTrainer

JULY 10, 2023

Even after someone goes through all the schooling, passes their medical boards and obtains a license to practice, physician credentialing still stands between a provider and patients — no matter where they are in their career. Malpractice history. Legal and regulatory compliance. Work history. References. Quality assurance.

Malpractice 40

Malpractice Licensing Compliance Regulatory Compliance 40

MedTrainer

JUNE 29, 2023

Imagine keeping a file folder of up-to-date information about every physician working across a healthcare organization — dozens and dozens, if not hundreds of them. Now, imagine that their information needs to be checked and updated periodically throughout the year… but no one is on the same schedule.

Licensing 52

Licensing Compliance Malpractice Hospitals 52

MedTrainer

APRIL 18, 2024

CAQH credentialing is designed to alleviate the work for providers because many major payers can access that information without the provider completing a separate application. Many payers require providers to maintain a CAQH ProView profile. Get the tools you need to eliminate delays in your provider enrollment process.

Licensing 52

Licensing Malpractice Compliance 52

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. Telemedicine is considered to be under the umbrella of telehealth and refers specifically to clinical services.

COVID-19 59

COVID-19 Telemedicine Compliance Informed Consent 59

MedTrainer

AUGUST 9, 2023

What Documents and Information Are Required? This form collects general information such as personal details, contact information, and professional background. Licenses and Certifications. Copies of all current and valid medical licenses, board certifications, and registrations must be submitted. Work History.

Malpractice 52

Malpractice Licensing Compliance 52

Provider Trust

APRIL 14, 2023

When a healthcare provider or organization bills a payer for services rendered, payers need up-to-date credentialing data to ensure these providers are properly licensed to give expert clinical services. Providers should be informed about the steps that need to be taken and the time frame for completion.

Licensing 52

Licensing Compliance Malpractice Medicaid 52

MedTrainer

AUGUST 2, 2023

It involves collecting and reviewing information such as education, training, licensure, certifications, work history, malpractice history, and references — all in pursuit of verifying that providers are who they say they are and qualified to deliver legitimate, safe, and ethical care. Why Is Provider Credentialing Important?

Malpractice 52

Malpractice Due Diligence Compliance Licensing 52

Verisys

JANUARY 19, 2022

According to recent surveys of major metropolitan hospitals , departments that typically share the responsibility for credentialing include: The Compliance Office. Checks credentialing for Health Insurance Portability and Accountability Act (HIPAA) compliance. Ensures proper credentialing and privileging of the licensed medical staff.

US Department of Health and Human Services 52

US Department of Health and Human Services Hospitals Malpractice Compliance Officers 52

Verisys

JANUARY 25, 2022

On average, for every 1,000 licensed healthcare workers, there are three currently excluded individuals, seven historically excluded individuals, two sex offenders, two patient abusers, 20 practitioners with inactive licenses, three practitioners on probation, two with restricted or impaired licenses, one revoked license, and 10 suspended licenses.

US Department of Health and Human Services 52

US Department of Health and Human Services Licensing Malpractice Hospitals 52

MedTrainer

SEPTEMBER 20, 2023

Legal costs, settlements, and increased malpractice insurance premiums can put financial burdens on ASCs found guilty of negligent credentialing. This process should include comprehensive checks of education, training, licensure, malpractice history, and any disciplinary actions. Financial Consequences. Long-Term Consequences.

Malpractice 52

Malpractice Licensing Due Diligence Compliance 52

Medisys Compliance

MARCH 27, 2023

This process typically involves a thorough review of the provider’s education, training, licensure, certification, work history, and other relevant information to ensure they meet the standards and requirements set forth by regulatory bodies, healthcare organizations, and insurance companies.

Malpractice 52

Malpractice Medical Billing Outsourcing Governance Patient Satisfaction 52

Verisys

DECEMBER 5, 2023

Because they have first-hand knowledge, these primary sources can confirm if the information claimed is accurate. State licensing boards verify practitioner license type and status. The policy issuer for malpractice insurance verifies insurance coverage. The Masterfile obtains records directly from medical schools.

Governance 52

Governance Licensing Malpractice Medicaid 52

Medisys Compliance

OCTOBER 30, 2023

It involves submitting an application that includes your qualifications, licensure, and other essential information to demonstrate your competence and eligibility to provide mental health services. Mental health credentialing is the process of becoming an approved provider with insurance companies or government health programs.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Malpractice Licensing 59

Verisys

APRIL 7, 2023

However, a screening database that uses multiple primary sources gives you additional information about exclusions, sanctions, or debarment. However, had a hospital used Verisys’ FACIS ® , which provides continuous monitoring, they would have found sanctions and disciplinary actions that never ended with the loss of license or exclusion.

Licensing 52

Licensing Malpractice Hospitals Medicaid 52

Hall Render

DECEMBER 12, 2023

CMS stated that this could include any misdemeanor that places the Medicare program or its beneficiaries at immediate risk, such as a malpractice suit that results in a conviction of criminal neglect or misconduct. The stay of enrollment would last no longer than 60 days, and the provider will be given 15 days to submit a rebuttal.

Medicare 40

Medicare Medicare Licensing Malpractice 40

Verisys

APRIL 27, 2023

If an application is missing key pieces, such as a scan through a primary source or a copy of their license, table the application. Our solutions are fully accredited by NCQA and URAC, allowing us to maintain the industry’s highest data and compliance standards. Only review files with complete applications. With over 5.5

Malpractice 52

Malpractice Licensing Fraud Medicaid 52

Medisys Compliance

MARCH 23, 2023

We have a team of experienced professionals who are trained in medical billing & coding and are certified by the American Academy of Professional Coders (AAPC) and the American Health Information Management Association (AHIMA). Let’s explore mental health billing and credentialing services provided by Medisys Data Solutions.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Malpractice Health Insurance 52

AIHC

APRIL 25, 2022

Written by: Joanne Byron , BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, COCAS, CORCM, OHCC, ICDCT-CM/PCS This article addresses how to track telehealth policies while addressing HIPAA compliance and mobile device management as the United States enters into a post-pandemic era. Information Storage on Mobile Devices ?

HIPAA 52

HIPAA Compliance COVID-19 Compliance Officers 52

Verisys

DECEMBER 1, 2023

It is understood throughout the industry that NCQA CVO Certification means an organization demonstrates high performance in internal quality improvement processes, security of credentialing information, and the efficient and accurate verification of credentials. Verisys has been NCQA and URAC accredited since 2008.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Verisys

MARCH 1, 2022

Because they have first-hand knowledge, these primary sources can confirm if the information claimed is accurate. State licensing boards verify practitioner license type and status. The policy issuer for malpractice insurance verifies insurance coverage. Government and Non-Government Sources.

Governance 52

Governance Licensing Malpractice Medicaid 52

MedTrainer

FEBRUARY 13, 2022

By ensuring that healthcare providers have the proper license and documentation to provide treatment, they are safeguarding the health and wellbeing of their patients as well as protecting the facility from potential liabilities. Licensing Requirements: Ensuring that the healthcare professional has the proper licensing to practice medicine.

Licensing 40

Licensing Malpractice Governance Compliance 40

MedTrainer

APRIL 14, 2022

A provider may no longer meet the qualifications of a given state if legal changes occur, which may result in malpractice cases. There is an immense amount of information that healthcare providers must submit for their credentialing applications, and as a result, they may accidentally leave some information blank. Labor Issues.

Malpractice 52

Malpractice Hospitals Licensing Compliance 52

MedTrainer

AUGUST 2, 2023

Primary source verification involves contacting original sources — such as educational institutions, licensing boards, and certification bodies — to confirm the authenticity and accuracy of the documents and qualifications provided by the provider. Primary Source Verification. Background Checks.

Due Diligence 52

Due Diligence Malpractice Licensing Compliance 52

Verisys

DECEMBER 23, 2021

Extensive enrollment information can be found on the CMS website. Banking information will be required to set up Electronic Funds Transfer (EFT) payments for your Medicare reimbursements. Missing information may also raise a red flag. Unanswered questions or missing information. Information discrepancies.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

HIT Consultant

FEBRUARY 5, 2024

Credentialing lapses can expose a healthcare organization to malpractice suits and accreditation problems. All certifications and licenses must be verified for every provider who administers services to patients. The average physician enrollment application requires an overwhelming amount of information and data. Mistake No.

Malpractice 96

Malpractice Licensing Due Diligence Hospitals 96

Bill of Health

APRIL 4, 2024

Although the cross-sectoral AI legislation that is now introduced by the European Commission’s Digital Strategy aims to be integrated with existing sectoral legislation such as the MDR, the IVDR and the Machinery Directive, it is uncertain how overlapping regulatory compliance requirements for AI-driven medical devices will be managed in practice.

FDA 282

FDA Regulatory Compliance Malpractice Health Insurance 282

HIT Consultant

MARCH 9, 2023

Cristina Varner, Newfront, SVP National Life Science & Healthcare Practice Gone are the days when healthcare information was only available to us at the doctor’s office or through the office’s online portals, and that’s in part due to the rapidly growing popularity of wearable technology devices. how much insurance is enough?).

Malpractice 98

Malpractice Telemedicine Doctors Licensing 98