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Understanding the Process of Credentialing Doctors

Medisys Compliance

What is Credentialing Doctors? Credentialing of doctors is a process that involves the evaluation of a doctor’s qualifications, education, training, licensure, and experience to determine if they meet the requirements set by the insurance company.

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A Licensed Professional’s Profile is a Complex Mosaic of Data

Verisys

A professional career can take a provider across state lines, and through an evolution of various license types. In order to see the full picture of an individual, the comprehensive whole of each state licensing board across all license types must be searched. Take the process back another step.

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Report: Telemedicine, modernized licensing can help bridge health disparity gap

Healthcare IT News - Telehealth

"With the recent rise in virtual care, I'm hopeful that soon your ZIP code will no longer decide the type or quality of healthcare you receive, no matter where you live," said Dr. Ian Tong, chief medical officer at Included Health (formerly known as Doctor on Demand), in a statement about the report provided to Healthcare IT News.

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Dental Fraud Schemes Uncovered

Compliancy Group

In one case, the dentist himself was involved, practicing on a revoked license. We also covered two Medicaid fraud schemes , one resulting in billions of dollars in billing for medical supplies that were never received. As a result, his license was revoked in 2015. Dentist Ordered to Pay $8.5M Dentist Ordered to Pay $8.5M

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Doctor Indicted in $1.3 Million Medicare Fraud Kickback Case Seeks Reinstatement of Medicare Billing Privileges

The Health Law Firm

Board Certified by The Florida Bar in Health Law On November 2, 2021, a doctor and his wife who had been indicted for their roles in a $1.3 The doctor argued that the bail condition impeded his ability to practice medicine. Indest III, J.D., million Medicare fraud scheme asked a New Jersey court to eliminate a bail condition.

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Trust My Doctor and Fear the Office: The Telehealth Opportunity in and Beyond the COVID-19 Pandemic

Health Populi

Doctors maintain their top status as U.S. However, as patients continue to be concerned about exposure to COVID-19, 3 in 5 are concerned about being at-risk to the virus in their doctor’s office, according to research from the Alliance of Community Health Plans (ACHP) and AMCP , the Academy of Managed Care Pharmacy.

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February 2024 Bad Actors Roundup

Verisys

Million Medicare and Medicaid Fraud Full Story Pharmacist Fraud Pharmacy Owner and Operations Manager Convicted of $2.3M With Verisys, you can instantly validate identities, licenses, and ensure there are no sanctions, exclusions, or debarments associated with anyone in your business network. Secure your success by choosing Verisys.

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