Bill of Health

OCTOBER 28, 2022

Improvements in communication processes, documentation, and record keeping can improve patient care and reduce the incidence of malpractice litigation and patient complaints. In discussing strategies to reduce the incidence of medical malpractice litigation and to improve patient care it is a useful to go back to basics.

Malpractice 144

Malpractice Hospitals Health Care Reform Public Health 144

MedTrainer

FEBRUARY 1, 2024

Reduce Medical Malpractice Risk: Ensuring patient safety is a fundamental component of compliance plans. By maintaining high standards of care and safety, healthcare organizations can reduce the risk of medical malpractice claims and associated liability.

Compliance 52

Compliance Malpractice Fraud HIPAA 52

MedTrainer

MAY 7, 2024

We’ll walk you through the steps in enrolling your providers with UnitedHealthcare, the information and documents you need, and the best practices to follow. This blog will highlight how credentialers can navigate UnitedHealthcare provider enrollment. Why Is Payer Enrollment Important for Healthcare Providers?

Malpractice 52

Malpractice Licensing Medicaid Medicaid 52

MedTrainer

MAY 15, 2024

Florida Medicaid Portal The Florida Medicaid Web Portal is very specific and if you aren’t familiar with submitting the documentation, it is easy to make a wrong turn. Comprehensive background checks help rule out any criminal history, malpractice claims, disciplinary actions, or other records that might raisesend up red flags.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Medisys Compliance

MARCH 21, 2023

By verifying a doctor’s credentials, insurance companies can mitigate the risk of malpractice claims and ensure patient safety. In addition to the application form, the doctor may also be required to submit additional documentation to support their application, such as transcripts, diplomas, certificates, and other credentials.

Doctors 52

Doctors Malpractice Licensing Medical Billing Outsourcing 52

Verisys

AUGUST 31, 2023

Here are seven red flags to look out for and the reasons why: Incomplete or inconsistent application: Missing or conflicting data regarding education, training, work history, licensure, or malpractice history might indicate false information or attempts to conceal relevant details.

Malpractice 52

Malpractice Fraud Medicaid Medicaid 52

MedTrainer

APRIL 27, 2024

Known for requiring a high level of documentation, OSVs add additional pressure and unique protocols regarding HRSA credentialing. Not to mention, HRSA-funded organizations typically have a wide range of provider types, which means differing processes, requirements, and documentation.

Licensing 52

Licensing Compliance Malpractice Governance 52

MedTrainer

AUGUST 9, 2023

The exact timeline depends heavily on the complexity of the provider’s background, the efficiency of the organization’s credentialing process, and the completeness of the provider’s documentation. What Documents and Information Are Required? Malpractice Insurance. Licenses and Certifications. Work History.

Malpractice 52

Malpractice Licensing Compliance 52

MedTrainer

APRIL 18, 2024

With a whole new group of provider enrollments starting from scratch, credentialers will likely be juggling towers of documents and data for the foreseeable future. Credentialing Documentation: Behavioral health providers must gather and submit extensive documentation for the Medicare enrollment process.

Medicare 52

Medicare Medicare Licensing Compliance 52

MedTrainer

MARCH 22, 2024

We’ll walk you through the steps in enrolling with Cigna, the information and documents you’ll need, common challenges you may encounter, and best practices to follow. The challenge is meeting each payer’s unique provider credentialing and enrollment process. In this blog, we’ll highlight how to navigate Cigna provider enrollment.

Malpractice 52

Malpractice Licensing Hospitals 52

MedTrainer

APRIL 26, 2024

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. Make it easy for dentists to submit documents. Work History and Reference Checks.

Medicare 52

Medicare Medicare Licensing Malpractice 52

MedTrainer

APRIL 18, 2024

Credentialing Delays: The credentialing process can be lengthy, often involving gathering and verifying extensive documentation, including education, training, licensure, certifications, malpractice history, and references. Surveyors will often ask for a specific document or date, so the credentialer has to be ready!

Licensing 52

Licensing Malpractice Compliance 52

MedTrainer

JULY 10, 2023

This involves checking for any disciplinary actions, malpractice claims, or adverse events related to the provider’s practice. This application includes personal information, educational background, work history, licensure details, certifications, and other relevant documentation. Review professional practice history. Peer references.

Malpractice 52

Malpractice Compliance Licensing 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. Document a Standard Process Establish a standardized credentialing process that outlines the specific criteria and requirements for granting privileges to providers at a given facility.

Malpractice 52

Malpractice Licensing Due Diligence Compliance 52

MedTrainer

DECEMBER 20, 2023

What’s Unique About Medical Credentialing in New Jersey Horizon NJ Health Requirements Horizon NJ Health is New Jersey’s largest insurance provider and requires the most documentation for provider enrollment. Make sure you start collecting documents as soon the provider is hired and encourage the provider to set up any online portals.

Licensing 52

Licensing Medicaid Medicaid Malpractice 52

HIT Consultant

JANUARY 2, 2022

In another study by Harvard scientists, the monetary value of simulation training was assessed by examining malpractice claims. 2 The researchers observed a statistically significant reduction in malpractice claims for trained gynecologists and obstetricians who have participated in simulation training. Journal of Nursing Regulation.

Malpractice 98

Malpractice COVID-19 Nurses Hospitals 98

MedTrainer

OCTOBER 29, 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. Make it easy for providers to submit documents. Work History and Reference Checks.

Licensing 52

Licensing Malpractice Medicaid Medicaid 52

MedTrainer

OCTOBER 29, 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. Make it easy for providers to submit documents. Work History and Reference Checks.

Licensing 52

Licensing Malpractice Medicaid Medicaid 52

Verisys

AUGUST 17, 2023

Mitigating liability and legal risks Malpractice claims and legal disputes can financially and emotionally drain healthcare providers and organizations. Your organization is also responsible for reviewing documentation from the CVO and making a credentialing decision. Here at Verisys, we make credentialing easy.

Malpractice 52

Malpractice Licensing Compliance Medicaid 52

Medisys Compliance

OCTOBER 30, 2023

Here are the general steps involved: Gather Required Documents: Collect all the necessary documents, such as your professional license, certifications, malpractice insurance, and practice information. Submit Applications: Send the completed applications along with the required documents to the insurance companies.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Malpractice Licensing 59

MedTrainer

FEBRUARY 29, 2024

The organization should also obtain malpractice and liability insurance for the provider since all insurance companies require it. Submit Required Application and Documents – After the insurance company acknowledges the LOI, it will issue a reference or ticket number.

Malpractice 52

Malpractice Licensing Nurses Governance 52

MedTrainer

JULY 10, 2023

This involves checking for any disciplinary actions, malpractice claims, or adverse events related to the provider’s practice. This application includes personal information, educational background, work history, licensure details, certifications, and other relevant documentation. Review professional practice history. Peer references.

Malpractice 40

Malpractice Compliance Licensing Hospitals 40

Health Care Law Brief

JANUARY 6, 2022

07624, New York’s Appellate Division, Second Department interpreted New York’s peer review/quality assurance confidentiality statute in a manner that may require modifications to the standard documentation of such meetings. Snyder , Slip.Op.

Malpractice 40

Malpractice Public Health Hospitals Regulatory Compliance 40

MedTrainer

MARCH 12, 2024

Types of Reportable Healthcare Events Reportable events in healthcare describe a spectrum of occurrences that require formal notification and documentation. Legal Implications: The landscape of medical malpractice and legal liability is intrinsically linked to reporting.

Compliance 52

Compliance Malpractice Governance Public Health 52

Healthcare IT News - Telehealth

JUNE 26, 2023

We’re seeing a “rising of all ships” as people get more used to the modality and as documentation and workflows improve. They need to get clarity around what they're allowed to do legally, and certainly what their malpractice coverage will allow them to do. And why do you think this is? What's the address?

Telemedicine 176

Telemedicine Malpractice Licensing Public Health 176

MedTrainer

MARCH 14, 2024

Additionally, the credentialing specialist may request a record of any pending and past medical malpractice cases and disciplinary actions from the appropriate authority. 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

APRIL 11, 2024

An incident report is thorough documentation of the incident , including all relevant details that caused it and any outcomes that stemmed from it. The key to a good incident report is completeness and accuracy, and that means documenting as much information as possible. billion in malpractice costs and almost 2,000 preventable deaths.

Compliance 52

Compliance Informed Consent Malpractice Hospitals 52

MedTrainer

AUGUST 2, 2023

Privileging involves the collection and review of a provider’s documentation to determine if they’re worthy to provide care to patients within a specific institution. Comprehensive background checks help rule out any criminal history, malpractice claims, disciplinary actions, or other records that might send up red flags.

Due Diligence 52

Due Diligence Malpractice Licensing Compliance 52

MedTrainer

JULY 10, 2023

The process involves collecting and verifying relevant documents, conducting background checks, contacting references, and assessing the information gathered. Malpractice history. Investigation of any malpractice claims or disciplinary actions filed against the physician, including settlements or judgments. Work history.

Malpractice 40

Malpractice Licensing Compliance Regulatory Compliance 40

Compliancy Group

MAY 9, 2024

Poor risk management can cost upwards of $100 billion, and that’s only considering the case of malpractice and areas of defensive medicine. It’s also where you control all of your documentation and the insights of your data, and this does include training.

Compliance Officers 52

Compliance Officers Compliance Malpractice Governance 52

MedTrainer

MAY 6, 2024

We’ll walk you through the steps to enroll providers with Aetna (a CVS Health company), the information and documents you’ll need, and best practices to follow. This blog will highlight how credentialers can navigate Aetna provider enrollment. Why Is Payer Enrollment Important For Healthcare Organizations?

Licensing 52

Licensing Malpractice Health Insurance Medicaid 52

MedTrainer

MARCH 23, 2024

Without it, healthcare companies are subject to potential lawsuits for medical malpractice, negligence, and others. Platforms like MedTrainer offer comprehensive provider profiles for all documentation, proven workflows for privileging and payer enrollment, and the data you need to maximize your process.

Licensing 52

Licensing Malpractice Governance Doctors 52

Healthcare IT News - Telehealth

SEPTEMBER 16, 2020

Review, revise and communicate telehealth malpractice policies. " "When we talk about independent primary care practices who do not have a lot of wriggle room or resources," Gupta added, it may not be realistic to "expect them to read through all these documents and know the details of every insurer."

COVID-19 206

COVID-19 Public Health Telemedicine Malpractice 206

Verisys

JANUARY 11, 2022

The first documentation of medical credentialing can be traced to 1000 BC by the ancient Persian, Zoroaster, in which physician licensure was outlined in The Vendidad, the book of the law. I-9 documentation listed as List A or List B or List C as defined on the form. Malpractice history and hospital sanctions.

Malpractice 52

Malpractice Licensing Health Insurance Hospitals 52

HIPAA Journal

MARCH 28, 2023

Heidell, Pittoni, Murphy & Bach LLP (HPMB) is a New York City-based medical malpractice law firm. The investigation confirmed that files were exfiltrated in the attack, including legal documents, patient lists, and medical records.

HIPAA 102

HIPAA Ransomware Malpractice Health Insurance 102

Medisys Compliance

MARCH 27, 2023

Insurance verification: The insurance company verifies that the provider has adequate malpractice insurance coverage. Reduces liability: By verifying a healthcare provider’s credentials, healthcare organizations can reduce their liability in the event of malpractice or other issues.

Malpractice 52

Malpractice Medical Billing Outsourcing Governance Patient Satisfaction 52

The Health Law Firm

DECEMBER 1, 2015

(Baptist) filed a Petition for Writ of Certiorari with the First District Court of Appeal in Florida following a Florida circuit court ruling on the compelled disclosure of certain documents. The plaintiffs in a medical malpractice case were attempting to obtain peer review documents from the hospital on their claims.

Malpractice 40

Malpractice Hospitals 40