Remove Governance Remove Hospitals Remove Malpractice Remove Medicaid
article thumbnail

The Importance of Primary Source Verification for Practitioner Credentials

Verisys

For the medical staff services team at a hospital to properly verify a healthcare practitioner’s credentials, dozens of primary sources must be contacted directly, and those primary source organizations must then verify the credentials of the practitioner in question. The policy issuer for malpractice insurance verifies insurance coverage.

article thumbnail

Managing Healthcare Compliance in Ohio

MedTrainer

Ohio Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Ohio Department of Health (ODH) is key to safeguarding and enhancing the health of Ohio residents. For over a century, OHA has been dedicated to assisting member hospitals in addressing community health needs.

Insiders

Sign Up for our Newsletter

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

article thumbnail

Privileges and Credentialing Aren’t the Same

MedTrainer

Additionally, the credentialing specialist may request a record of any pending and past medical malpractice cases and disciplinary actions from the appropriate authority. Courtesy: This is when a hospital occasionally allows a provider to admit and treat a patient. However, not all providers need hospital privileges.

article thumbnail

Quick Guide to the National Practitioner Data Bank (NPDB)

Provider Trust

Department of Health and Human Services (HHS) and contains medical malpractice payments and adverse action reports on healthcare professionals. This prevents practitioners from moving from state to state or hospital to hospital with a hidden record. For more information, view the webinar on demand. NPDB Eligible Entities.

article thumbnail

Healthcare & Life Science M&A Activity Plummets 1H’22

HIT Consultant

Hospital stocks dropped 32.6% Rising costs for nurses and hospital staff along with growing labor shortages have resulted in several of the largest hospital companies, such as HCA Healthcare, lowering earnings estimates, which drove prices downward across the sub-sector in Q2 2022. from $34.61 in CY 2022 to $33.08 in CY 2023.

article thumbnail

How To Prepare for an OIG Inspection

MedTrainer

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. Medicare/Medicaid Compliance Reviews. The OIG performs regular compliance reviews of Medicare and Medicaid providers.

Fraud 98
article thumbnail

What is Provider Credentialing in Healthcare?

Medisys Compliance

These terminologies are briefly discussed below for better understanding: Provider enrollment: This refers to the process of enrolling a healthcare provider with an insurance plan or government program, such as Medicare or Medicaid. By meeting these requirements, providers can expand their patient base and increase revenue.