Verisys

MARCH 6, 2025

Consider a hospital hiring a new physician based on an old record that doesnt reflect a recent malpractice claimthis oversight can lead to severe legal and reputational consequences. For example, requiring all names to follow a “Last Name, First Name” format and license numbers to be entered uniformly can prevent mismatches.

Compliance 52

Compliance Licensing Doctors Malpractice 52

MedTrainer

AUGUST 2, 2023

Credentialing management helps organizations maintain compliance with regulatory standards set by accrediting bodies, government agencies, and industry regulators. Fines, medical malpractice claims, and patient harm are concerns if credentialing isn’t properly managed. Enhanced Patient Safety. Risk Mitigation.

Malpractice 97

Malpractice Compliance Licensing Due Diligence 97

HIT Consultant

SEPTEMBER 19, 2021

According to CRICO’s national CBS Database, 66% of malpractice cases in telemedicine from 2014 to 2018 were connected to misdiagnosis. Particularly the certification and license are one of the main challenges for nurses in telemedicine. Government cooperation. Pandemic allowed those who were hesitant to try out telemedicine.

Telemedicine 98

Telemedicine Licensing Nurses HIPAA 98

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). Department of Health and Human Services (HHS) and contains medical malpractice payments and adverse action reports on healthcare professionals.

Licensing 52

Licensing Malpractice Fraud Medicaid 52

Hall Render

JUNE 3, 2024

In addition to litigation, Katie focuses on matters related to government investigations, the False Claims Act and fraud and abuse. Before joining Hall Render, Katie gained hands-on litigation experience in medical malpractice defense, product liability and premises liability cases.

Malpractice 40

Malpractice Licensing Fraud Governance 40

MedTrainer

MARCH 23, 2024

Many other licensed healthcare providers must be credentialed: nurses, physical therapists, speech pathologists, and behavioral health therapists. For example, a healthcare organization verifies a provider’s state license by calling or searching the state license registration board. BLS/ACLS certifications status.

Licensing 52

Licensing Malpractice Governance Doctors 52

Verisys

AUGUST 17, 2023

This helps guarantee that all practitioners in your organization meet the requisite licensing and certification requirements. Mitigating liability and legal risks Malpractice claims and legal disputes can financially and emotionally drain healthcare providers and organizations.

Malpractice 52

Malpractice Licensing Compliance Medicaid 52

MedTrainer

JULY 28, 2023

While learning of an inspection can cause alarm, oftentimes it’s a routine occurrence required by the federal government to ensure the overall quality and delivery of healthcare services. This ensures that medical facilities are not engaging in malpractice and following program rules and regulations.

Fraud 98

Fraud Compliance Medicaid Medicaid 98

MedTrainer

FEBRUARY 5, 2024

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. Provider credentialing confirms a provider’s qualifications.

Licensing 52

Licensing Governance Compliance Fraud 52

Verisys

DECEMBER 5, 2023

State licensing boards verify practitioner license type and status. An Office of Inspector General (OIG) search of the List of Excluded Individuals/Entities (LEIE) indicates if the licensee is excluded from participating in government-funded programs. The policy issuer for malpractice insurance verifies insurance coverage.

Governance 52

Governance Licensing Malpractice Medicaid 52

Verisys

MARCH 1, 2022

State licensing boards verify practitioner license type and status. An Office of Inspector General (OIG) search of the List of Excluded Individuals/Entities (LEIE) indicates if the licensee is excluded from participating in government-funded programs. The policy issuer for malpractice insurance verifies insurance coverage.

Governance 52

Governance Licensing Malpractice Medicaid 52

Medisys Compliance

MARCH 27, 2023

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.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Malpractice Governance Patient Satisfaction 52

MedTrainer

NOVEMBER 27, 2023

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. The State Medical Board of Ohio provides licensing and regulatory guidelines for medical providers in Ohio State.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

Physician Credentialing Company

JANUARY 16, 2025

Credentialing in healthcare is a complex process of reviewing and evaluating the credibility of healthcare practitioners to fit the standard set by the government. Delay by educational institutions or licensing boards. Delays in Credentialing in Healthcare Another common issue is that credentialing takes a very long time to complete.

Malpractice 52

Malpractice Compliance Licensing Regulatory Compliance 52

Physician Credentialing Company

JANUARY 14, 2025

Malpractice Insurance: Address liability coverage. Credentialing Requirements: Does framing equal compliance with credentialing and licensing standards? Malpractice Claims: Lawsuit history or any kind of settlement. Final Approval: Governing board gives favors (2-4 weeks).

Licensing 52

Licensing Malpractice Regulatory Compliance Compliance 52

MedTrainer

APRIL 27, 2024

Credentialing Requirements for the HRSA OSV HRSA splits required documentation between two categories: licensed independent practitioner ( LIP ) and other licensed or certified practitioner ( OLCP ) and clinical staff. Government-issued picture identification.

Licensing 52

Licensing Compliance Malpractice Governance 52

MedTrainer

MAY 6, 2024

Here are the key steps: Gather Training and Education Gather Licensing and Certification Gather Work History Details Gather Payer-Specific Requirements Following Application Submission Get the tools you need to eliminate delays in your provider enrollment process.

Licensing 52

Licensing Malpractice Health Insurance Medicaid 52

MedTrainer

MARCH 14, 2024

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.

Malpractice 52

Malpractice Licensing Hospitals Compliance 52

MedTrainer

FEBRUARY 29, 2024

The insurance credentialing process is when a healthcare organization registers a provider through specific insurance carriers or government payers. Some examples of required information include the provider’s education, work history, licenses, and references.

Malpractice 52

Malpractice Licensing Nurses Governance 52

Physician Credentialing Company

JANUARY 23, 2025

Fill in and Upload the Documents Gather all of the supporting documentation you need, including your professional license, insurance card, board certification, references, and any other documentation related to your practice. Sometimes, driving license, passport and medical fitness certificate are also needed.

Licensing 52

Licensing Compliance Malpractice Hospitals 52

Physician Credentialing Company

OCTOBER 25, 2024

For example, a psychotherapist who has a professional practicing license might embrace the cognitive-behavioral approach to urge the patient to overcome negative thinking methods. Only licensed mental health professionals are permitted to send the bill for the services offered defined by code 90834. Who can Bill CPT Code 90834?

Licensing 52

Licensing Medical Billing Telemedicine Medicare 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.

Malpractice 52

Malpractice Due Diligence Compliance Licensing 52

Medisys Compliance

OCTOBER 30, 2023

Mental health credentialing is the process of becoming an approved provider with insurance companies or government health programs. 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.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Malpractice Licensing 59

MedTrainer

DECEMBER 2, 2024

Diversification of Payer Sources FQHCs are not limited to government funding through Medicaid and Medicare. Familiarize yourself with any payer-specific requirements such as proof of malpractice insurance, state-approved alternatives, and specific forms like the special needs survey or disclosure of ownership statement.

Licensing 52

Licensing Malpractice Compliance Medicaid 52

AIHC

SEPTEMBER 5, 2023

This compact does not apply to nurse practitioners (NPs) because they are licensed under state boards of nursing and not medicine. This requirement can sometimes apply to specific types of professionals when located in law or regulations governing their profession. Reference the CCHP Professional Boards Standards interactive map.

COVID-19 59

COVID-19 Telemedicine Informed Consent Compliance 59

MedTrainer

AUGUST 5, 2024

This engagement helps leaders make well-informed and balanced decisions, contributing to better governance and oversight. Automated Reminders: The software sends automatic reminder emails for expiring licenses or upcoming recredentialing processes for timely updates and compliance.

Compliance 52

Compliance Licensing Medicaid 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

Verisys

DECEMBER 23, 2021

Provider enrollment is the application process by which a practitioner is approved to seek reimbursement from government and/or third-party payers or seek admitting privileges at a hospital. It includes: The provider enrollment process for various government health plans. High number of malpractice cases. Vague references.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

AIHC

APRIL 25, 2022

As AIHC advises, another resource is legal advice through your malpractice insurance company. When telehealth is used, it is considered to be rendered at the physical location of the patient, and therefore a provider typically needs to be licensed in the patient’s state. Click Here for Cross-State Licensing information.

HIPAA 52

HIPAA COVID-19 Compliance Compliance Officers 52

Bill of Health

JULY 31, 2024

On social media, bad health advice can be disseminated by individuals with no particular health expertise and licensed health professionals alike. professional licensing, informed consent, malpractice liability, and fiduciary duties) while these guardrails run counter to the presumed equality of speakers outside of this relationship.

Public Health 255

Public Health Governance Malpractice Licensing 255

Verisys

JANUARY 11, 2022

Government-issued photo identification. These must include issuing state, license type, license number, status, and issue and expiration dates. Malpractice history and hospital sanctions. Malpractice Insurance. Certificates. Qualifications. Work History. Thirteen Criteria for Effective Medical Credentialing.

Malpractice 52

Malpractice Licensing Health Insurance Hospitals 52

Verisys

MARCH 30, 2023

How to Better Protect your Organization Through Medical Credentialing Medical credentialing – the tedious but necessary process of verifying a provider’s credentials, including license(s) and exclusion status, education, and training. Medical credentialing , unfortunately, isn’t one-and-done at the time of hire.

Licensing 52

Licensing Malpractice Medicaid Medicaid 52

HIT Consultant

APRIL 17, 2025

Nearly 70 percent of avoidable adverse patient outcomes in the US by cost can be attributed to provider behavior, and its estimated that 27 percent of medical malpractice is the result of communication failures. Licensed, experienced providers waste precious hours hunting with fax machines and phone calls.

Doctors 66

Doctors Hospitals Malpractice Licensing 66

AIHC

JULY 1, 2024

As stated by the Office of Civil Rights (OCR), the government HIPAA enforcement agency, access to comprehensive reproductive health care services, including abortion care and other sexual and reproductive care, is essential to individual health and well-being. Constitution. What is the New Form Requirement About?

HIPAA 52

HIPAA Compliance Malpractice Licensing 52

Kaiser Health News

JUNE 23, 2023

Wade , many physicians and hospitals in the states that have restricted abortion reportedly are refusing to end the pregnancies of women facing health-threatening complications out of fear they might face criminal prosecution or loss of their medical license. “But most rational people would be more afraid of going to jail.”

Malpractice 97

Malpractice Doctors Malpractice Attorneys Hospitals 97

Bill of Health

FEBRUARY 6, 2025

Professional Regulation The Guardians of Professional Knowledge Early in the second Trump administration, health information started to disappear from government websites including those maintained by the CDC and NIH. Here, too, medical malpractice law provides a useful lens. Florida (known popularly as the Docs v.

Malpractice 243

Malpractice Governance Bioethics Informed Consent 243

Hall Render

JUNE 7, 2024

Martin redirecting ambulances due to flooding MAINE MaineHealth CFO announces retirement Sen. million bird flu shots to U.S. million bird flu shots to U.S.

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Hospitals Nursing Homes 40