HIT Consultant

FEBRUARY 5, 2024

Credentialing lapses can expose a healthcare organization to malpractice suits and accreditation problems. This creates the potential for negative patient outcomes, which can lead to expensive malpractice lawsuits. Thorough and ongoing physician screening is critical to avoid costly negligent credentialing and malpractice claims.

Malpractice 95

Malpractice Licensing Due Diligence Hospitals 95

Compliancy Group

MAY 9, 2024

Centralizing your Governance, Risk, and Compliance (GRC) processes is a simple way to streamline your compliance efforts. GRC puts risk management, healthcare governance, and compliance under one roof, centralizing your efforts. This is where you monitor and manage all aspects of your governance, risk, and compliance-based activities.

Compliance Officers 52

Compliance Officers Compliance Malpractice Governance 52

Bill of Health

APRIL 4, 2024

On top of that comprehensive rulebook, the European Data Strategy bundle of laws encompasses the EU General Data Protection Regulation (GDPR), the Free Flow of Non-Personal Data Regulation, the Data Governance Act and the Data Act, as part of the EC’s ambition to establish a single unified market for data. The sectorialism of the U.S.

FDA 282

FDA Regulatory Compliance Malpractice Health Insurance 282

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

FEBRUARY 5, 2024

Provider enrollment is when a healthcare provider is registered with insurance networks or government payers , like Medicaid or Medicare. The employer may also review any pending and past medical malpractice cases or disciplinary actions. We’ll also review why both processes are vital for healthcare organizations.

Licensing 52

Licensing Governance Compliance Fraud 52

Bill of Health

OCTOBER 17, 2022

Other increasingly viable employee lawsuits are ADA disability discrimination or Title VII claims , possibly bolstered by federal government guidance from the U.S. Ek and allowed to stand by the state supreme court in 2022). Department of Health and Human Services and the U.S. Equal Employment Opportunity Commission.

COVID-19 237

COVID-19 Nursing Homes Nurses Public Health 237

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

Verisys

DECEMBER 5, 2023

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

MedTrainer

MARCH 23, 2024

Inability to receive reimbursement: Insurance companies and government payers require medical credentialing to authenticate a provider’s qualifications to practice. Without verifying qualifications, healthcare organizations won’t receive reimbursement for patient care services from insurance or government payers.

Licensing 52

Licensing Malpractice Governance Doctors 52

Verisys

AUGUST 17, 2023

Mitigating liability and legal risks Malpractice claims and legal disputes can financially and emotionally drain healthcare providers and organizations. Medical staff service teams typically check at least half a dozen primary sources to properly verify a healthcare provider’s credentials.

Malpractice 52

Malpractice Licensing Compliance Medicaid 52

Bill of Health

OCTOBER 12, 2023

The tort of medical malpractice exists, at least in part, to motivate doctors to provide care at an acceptable level. Therefore, government leaders should not aim to solve health inequities by punishing people who shun the burden of entrepreneurship.

Malpractice 157

Malpractice Public Health Health Outcomes Doctors 157

Health Populi

APRIL 5, 2021

” Those risks are shown in the second bar chart: over six in ten digital health business lacked coverage for a range of existential risks, including system failure or cyber hacks, technology errors, malpractice cause by incorrect data resulting in bodily injury, and loss or disclosure of personal or sensitive data.

Malpractice 93

Malpractice COVID-19 Public Health Governance 93

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.

Malpractice 52

Malpractice Medical Billing Outsourcing Governance Patient Satisfaction 52

MedTrainer

MARCH 12, 2024

To underline the significance and complexity of this system, we will explore what are reportable events in healthcare, the regulatory requirements that govern them, the types of reportable events, and the importance of proper reporting. Each state has its own set of laws and regulations dictating what must be reported and when.

Compliance 52

Compliance Malpractice Governance Public Health 52

Provider Trust

JULY 8, 2022

Department of Health and Human Services (HHS) and contains medical malpractice payments and adverse action reports on healthcare professionals. Below are the significant laws and regulations that govern NPDB operations: NPDB Regulations. For more information, view the webinar on demand. Healthcare Legislation & Regulations.

Licensing 52

Licensing Malpractice Fraud Compliance 52

HIT Consultant

NOVEMBER 11, 2022

External pressures from payors to malpractice lawyers to patients themselves lead to marginal and, too often, unnecessary treatments. But at the same time, the Hippocratic Oath of doing no harm should apply broadly to how healthcare institutions impact society environmentally, and governments are increasingly receptive to this view.

Malpractice 97

Malpractice Governance World Health Hospitals 97

Health Law Advisor

NOVEMBER 2, 2022

In the 2023 Outpatient Prospective Payment System Final Rule (OPPS Final Rule), released in pre-publication form on November 1, 2022, the Centers for Medicare and Medicaid Services (CMS) adopts final regulations governing REHs. This monthly facility payment will increase after CY 2023 at the hospital market basket percentage increase.

Medicare 52

Medicare Medicare Hospitals Malpractice 52

MedTrainer

APRIL 27, 2024

Credentialing Activity LIP OLCP; Other Clinical Staff Verification of identity (for initial credentialing) Government-issued picture identification. Government-issued picture identification. The table below outlines some required credentialing documents by practitioner type from the Bureau of Primary Health Care.

Licensing 52

Licensing Compliance Malpractice Governance 52

Bill of Health

AUGUST 22, 2023

Patient safety crises All that said, the NHS is still rocked by major patient safety crises, despite having a sophisticated, highly engineered patient safety health regulatory and governance framework. Key patient safety messages do not always seem to permeate down to key sections of the NHS workforce to effect positive practice change.

Governance 130

Governance Malpractice Public Health 130

Verisys

MARCH 1, 2022

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. Government and Non-Government Sources. Criminal history.

Governance 52

Governance Licensing Malpractice Medicaid 52

MedTrainer

MAY 6, 2024

Department of Commerce National Technical Information Service (when applicable) Disciplinary history or adverse actions related to licensure and DEA registration, which we query through state licensing boards and the National Practitioner Databank (NPDB) Malpractice insurance claim history to examine any possible trends and to look for evidence that (..)

Licensing 52

Licensing Malpractice Health Insurance Medicaid 52

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. Whether it’s government regulation or healthcare facility requirements is a matter. Upon completion and approval, the provider can begin billing for medical services.

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. The organization should also obtain malpractice and liability insurance for the provider since all insurance companies require it.

Malpractice 52

Malpractice Licensing Nurses Governance 52

Verisys

MARCH 30, 2023

Healthcare organizations must regularly check practitioners’ qualifications and license status to comply with regulations and to ensure payment from private and government agencies like Medicare and Medicaid. Medical credentialing , unfortunately, isn’t one-and-done at the time of hire. What are the requirements for medical credentialing?

Licensing 52

Licensing Malpractice Medicaid Medicaid 52

Verisys

JANUARY 11, 2022

Government-issued photo identification. Malpractice history and hospital sanctions. Malpractice Insurance. Thirteen Criteria for Effective Medical Credentialing. Verifying your providers against the following 13 criteria will help you evaluate if they are qualified to provide healthcare services: Evidence of Identity.

Malpractice 52

Malpractice Licensing Health Insurance Hospitals 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

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

Hall Render

MARCH 5, 2024

Because the Act allows for the collection of punitive damages, for which there is no limit under Alabama law, damages may be substantially higher than those that would be awarded in a traditional malpractice case. If you have questions regarding LePage v.

Malpractice 75

Malpractice Hospitals Governance 75

AIHC

SEPTEMBER 5, 2023

This requirement can sometimes apply to specific types of professionals when located in law or regulations governing their profession. Simply applying existing principles of malpractice liability to telehealth is not straightforward, especially when it is unclear what an appropriate “standard of care” is.

COVID-19 59

COVID-19 Telemedicine Compliance Informed Consent 59

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. Additionally, providers must submit a minimum five-year work history for initial credentialing.

Compliance 52

Compliance Licensing Medicaid 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

Bill of Health

FEBRUARY 11, 2022

Government position. Charley Coleman for the House of Lords Library has produced an excellent publication which captures well the key issues in the clinical negligence reform debate and gives helpful facts and figures. The topics discussed in the guide are: Managing compensation in the NHS in England. Costs of compensation.

Governance 246

Governance Malpractice 246

HIT Consultant

AUGUST 5, 2022

RVUs are applied to each service for work, medical practice expenses, and malpractice expenses. Physician payments are based on multiplying Relative Value Units (“RVUs”) that are assigned to each type of service by a conversion factor. The proposed changes would reduce the conversion factor by 4.4% from $34.61 in CY 2022 to $33.08

Telemedicine 98

Telemedicine Medicaid Medicaid Malpractice 98

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. Government cooperation. Cooperation between federal and state governments is crucial to ensure multistate licensing, payment parity, and expansion of telehealth services. Misdiagnoses.

Telemedicine 98

Telemedicine Licensing Nurses HIPAA 98

Med Law Blog

MAY 1, 2023

Please note that the potential for ulterior financial motives does not automatically presume that the intent is somehow suspect, in the same way that potential medical malpractice concerns does not legitimately question the clinical motives of all other providers.

Nursing Homes 52

Nursing Homes Malpractice Hospitals Nurses 52

The Health Law Firm

DECEMBER 18, 2011

This will not affect the purpose of the federal government's clearing house for disciplinary and malpractice information, but will forever change how the information is disseminated.

Malpractice 40

Malpractice Governance 40

NY Health Law

APRIL 15, 2021

While the laws governing telehealth were becoming gradually more permissive, progress was slow. Similarly, the impact of the use of telehealth on professional malpractice and misconduct will need to be monitored on an ongoing basis.

Informed Consent 52

Informed Consent Malpractice Telemedicine Medicaid 52