Verisys

JULY 20, 2023

Hospitals or health systems may not allocate adequate resources or staff to complete the medical credentialing process. 3: Allowing a physician to treat patients before credentialing is completed Courts have held hospitals liable when a physician falsifies credentials, and the hospital fails to do its due diligence in verifying them.

Due Diligence 52

Due Diligence Malpractice Licensing Hospitals 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. Courtesy: This is when a hospital occasionally allows a provider to admit and treat a patient. However, not all providers need hospital privileges.

Malpractice 52

Malpractice Licensing Hospitals Compliance 52

HIT Consultant

AUGUST 5, 2022

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.

Telemedicine 98

Telemedicine Medicaid Medicaid Malpractice 98

Hall Render

MAY 10, 2024

Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M million expansion ‘Very, very unusual.’

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

MedTrainer

NOVEMBER 27, 2023

The Ohio Hospital Association (OHA) , founded in 1915 as the nation’s first state-level hospital association, stands as a unified voice for Ohio’s hospitals, utilizing data and expertise to lead health policy, quality improvement, and economic sustainability for its members.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

Verisys

FEBRUARY 4, 2022

Credentialing lapses can expose a healthcare organization to malpractice suits and accreditation problems. The proper credentialing steps can be complex and time-consuming but are a fundamental responsibility of hospitals and healthcare facilities. Mistake No. Mistake No. 4: Not updating and verifying information. Mistake No.

Malpractice 52

Malpractice Licensing Due Diligence Hospitals 52

AIHC

SEPTEMBER 5, 2023

Medicare covers many telebehavioral and telemental health services including audio-only services. Most private insurers and Medicaid cover telebehavioral health care, but check for reimbursement restrictions and obtain professional coding and billing guidance to avoid overpayment situations.

COVID-19 59

COVID-19 Telemedicine Compliance Informed Consent 59

Healthcare IT News - Telehealth

SEPTEMBER 16, 2020

"It made sense that all eyes were on the hospitals, because they were overwhelmed with sick patients," said Dr. Donna R. Review, revise and communicate telehealth malpractice policies. Shelley, a professor in the Department of Policy and Public Health Management at the New York University School of Global Public Health.

COVID-19 204

COVID-19 Public Health Malpractice Telemedicine 204

MedTrainer

DECEMBER 20, 2023

Medical credentialing in New Jersey is a crucial step for healthcare providers seeking to work within hospitals, healthcare facilities, or with insurance networks. Ensure the provider’s CAQH profile is up-to-date and if the provider will be enrolling with Medicare and Availity payers, set up those portals as well. Background Checks.

Licensing 52

Licensing Medicaid Medicaid Malpractice 52

Verisys

DECEMBER 5, 2023

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.

Governance 52

Governance Licensing Malpractice Medicaid 52

MedTrainer

MAY 6, 2024

Here is a list of the information you’ll need to gather to credential a provider with Aetna: Licensure and/or certification verified through state licensing boards in geographical areas where network practitioners will care for members Board certifications (when applicable) Loss of/limitation of hospital admitting privileges (when applicable) Current (..)

Licensing 52

Licensing Malpractice Health Insurance Medicaid 52

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. Medicare, Medicaid, and TRICARE: How Enrollment Standards Differ. Steps to successful enrollment. New regulatory requirements.

Medicare 52

Medicare Medicare Medicaid 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.

Malpractice 52

Malpractice Medical Billing Outsourcing Governance Patient Satisfaction 52

Hall Render

DECEMBER 22, 2023

Million in Retaliation Suit John Muir, Tenet scrap hospital deal after FTC challenge Kaiser to lay off 79 administrative employees Leaning toward big wins in schizophrenia and vaccines, venture group raises new fund of $389 million Madera hospital creditors want to be paid, including CEO. health care spending hits $4.5

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Hall Render

SEPTEMBER 2, 2022

On July 26, 2022, the Centers for Medicaid and Medicare (“CMS”) published the 2023 Hospital Outpatient Prospective Payment System (OOPS) and Ambulatory Surgery Center Payment System Proposed Rule. The Consolidated Appropriations Act, 2021, signed into law on December 27, 2020, created a new Medicare provider type called an REH.

Payment Systems 40

Payment Systems Hospitals Medicare Medicare 40

Hall Render

NOVEMBER 27, 2023

11 Plan To Slash $1.5B 11 Plan To Slash $1.5B 11 Plan To Slash $1.5B

US Department of Health and Human Services 40

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

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. in United States ex rel.

Nursing Homes 52

Nursing Homes Malpractice Hospitals Nurses 52

Hall Render

MARCH 1, 2024

in 2023 income Ransomware group leader told hackers to attack hospitals, FBI, HHS say The 23 health systems pushing Congress to act on virtual care Three examples of how AI is going to change medicine U.S. R1 RCM posts $3.3M R1 RCM posts $3.3M R1 RCM posts $3.3M R1 RCM posts $3.3M R1 RCM posts $3.3M R1 RCM posts $3.3M

Nursing Homes 40

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

Verisys

APRIL 7, 2023

Most hospitals use the Office of Inspector General’s List of Excluded Individuals and Entities ( OIG-LEIE ) for primary source verification, which consists of current providers and entities excluded from participating in all federal healthcare programs like Medicaid or Medicare.

Licensing 52

Licensing Malpractice Hospitals Medicaid 52

Hall Render

OCTOBER 6, 2023

The CDC has stopped printing them Telehealth Visits Decline 46%, But Telebehavioral Healthcare Still High URAC to offer health equity accreditation Walgreens CIO is latest to leave in company’s C-suite shakeup AI is creating a complex landscape for healthcare executives ALABAMA Alabama hospital to remain on Cerner after sale Alabama gets $3.6M

US Department of Health and Human Services 40

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

Hall Render

OCTOBER 6, 2023

The CDC has stopped printing them Telehealth Visits Decline 46%, But Telebehavioral Healthcare Still High URAC to offer health equity accreditation Walgreens CIO is latest to leave in company’s C-suite shakeup AI is creating a complex landscape for healthcare executives ALABAMA Alabama hospital to remain on Cerner after sale Alabama gets $3.6M

US Department of Health and Human Services 40

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

AIHC

JANUARY 5, 2022

These charges can also arise during non-emergency hospitalizations, where multiple providers may be involved in care. Even if a hospital participates in a patient’s insurance plan, specific providers, such as anesthesiologists or radiologists, may not. The term “hospital” includes critical access hospitals.

Medical Billing 52

Medical Billing Health Insurance Hospitals Medicare 52

Verisys

MARCH 1, 2022

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.

Governance 52

Governance Licensing Malpractice Medicaid 52

Hall Render

APRIL 7, 2023

NATIONAL AHA, AHCA warn CMS against unfunded nursing home staffing mandates AHA to Congress: Funding rural hospitals is critical for access AHA-supported bill to aid small rural hospitals reintroduced in Senate Biden won’t veto Republican-led bill ending COVID emergency CVS-branded hospitals?

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes COVID-19 Nurses 40

Hall Render

SEPTEMBER 22, 2023

in repairs Sutter Health faces possible $519M payout in alleged double billing case COLORADO Denver Health sued by sons after father’s jail death How a Kaiser Permanente worker strike could affect Colorado patients Kaiser names regional president Medical Office Building in Littleton Sells for $6.1M

Nursing Homes 40

Nursing Homes COVID-19 Nurses COVID-19 Vaccine 40

Hall Render

NOVEMBER 17, 2023

Jill Biden will lead new initiative to boost federal government research into women’s health Joint Commission says acute, critical access hospitals must join safety network Lawsuit claims UnitedHealth AI wrongfully denies elderly extended care Most Rural U.S.

Nursing Homes 40

Nursing Homes Nurses Hospitals Doctors 40

Hall Render

DECEMBER 1, 2023

to Recruit, Train Primary Care Students UAMS Gets $17.5M to Recruit, Train Primary Care Students UAMS Gets $17.5M to Recruit, Train Primary Care Students UAMS Gets $17.5M to Recruit, Train Primary Care Students UAMS Gets $17.5M to Recruit, Train Primary Care Students UAMS Gets $17.5M to Recruit, Train Primary Care Students UAMS Gets $17.5M

Nursing Homes 40

Nursing Homes Nurses Ransomware COVID-19 40

Hall Render

APRIL 14, 2023

NATIONAL 94% of Organizations Experienced a Cyberattack in 2022 AHA blog: Strengthening crisis management in rural health care Biden signs bill ending Covid-19 national emergency Cancer drug shortages are creating dire circumstances for some patients CMS Releases FY24 IPPS Proposed Rule, Seeks to Boost Rates by 2.8%

Nursing Homes 40

Nursing Homes US Department of Health and Human Services Nurses COVID-19 40

Hall Render

FEBRUARY 24, 2023

Can Hospitals Change in Time to Keep Them? Dunleavy adds $9M to budget to address food stamp, Medicaid backlog New study provides snapshot of increase in maternal deaths in Alaska Mental Health Trust Grants $1.6M NATIONAL Addressing Staff Burnout In Healthcare Design Amazon completes $3.9B

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Hall Render

JULY 21, 2023

Vincent’s nurse, physician communication among top in Alabama UAB Hospital receives millions in state funds to expand ED 988 one year later: More needed to expand mental health in Alabama communities of color Alabama lawmakers hear from Pickens County on effort to re-open medical center ALASKA City OKs $8.1M Million St. Million St.

US Department of Health and Human Services 40

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

Hall Render

NOVEMBER 11, 2022

Physician leaders balk at Medicare 4.48% physician fee cut. Supreme Court Weighs Whether Medicaid Residents Can Sue State-Owned Nursing Homes. US flu hospitalization rate highest its been since 2009 swine flu pandemic, experts say. Staffing shortages biggest issue facing Alabama hospitals. grant will do. CONNECTICUT.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes COVID-19 Nurses 40

Hall Render

MAY 12, 2023

NATIONAL 4 Healthcare Design And Construction Trends To Watch AHA urges court to preserve ACA preventive services requirement pending appeal AI may pose ‘existential threat,’ physicians warn in BMJ Biden’s nursing home staff mandates expected soon CareFirst, Noom program aims to ‘retrain’ the brain of members with obesity, (..)

COVID-19 40

COVID-19 US Department of Health and Human Services Nurses Hospitals 40

Hall Render

SEPTEMBER 23, 2022

Congress presses Meta about health data privacy after hospitals remove Facebook tracker. Alabama hospital CEO resigns. Alabama’s COVID positivity rate, hospitalizations drop considerably. Huntsville Hospital Health System Ranked Among America’s Best Employers by Forbes. Mercy Hospital Northwest Arkansas hires new COO.

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

Hall Render

AUGUST 11, 2023

NATIONAL 7 new ASCs in the South in 1 month 6 Congressional moves could impact ASCs this year 5 recent moves from The Joint Commission 90% of healthcare organizations look to adopt digital health platforms A cyberattack has disrupted hospitals and health care in 5 states AHA: Site-Neutral Payment Policies Hurt Hospitals AHA Voices Concern Re: FY 2024 (..)

US Department of Health and Human Services 40

US Department of Health and Human Services COVID-19 Nursing Homes Nurses 40

Hall Render

MARCH 17, 2023

NATIONAL AMA pressures federal government to fix prior authorization problem plaguing radiology AHA pushes back on new 340B alliance Biden’s $6.8T Lawmakers are now mulling limits. NATIONAL AMA pressures federal government to fix prior authorization problem plaguing radiology AHA pushes back on new 340B alliance Biden’s $6.8T

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes COVID-19 Nurses 40

Hall Render

SEPTEMBER 8, 2023

UAB Hospital locks down after shooting outside ED Alabama association pushes back on Biden nursing home staffing level mandate ALASKA Bartlett Hospital brings home health and hospice care back to Juneau Providence begins work on $11M crisis care stabilization facility Providence St. Here is what it will fund.

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Hall Render

DECEMBER 15, 2023

NATIONAL AHA pushes back on HHS proposal to penalize hospitals for cyberattacks AHA urges Congress to oppose H.R. Newsom seeks changes to California’s new healthcare wage law Prime completes California hospital sale Rare disease tech company was rolled up two years ago.

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40