MedTrainer

JULY 10, 2023

Even after someone goes through all the schooling, passes their medical boards and obtains a license to practice, physician credentialing still stands between a provider and patients — no matter where they are in their career. Malpractice history. It takes more than a medical degree to practice medicine. Work history. References.

Malpractice 40

Malpractice Licensing Compliance Regulatory Compliance 40

MedTrainer

JULY 10, 2023

Credentialing organizations verify that healthcare providers hold valid and unrestricted licenses to practice medicine and any additional certifications relevant to their specialties. This involves checking for any disciplinary actions, malpractice claims, or adverse events related to the provider’s practice. Review and evaluation.

Malpractice 52

Malpractice Compliance Licensing Hospitals 52

MedTrainer

MAY 15, 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. A The Florida Medicaid Web Portal account will also need to be created.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

MedTrainer

SEPTEMBER 20, 2023

Legal costs, settlements, and increased malpractice insurance premiums can put financial burdens on ASCs found guilty of negligent credentialing. This process should include comprehensive checks of education, training, licensure, malpractice history, and any disciplinary actions. Financial Consequences. Long-Term Consequences.

Malpractice 52

Malpractice Licensing Due Diligence Compliance 52

MedTrainer

MARCH 14, 2024

The specialist authenticates the provider’s education, work history, licenses, and other information during provider credentialing. 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

OCTOBER 29, 2023

Physical License Only California currently provides physical licenses for practitioners. This wallet-size license requires holders to scan, photocopy, or take a picture for recredenialing or verification. It can take as long as four to five months to credential a new provider simply because of this backlog. Background Checks.

Licensing 52

Licensing Malpractice Medicaid Medicaid 52

MedTrainer

DECEMBER 20, 2023

Both licensing and credentialing processes are pivotal in upholding the integrity and safety of healthcare delivery in the state of New Jersey. The New Jersey State Board of Medical Examiners oversees medical credentialing and licensing within the state. Primary Source Verification. Payers in New Jersey have specific requirements.

Licensing 52

Licensing Medicaid Medicaid Malpractice 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. Primary Source Verification. Background Checks. Payer Enrollment.

Medicare 52

Medicare Medicare Licensing Malpractice 52

MedTrainer

AUGUST 9, 2023

This form collects general information such as personal details, contact information, and professional background. Licenses and Certifications. Copies of all current and valid medical licenses, board certifications, and registrations must be submitted. Malpractice Insurance. Work History. References.

Malpractice 52

Malpractice Licensing Compliance 52

MedTrainer

JULY 10, 2023

Credentialing organizations verify that healthcare providers hold valid and unrestricted licenses to practice medicine and any additional certifications relevant to their specialties. This involves checking for any disciplinary actions, malpractice claims, or adverse events related to the provider’s practice. Review and evaluation.

Malpractice 40

Malpractice Compliance Licensing Hospitals 40

MedTrainer

OCTOBER 29, 2023

The Colorado Medical Board oversees medical credentialing and licensing within the state. Controlled Substance Licensure Colorado has a one license requirement for controlled substance licensure. Revalidation every five years is required for providers to remain enrolled. Primary Source Verification. Background Checks. Payer Enrollment.

Licensing 52

Licensing Malpractice Medicaid Medicaid 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. State licensing boards verify practitioner license type and status.

Governance 52

Governance Licensing Malpractice Medicaid 52

Hall Render

DECEMBER 12, 2023

CMS stated that this could include any misdemeanor that places the Medicare program or its beneficiaries at immediate risk, such as a malpractice suit that results in a conviction of criminal neglect or misconduct. Hall Render blog posts and articles are intended for informational purposes only.

Medicare 40

Medicare Medicare Licensing Malpractice 40

Medisys Compliance

MARCH 27, 2023

Provider screening: This is the process of screening healthcare providers to ensure they meet certain standards and criteria, such as background checks and license verifications. Insurance verification: The insurance company verifies that the provider has adequate malpractice insurance coverage.

Malpractice 52

Malpractice Medical Billing Outsourcing Governance Patient Satisfaction 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. Complete Applications: Fill out the applications for the insurance companies you wish to contract with.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Malpractice Licensing 59

Verisys

DECEMBER 1, 2023

An NCQA representative will contact you to finalize the application and the survey date. 3 months before the survey start date: an Accreditation Services Coordinator from NCQA will contact your organization. You’ll receive an online application link soon after the form is submitted.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Florida Health Care Law Firm

APRIL 20, 2022

They require medical professionals of all kinds to attain a certain level of education in order to gain license to practice in the state. If you wish to file a complaint of malpractice with the Florida Medical Board, the process is especially tricky. Florida Medical Board Complaints.

Doctors 52

Doctors Malpractice Licensing Medicaid 52

MedTrainer

AUGUST 2, 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. Primary Source Verification. Background Checks.

Due Diligence 52

Due Diligence Malpractice Licensing Compliance 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

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. State licensing boards verify practitioner license type and status.

Governance 52

Governance Licensing Malpractice Medicaid 52

Pharmacy Law Blog

APRIL 30, 2018

If you are a physician, nurse practitioner, psychologist, clinical pharmacist, oral surgeon, ophthalmologist, or other licensed health professional with clinical privileges in a hospital, chances are that one day you will be subject to a peer review action or investigation. Indest III, J.D., Board Certified by The Florida Bar in Health Law.

Hospitals 52

Hospitals Nurses Malpractice Nursing Homes 52

Verisys

DECEMBER 23, 2021

High number of malpractice cases. If a provider’s record shows a high number of cases, discipline by a licensing entity, or frequent moves, it may indicate a problem. Continuous monitoring and automated notifications for a provider’s license status through Verified License Search & Status (VLSS®). Vague references.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Verisys

NOVEMBER 30, 2023

Credentialing lapses can expose a healthcare organization to malpractice suits and accreditation problems. All certifications and licenses must be verified for every provider who administers services to patients. This creates the potential for negative patient outcomes, which can lead to expensive malpractice lawsuits.

Malpractice 52

Malpractice Licensing Due Diligence Hospitals 52

Verisys

FEBRUARY 10, 2022

Did you know that for every 1,000 licensed healthcare practitioners there will typically be 20 with inactive licenses, 10 with a suspended license, and another six practitioners with either a restricted or revoked license, or on probation? By carefully screening the practitioner and continually monitoring his license.

Licensing 52

Licensing US Department of Health and Human Services Malpractice Compliance 52

AIHC

APRIL 25, 2022

Providers should be directed to contact their organization’s Privacy Officer or Security Officer to register their mobile device. As AIHC advises, another resource is legal advice through your malpractice insurance company. Click Here for Cross-State Licensing information.

HIPAA 52

HIPAA Compliance COVID-19 Compliance Officers 52

Verisys

FEBRUARY 4, 2022

Credentialing lapses can expose a healthcare organization to malpractice suits and accreditation problems. All certifications and licenses must be verified for every provider who administers services to patients. This creates the potential for negative patient outcomes, which can lead to expensive malpractice lawsuits.

Malpractice 52

Malpractice Licensing Due Diligence Hospitals 52

Verisys

SEPTEMBER 18, 2023

Best Practices for Healthcare License Monitoring Did you know that for every 1,000 licensed healthcare practitioners there will typically be 20 with inactive licenses, 10 with a suspended license, and another six practitioners with either a restricted or revoked license, or on probation?

Licensing 52

Licensing Malpractice Compliance Hospitals 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

MedTrainer

OCTOBER 26, 2023

Here’s a list of the information required to complete a CAQH provider application: Personal Details: This includes your full name, contact information, date of birth, and social security number. Professional Liability Insurance: Information on your malpractice insurance, such as the coverage amounts, providers, and effective dates.

Licensing 52

Licensing Malpractice Hospitals 52

HIT Consultant

MARCH 9, 2023

If a company is dispensing medical advice, providing guidance or therapy, or prescribing or selling products, there are additional risks spanning from medical malpractice to bodily injury claims associated with these services that are often overlooked. Cyber liability, errors and omissions, and medical malpractice liability are key exposures.

Malpractice 98

Malpractice Telemedicine Doctors Licensing 98

Medisys Compliance

MARCH 23, 2023

Provider credentialing involves verifying and evaluating the mental health provider’s education, training, certification, and licensing to ensure that they meet the standards and criteria of the insurance company, regulatory bodies, and other organizations.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Malpractice Health Insurance 52

MedTrainer

APRIL 14, 2022

A provider may no longer meet the qualifications of a given state if legal changes occur, which may result in malpractice cases. For example, they may write down incorrect contact information if they’ve moved recently. While this mistake may not be that bad, other errors, such as an out-of-date license, can be more severe.

Malpractice 52

Malpractice Hospitals Licensing Compliance 52

MedTrainer

OCTOBER 26, 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 for the provider. This is an ongoing requirement for medical credentialing in Washington state. Background Checks.

Malpractice 52

Malpractice Licensing Medicaid Medicaid 52

Verisys

JANUARY 25, 2022

On average, for every 1,000 licensed healthcare workers, there are three currently excluded individuals, seven historically excluded individuals, two sex offenders, two patient abusers, 20 practitioners with inactive licenses, three practitioners on probation, two with restricted or impaired licenses, one revoked license, and 10 suspended licenses.

US Department of Health and Human Services 52

US Department of Health and Human Services Licensing Malpractice Hospitals 52

Hall Render

APRIL 29, 2022

California to increase awards in medical malpractice cases. in malpractice case. State suspends Destin nursing home license, orders it to discharge 100-plus residents. NYC Tackles Long COVID with Three ‘Centers of Excellence’ County health department offers guidance as New York ends COVID-19 contact tracing.

COVID-19 40

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

Hall Render

JULY 21, 2023

gives nod to 39 new medical cannabis businesses seeking a license Rose Health founder Kavi Misri launches new venture to help employers keep workers healthy 6 people hit by car in D.C. Here are arguments for and against. hospital parking garage Arlington named ‘America’s fittest city’ DC ranked No. 11th in mental health, No.

US Department of Health and Human Services 40

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

Med League

FEBRUARY 10, 2022

Our Nursing Home Nurse Expert Witness are licensed and certified in: Gerontological Nursing Certification GERO-BC. License Nursing Home Administrator. Contact Med League today to discuss your next case! Pressure Ulcers. Life Expectancy. Functional Decline. Elder Abuse and Neglect. Plan of Care. Wrongful Death.

Nursing Homes 52

Nursing Homes Nurses Elder Care Elder Abuse 52