Medisys Compliance

NOVEMBER 9, 2022

Medical credentialing has opened up a plethora of opportunities in the healthcare industry that were previously closed to the healthcare professionals. The medical credentialing procedure can be super-daunting and time-consuming, even if it is important in order to reach new patient audiences. What exactly is medical credentialing?

Medical Billing Outsourcing 105

Medical Billing Outsourcing Doctors Medical Billing Malpractice 105

Verisys

DECEMBER 11, 2023

Verisys serves the healthcare industry through solutions that assist healthcare providers in credentialing, compliance, and workforce management to improve the overall quality of care for patients. Verisys is an NCQA-certified and URAC-accredited Credentials Verification Organization. healthcare industry.

Regulatory Compliance 98

Regulatory Compliance Compliance 98

MedTrainer

NOVEMBER 2, 2023

Credentialing in healthcare is one of the first steps to a provider being able to practice. The rigorous process safeguards the integrity of the field, ensuring that only competent and qualified individuals are granted the privilege to provide care. What Is the Purpose of Credentialing in Healthcare?

Compliance 52

Compliance Hospitals Licensing 52

Healthcare IT Today

NOVEMBER 14, 2023

This affects not only how patient data is handled, but also provider data. As healthcare organizations look for new ways to modernize their operations (and reduce costs), provider data is a good place to focus. How is provider data shared in your organization?

US Department of Health and Human Services 89

US Department of Health and Human Services Licensing Nurses Compliance 89

Provider Trust

APRIL 18, 2024

This comprehensive program provides healthcare organizations across the continuum of care a roadmap to implement top-tier compliance standards by addressing key population monitoring gaps, prioritizing financial efficiencies, and upholding community healthcare and success. To learn more, visit providertrust.com.

Compliance 52

Compliance Licensing Fraud Medicaid 52

Medisys Compliance

OCTOBER 30, 2023

Introduction Solo mental health practitioners play a vital role in the healthcare system, providing essential services to those in need of mental and emotional support. However, managing the administrative aspects of their practice, including mental health billing and credentialing, can be a significant challenge.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Malpractice Licensing 59

Verisys

NOVEMBER 14, 2023

The Importance of Thorough Credentialing The credentialing process for hospitals and health systems prioritizes in-depth research and meticulous accuracy, which means that it is not a speedy process, often taking from 90 to 120 days to complete. However, verifying a provider’s credentials is essential.

Licensing 52

Licensing Medicaid Medicaid Governance 52

MedTrainer

OCTOBER 13, 2023

Credentialing is evolving. There have been monumental shifts in credentialing in the past few years. In fact, my colleague and I did an entire webinar on the evolution of credentialing earlier this year. And we spent very little time on what’s becoming the biggest challenge in credentialing. Because no one talks about it.

Fraud 52

Fraud Medicaid Medicaid Medicare 52

MedTrainer

NOVEMBER 15, 2023

Physician credentialing is a necessary step for medical professionals before becoming providers. In order to actually provide services to patients, one must be credentialed to prove that they’re competent. What Is Provider Credentialing? Let’s break down what each term actually means.

Medicaid 52

Medicaid Medicaid Doctors Medicare 52

MedTrainer

JANUARY 22, 2024

MedTrainer Director of Credentialing Services Brent Althoff speaks with Outcomes Rocket podcast host Saul Marquez in an episode titled Protecting the Revenue Cycle With Credentialing. Brent shares his experience working both with medical and dental groups as well as with one of the nation’s largest payers. “My

Compliance 52

Compliance 52

MedTrainer

OCTOBER 23, 2023

Learning how to become a credentialing specialist might be the perfect path for you. It is the credentialing specialist who guarantees that practitioners are qualified to provide the care patients trust them with. Read on to discover the steps on how to become a credentialing specialist.

Compliance 52

Compliance Licensing Doctors Hospitals 52

Verisys

AUGUST 31, 2023

7 Red Flags to Watch for During Healthcare Credentialing Provider credentialing is a crucial aspect of any healthcare organization. It helps healthcare organizations maintain the standard of providing quality patient care and ensures patient safety.

Malpractice 52

Malpractice Fraud Medicaid Medicaid 52

Medisys Compliance

AUGUST 7, 2023

Alongside providing quality care to their patients, mental health practitioners also need to manage the administrative side of their practice efficiently. This is where mental health billing and credentialing services come into play. Mental health billing and credentialing services are essential aspects of the healthcare industry.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Regulatory Compliance Medical Billing Compliance 52

MedTrainer

SEPTEMBER 20, 2023

When people seek care, there’s an implied understanding that the provider treating them is capable of doing so. Credentialing is the behind-the-scenes process that turns this implication into reality, and it’s a critical part of running a responsible healthcare facility. What Is Negligent Credentialing? Legal Liability.

Malpractice 52

Malpractice Licensing Due Diligence Compliance 52

Verisys

DECEMBER 1, 2023

The Importance of NCQA Certification for CVOs Verifying credentials for practitioners and affiliated organizations is a key component of patient safety in healthcare. It allows organizations to stay compliant with state and federal requirements and maintains their accreditation with Medicare, Medicaid, TRICARE, and other programs.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

MedTrainer

AUGUST 2, 2023

The credentialing process — also called provider credentialing, physician credentialing, or medical credentialing — is a critical part of onboarding. The National Committee for Quality Assurance (NCQA) has established a set of standards that currently act as a guideline on how to credential health care providers.

Due Diligence 52

Due Diligence Malpractice Licensing Compliance 52

HIPAA Journal

MAY 18, 2022

The security advisory details the most commonly exploited controls and practices and provides recommendations for mitigations to strengthen security and block these attack vectors. The compromising of these services can provide attackers with initial access. Use of default credentials and configurations. Suggested Mitigations.

Ransomware 120

Ransomware HIPAA 120

Verisys

DECEMBER 5, 2023

Although credentialing and recredentialing standards were temporarily changed due to COVID, many regulations are returning to the former protocol. That’s why it’s important to understand primary source verification, methods of accessing primary sources, and how to get help with practitioner credentials verification if you need it.

Governance 52

Governance Licensing Malpractice Medicaid 52

Verisys

AUGUST 17, 2023

Let’s take this opportunity to review the importance of primary source verification during the healthcare credentialing process. Defining healthcare credentialing and primary source verification Healthcare credentialing is the tedious process of assessing a healthcare provider’s qualifications, experiences, and competency.

Malpractice 52

Malpractice Licensing Compliance Medicaid 52

HIT Consultant

NOVEMBER 9, 2023

NeuroWorks Natus Electroencephalogram (EEG) software solution is widely used across clinics, hospitals, large teaching facilities and medical device providers for EEG, LTM, ICU, sleep, and research studies.

Hospitals 91

Hospitals 91

HIT Consultant

SEPTEMBER 20, 2023

Leveraging Patient Access to Enable Seamless Retrieval of Clinical Data Healthcare support organizations can now leverage Patient Access to enable consumers to seamlessly retrieve and share their comprehensive clinical data from a nationwide network of clinics, hospitals, and EHR systems in near real-time.

Hospitals 124

Hospitals 124

Provider Trust

APRIL 14, 2023

When a healthcare provider or organization bills a payer for services rendered, payers need up-to-date credentialing data to ensure these providers are properly licensed to give expert clinical services. Regardless of your approach, the credentialing process can be quite complex.

Licensing 52

Licensing Compliance Malpractice Medicaid 52

HIT Consultant

FEBRUARY 6, 2023

Flexible Solution for Staffing Shortage Historically, traditional staffing providers have focused on the travel nursing segment due to the high margins where several large players control the market. Travel nursing rates continue to exceed the budgets of national healthcare providers, which is unsustainable.

Nurses 98

Nurses Hospitals 98

Medisys Compliance

MARCH 27, 2023

While finding the answer for ‘what is provider credentialing in healthcare?’ let start with defining provider credentialing. The goal of provider credentialing is to ensure that patients receive safe, high-quality care from qualified and competent healthcare providers.

Malpractice 52

Malpractice Medical Billing Outsourcing Governance Patient Satisfaction 52

Healthcare IT Today

JULY 28, 2023

Verifiable’s comprehensive suite of network management solutions and real-time verifications empowers healthcare organizations to expedite credentialing from multiple weeks to a matter of days. The funding will also further accelerate Verifiable’s collaboration with Salesforce. This is where Verifiable is built different.”

Compliance 52

Compliance 52

HIT Consultant

JANUARY 2, 2024

What You Should Know: – CareCloud , a leader in health tech solutions, and Kovo HealthTech , a prominent billing-as-a-service provider, have announced a strategic collaboration. Strengthening Billing and Beyond Kovo boasts a vast network of over 2,250 healthcare providers already benefiting from its efficient billing solutions.

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HIPAA Journal

AUGUST 12, 2022

A malicious phishing campaign has been identified that is targeting healthcare providers. The emails have an Evernote-themed lure to trick recipients into downloading a Trojan file that generates a login prompt to steal credentials. The post Healthcare Providers Targeted in Evernote Phishing Campaign appeared first on HIPAA Journal.

Ransomware 106

Ransomware HIPAA 106

MedTrainer

AUGUST 11, 2022

“Credentialing is just a lot of paperwork. Regulatory compliance in healthcare , and credentialing in particular, can be a tedious, manual process that takes hours of concentration. Unfortunately, credentialing can also take several rounds of trial and error. ??. Farewell to binders and credentialing spreadsheets.

Regulatory Compliance 52

Regulatory Compliance Compliance 52

Verisys

FEBRUARY 12, 2024

Verisys Solution – Transparency and Accountability: Verisys helps ensure that healthcare providers and organizations maintain high standards of professional conduct and accountability. It’s about ensuring that the organization meets external legal requirements as well as internal policies and procedures.

Compliance 52

Compliance Governance Health Insurance HIPAA 52

Healthcare IT Today

APRIL 16, 2024

According to Ryan Witt, Vice President, Industry Solutions at Proofpoint, Inc. This interview with Healthcare IT Today took place in the shadow of the recent cyberattack on Change Healthcare, which is still preventing thousands of health care providers from receiving payments. At CHOC, cybersecurity training starts at orientation.

Hospitals 109

Hospitals 109

HealthStream

DECEMBER 19, 2019

Leaders are looking to optimize software solutions which provide methods to improve efficient communication and required payer ongoing verifications, as well as integration with the Council for Accountable Quality Healthcare (CAQH), State Medicaid, and Medicare enrollment.

Medicaid 40

Medicaid Medicaid Medicare Medicare 40

Medisys Compliance

MARCH 21, 2023

What is Credentialing Doctors? Credentialing of doctors is a process that involves the evaluation of a doctor’s qualifications, education, training, licensure, and experience to determine if they meet the requirements set by the insurance company.

Doctors 52

Doctors Malpractice Licensing Medical Billing Outsourcing 52

MedTrainer

JANUARY 22, 2024

Steve says, “We provide technology, but we also provide more directional steering to where people can find tough answers to the revolving door of healthcare regulatory change.” Watch the episode The podcast series is titled Rethinking Compliance: Find Efficiency at the Intersection of Healthcare and Technology.

Compliance 52

Compliance 52

HIT Consultant

FEBRUARY 16, 2023

Sean Eaton, Senior Compliance Solutions Specialist at GHX American health systems, hospitals and post-acute care providers are required to comply with hundreds of regulatory requirements. What does an effective, tech-forward credentialing compliance program look like? Facilitating this compliance comes with a high cost.

Compliance 52

Compliance Hospitals Regulatory Compliance COVID-19 52

Healthcare IT Today

OCTOBER 4, 2023

So, what else can healthcare providers and leaders do to help prevent damaging data breaches and operational disruptions? If a file is deemed malicious, this solution takes action to prevent the code from executing, thus protecting the network and digital assets.

Ransomware 106

Ransomware Electronic Medical Records Telemedicine HIPAA 106

MedTrainer

JANUARY 26, 2024

Non-compliance in healthcare refers to the failure of healthcare providers, institutions, or individuals to adhere to the laws, regulations, and standards established to protect patient welfare, maintain data security, and ensure the efficient and ethical delivery of healthcare services.

Compliance 52

Compliance Informed Consent HIPAA Medical Billing 52

Healthcare It News

MAY 17, 2023

So, what's the solution? But careful scrutiny by healthcare provider organizations of such technology would be needed. Currently, most healthcare practices have a fee-for-service business model that requires providers to see multiple patients to generate revenue. Some say artificial intelligence can play a role.

Hospitals 283

Hospitals 283