Verisys

DECEMBER 29, 2024

This includes verifying education, residency, employment history, malpractice insurance, hospital privileges, and board certifications. It plays a key role in reducing malpractice risks, preventing fraud, and verifying that healthcare professionals have the necessary training and clinical experience to perform their duties.

Malpractice 52

Malpractice Licensing Regulatory Compliance Hospitals 52

Provider Trust

JULY 8, 2022

In this quick guide, we’ll explore the importance of including NPDB monitoring in your routine license and exclusion monitoring to protect your organization and the patients you serve from fraud, waste, and abuse. Its mission is to enhance healthcare quality, defend the public, and decrease healthcare fraud and misuse in the U.S.

Licensing 52

Licensing Malpractice Fraud Medicaid 52

MedTrainer

FEBRUARY 1, 2024

Here’s how these plans help limit liability: Prevent Fraud and Abuse: Compliance plans include measures to prevent fraud and abuse within the healthcare organization. Reduce Medical Malpractice Risk: Ensuring patient safety is a fundamental component of compliance plans.

Compliance 52

Compliance Malpractice Fraud HIPAA 52

MedTrainer

SEPTEMBER 5, 2024

This confidential clearinghouse primarily aims to safeguard public interest and healthcare quality while reducing fraud and abuse. Health organizations must complete National Practitioner Data Bank or NPDB credentialing to maintain compliance with federal regulations.

Malpractice 52

Malpractice Fraud Licensing Compliance 52

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

In this blog, we’ll discuss the two processes and key differences between provider enrollment and credentialing. The employer may also review any pending and past medical malpractice cases or disciplinary actions. This helps uphold quality healthcare standards and protects against fraud, waste, and abuse.

Licensing 52

Licensing Governance Compliance Fraud 52

Physician Credentialing Company

JULY 15, 2024

By validating staff competence, it reduces the likelihood of malpractice claims and legal issues. This process reduces the risk of fraud and ensures accuracy. It also involves checking for any disciplinary actions or malpractice history. There are also checks for malpractice history and criminal background.

Malpractice 52

Malpractice Compliance Licensing Medical Billing 52

Verisys

JULY 20, 2023

This creates the potential for adverse patient outcomes, leading to expensive malpractice lawsuits. However, an even better source is an aggregated dataset such as Verisys’ FACIS (Fraud Abuse Control Information System). Thorough and ongoing provider screening is critical to avoid costly negligent credentialing and malpractice claims.

Due Diligence 52

Due Diligence Malpractice Licensing Hospitals 52

AIHC

AUGUST 30, 2023

Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM Due to the high volume of fraud schemes involving telemarketing revealed by the Department of Justice (DOJ) over recent years, it is important that providers heed “buyer beware” when engaging with a telemarketing firm. “If If it is too good to be true it probably isn't.”

Compliance 52

Compliance Fraud Medicare Medicare 52

MedTrainer

NOVEMBER 14, 2023

Clinical Risks: These are associated with patient care and can include malpractice claims, costs of corrective procedures, and increased insurance premiums resulting from adverse patient outcomes. Financial Risks: They encompass losses from billing errors, fraud, and abuse claims, or failed investments related to healthcare provisions.

Compliance 52

Compliance Compliance Officers Fraud Malpractice 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

Verisys

APRIL 27, 2023

Verisys’ proprietary dataset, Fraud Abuse Control Information System (FACIS) , is the largest and most comprehensive dataset for screening allied health and medical providers. As a credentialing verification organization , Verisys has a variety of solutions that can meet your organization’s credentialing needs. With over 5.5

Malpractice 52

Malpractice Licensing Fraud 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. Maintaining compliance helps protect against fraud, waste, and abuse. Upon completion and approval, the provider can begin billing for medical services.

Malpractice 52

Malpractice Licensing Hospitals Compliance 52

Verisys

FEBRUARY 6, 2025

This reduces the risk of fraud, supports adherence to industry regulations, and safeguards against legal and financial repercussions. By maintaining precise records, healthcare organizations can prevent errors in referrals, reduce the risk of malpractice, and ensure patients receive care from qualified professionals.

Regulatory Compliance 52

Regulatory Compliance Compliance Licensing Malpractice 52

Verisys

FEBRUARY 6, 2025

Many healthcare employers utilize FACIS (Fraud Abuse Control Information System), offered by Verisys, to screen for any sanctions, exclusions, or disciplinary actions at the federal and state levels. This step ensures that healthcare organizations hire qualified professionals with clean records.

Nurses 52

Nurses US Department of Health and Human Services Licensing Regulatory Compliance 52

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

Verisys

DECEMBER 5, 2023

The policy issuer for malpractice insurance verifies insurance coverage. As compliance requirements change to keep up with ever-evolving, accelerating fraud schemes and high expectations for quality care and outcomes, they place increasing demands on healthcare facilities. Credentials Verification Organizations to the Rescue?

Governance 52

Governance Licensing Malpractice Medicaid 52

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 COVID-19 Nurses 40