Verisys

APRIL 8, 2025

FACIS Level 1M Background Check A FACIS Level 1M background check is the recommended baseline and minimally required compliance search for candidates employed by organizations that receive any government funding for state or federal health care programs. The post What is FACIS?

Fraud 52

Fraud Medicaid Medicaid Compliance 52

Verisys

MARCH 6, 2025

All parties must adhere to both federal and state laws, including those set by governing bodies, and follow ethical standards that safeguard the well-being of patients. The primary governing bodies that set healthcare compliance standards include: The U.S.

Compliance 52

Compliance HIPAA Licensing Governance 52

Verisys

MARCH 6, 2025

Credentialing involves a detailed review of a provider’s qualifications, including their: Education Work experience Certifications Licenses Professional standing This process ensures that patients see professionals who are properly trained and certified to provide the level of care they require.

Licensing 52

Licensing Compliance Nurses Malpractice 52

MedTrainer

NOVEMBER 14, 2023

While federal operations are slowed, reduced, or put on pause during a government shutdown, healthcare services must continue to operate. This blog post explains the impact for organizational operations in the event of a shutdown, and what healthcare leaders can expect based on previous years. What Is a Government Shutdown?

Governance 52

Governance Medicaid Medicaid Medicare 52

The Health Law Firm

SEPTEMBER 6, 2018

In this blog, I will discuss the impact of a criminal charge on a Florida licensed health care professional. How Does a Plea of Nolo Contendere Affect Licensed Health Professionals? Additionally, the chapter of Florida Statutes that governs each type of health professional usually contains similar provisions.

Licensing 40

Licensing Governance 40

The Health Law Firm

JUNE 20, 2023

Board Certified by The Florida Bar in Health Law In representing nurses and other licensed health professionals, we constantly discuss positive drug screenings, usually from employer-ordered drug testing, with our clients. By George F. Indest III, J.D.,

Nurses 52

Nurses Licensing Governance 52

Health Law RX

OCTOBER 20, 2023

Under Florida’s new Prescription Drug Reform Act, PBMs must be licensed as an insurance administrator (also known as a third-party administrator, or TPA). Under this new law, any entity that wishes to provide PBM services after January 1, 2024, must be licensed as a TPA. The TPA license application is available here.

Licensing 52

Licensing Governance 52

Verisys

FEBRUARY 6, 2025

Nurses have their own credentials, including verifying their nursing license, specialized certifications, and continuing education credits. Healthcare license verification and monitoring systems play a crucial role in ensuring nurses maintain up-to-date credentials while reducing administrative burdens.

Licensing 52

Licensing Nurses Malpractice Compliance 52

Verisys

MARCH 6, 2025

For example, requiring all names to follow a “Last Name, First Name” format and license numbers to be entered uniformly can prevent mismatches. Failure to comply with these standards can lead to fines and may even jeopardize an organizations ability to operate.

Compliance 52

Compliance Licensing Doctors Malpractice 52

Verisys

MARCH 1, 2024

Healthcare organizations’ increased reliance on telemedicine has led to new technological risks for the entire healthcare industry but especially for governance, risk management, and compliance (GRC) programs, creating a need for improved vigilance over data security.

Governance 52

Governance Compliance Fraud HIPAA 52

The Health Law Firm Blog

SEPTEMBER 8, 2022

Board Certified by The Florida Bar in Health Law I am often contacted by clients who are health professionals or own businesses in the health care industry who have been approached by government agents or investigators regarding possible complaints or charges. Indest III, J.D., In many cases, the individuals involved [.].

Licensing 52

Licensing Governance Health Care Lawyers Medicaid 52

The Health Law Firm Blog

SEPTEMBER 8, 2022

Board Certified by The Florida Bar in Health Law I am often contacted by clients who are health professionals or own businesses in the health care industry who have been approached by government agents or investigators regarding possible complaints or charges. Indest III, J.D., In many cases, the individuals involved [.].

Licensing 52

Licensing Governance Health Care Lawyers Medicaid 52

Natalia Mazina

JUNE 4, 2023

The DEA’s administrative action against Truepill is what first prompted me to write this blog post. By the way, the DEA alleges that Truepill has violated the Controlled Substances Act by exceeding the 90-day supply limits and/or filling scripts written by prescribers who did not possess the proper state licensing.

Governance 95

Governance Licensing 95

Pharmacy Law Blog

MAY 7, 2018

Our attorneys include those who are board certified in health law by The Florida Bar, those who are nurses, and those who are themselves licensed health professionals. The Following is a list of little known facts about state investigations (including DOH investigations) that could save your license: 1.

Licensing 40

Licensing Nurses Medicaid Medicaid 40

Pharmacy Law Blog

MAY 14, 2018

Our attorneys include those who are board certified in health law by The Florida Bar, those who are nurses, and those who are themselves licensed health professionals. The Following is a list of little known facts about state investigations (including DOH investigations) that could save your license: 1.

Licensing 40

Licensing Nurses Medicaid Medicaid 40

MedTrainer

JANUARY 3, 2024

Software can send reminders when a license is going to expire or when recredentialing is imminent. Reminders/Notifications Instantly see when licenses are expiring via automatic notifications starting 180 days from recredentialing. DEA and select state license verifications can be automatically completed and monitored.

Licensing 91

Licensing Governance Compliance 91

MedTrainer

SEPTEMBER 23, 2024

Healthcare training requirements are specified by the federal government, state governments, sometimes city governments and accrediting bodies. In this article, I’ll share insight into how MedTrainer’s learning team keeps up with healthcare training requirements, and offer some suggestions if you’re creating content yourself.

Regulatory Compliance 98

Regulatory Compliance Governance Federal Policy Compliance 98

MedTrainer

MARCH 17, 2025

Original source data is more difficult to access, there are more licensed professionals, and verification timelines are getting tighter. In this blog post, Ill lay out the new standard and explain in detail the challenges and trends that are forcing the change. Its forcing a new standard of PSV credentialing.

Licensing 52

Licensing Compliance Fraud Governance 52

Healthcare Law Blog

APRIL 13, 2022

However, in all states, the NSA governs disputes relating to air ambulance services, not state law. Federal law governs disputes relating to out-of-network services provided by air ambulance providers. Background of the NSA. Thus, the DMHC confirmed, this legal framework qualifies as “specified State law” under the NSA.

Governance 52

Governance Medical Billing Licensing Medicare 52

The Health Law Firm Blog

DECEMBER 3, 2023

Board Certified by The Florida Bar in Health Law I am often contacted by clients who are health professionals or own businesses in the health care industry who have been approached by government agents or investigators regarding possible complaints or charges. Indest III, J.D., In many cases, the individuals involved [.]

Licensing 40

Licensing Governance Health Care Lawyers Medicaid 40

Physician Credentialing Company

JANUARY 17, 2025

Hospitals and Clinics: Healthcare facilities, including hospitals, outpatient clinics and diagnostic labs may be required to provide a COI to governing authorities to verify insurance coverage to mitigate malpractice risk. It is central to credentialing, certifying that providers are licensed to provide care, and securing institutions.

Malpractice 52

Malpractice Licensing Hospitals Public Health 52

MedTrainer

SEPTEMBER 23, 2024

Healthcare training requirements are specified by the federal government, state governments, sometimes city governments and accrediting bodies. In this article, I’ll share insight into how MedTrainer’s learning team keeps up with healthcare training requirements, and offer some suggestions if you’re creating content yourself.

Regulatory Compliance 92

Regulatory Compliance Governance Federal Policy Compliance 92

MedTrainer

FEBRUARY 5, 2024

In this blog, we’ll discuss the two processes and key differences between provider enrollment and credentialing. Provider enrollment is when a healthcare provider is registered with insurance networks or government payers , like Medicaid or Medicare. So, what is the difference between provider enrollment and credentialing?

Licensing 52

Licensing Governance Compliance Fraud 52

MedTrainer

MAY 22, 2024

In fact, in 2024, Congress passed the MATE Act , requiring an additional eight hours of training for DEA-licensed practitioners to help them screen more people for substance use disorders, treat pain appropriately, prevent substance abuse, and engage in life-saving interventions. What Are Controlled Dangerous Substances?

Compliance 52

Compliance Licensing Doctors Hospitals 52

Pharmacy Law Blog

MARCH 13, 2018

The federal judge refused the dismissal on the grounds that the government had sufficiently backed its allegations against both the company and its owner. The government had also adequately backed its allegations that RS knew it had been overpaid but had made no attempt to refund the difference to Tricare, according to the judge.

Fraud 52

Fraud Governance Licensing FDA 52

MedTrainer

AUGUST 2, 2023

Credentialing management helps organizations maintain compliance with regulatory standards set by accrediting bodies, government agencies, and industry regulators. Licenses Report that tracks licenses that require continuing education or refreshers. Enhanced Patient Safety. Risk Mitigation. Alignment With Payer Requirements.

Malpractice 97

Malpractice Compliance Licensing Due Diligence 97

MedTrainer

FEBRUARY 12, 2024

In this blog, we’ll outline why reporting healthcare non-compliance is non-negotiable and how software platforms make it easier to stay in compliance with the myriad regulations that govern good healthcare. Non-compliance can lead to significant fines, legal battles, and the loss of license or accreditation.

Compliance 52

Compliance Licensing Governance Fraud 52

MRO Compliance

JUNE 1, 2022

HEDIS works as a government rating tool. The HEDIS audit is performed by an NCQA licensed organization and addresses six elements, according to NCQA. After data has been collected and submitted to the National Committee for Quality Assurance (NCQA), health plans receive a score. What is a HEDIS audit? Sampling methods and procedures.

Medicare 130

Medicare Medicare Compliance Medicaid 130

Verisys

AUGUST 15, 2024

Documentation of SkillBridge enrollment must be provided and board licensing requirements must be met. OH SB 28 Virginia: The Virginia Department of Professional and Occupational Regulation and the Department of Health Professions has made several updates to the legislation governing health professionals.

Regulatory Compliance 52

Regulatory Compliance Compliance Licensing Nurses 52

Verisys

AUGUST 15, 2024

Documentation of SkillBridge enrollment must be provided and board licensing requirements must be met. OH SB 28 Virginia: The Virginia Department of Professional and Occupational Regulation and the Department of Health Professions has made several updates to the legislation governing health professionals.

Regulatory Compliance 52

Regulatory Compliance Compliance Licensing Nurses 52

Verisys

AUGUST 15, 2024

Documentation of SkillBridge enrollment must be provided and board licensing requirements must be met. OH SB 28 Virginia: The Virginia Department of Professional and Occupational Regulation and the Department of Health Professions has made several updates to the legislation governing health professionals.

Regulatory Compliance 52

Regulatory Compliance Compliance Licensing Nurses 52

Verisys

OCTOBER 8, 2024

Starting August 26, 2024, out-of-state physicians who have received a license from a compact state and a corresponding letter of qualification can apply to the IMLC to designate Pennsylvania as a state where the physician wants to practice and apply for expedited licensure from the relevant state licensing board.

Regulatory Compliance 52

Regulatory Compliance Compliance Licensing Medicaid 52

Verisys

OCTOBER 8, 2024

Starting August 26, 2024, out-of-state physicians who have received a license from a compact state and a corresponding “letter of qualification” can apply to the IMLC to designate Pennsylvania as a state where the physician wants to practice and apply for expedited licensure from the relevant state licensing board.

Regulatory Compliance 52

Regulatory Compliance Compliance Licensing Medicaid 52

Verisys

OCTOBER 8, 2024

Starting August 26, 2024, out-of-state physicians who have received a license from a compact state and a corresponding “letter of qualification” can apply to the IMLC to designate Pennsylvania as a state where the physician wants to practice and apply for expedited licensure from the relevant state licensing board.

Regulatory Compliance 52

Regulatory Compliance Compliance Licensing Medicaid 52

Verisys

DECEMBER 23, 2022

Alabama: Renewals for pharmacist licenses are active. Please ensure that the pharmacist license and controlled substance (if needed) permit are renewed and in your possession prior to January 1, 2023. AL BoP License Renewal . . License Verification Site. . License Verification Site. . California: .

Licensing 52

Licensing Governance Doctors Hospitals 52

MedTrainer

MAY 31, 2024

Document Expiration Notifications Tracking license expiration dates for every provider and sending reminder after reminder until they renew is a perfect job for technology. A human needs to verify the license and enter the expiration date, but software can — and should — take it from here! See how much time you can save.

Compliance 98

Compliance Licensing Governance Compliance Officers 98

MedTrainer

JUNE 4, 2024

Pharmacy compliance rules require staff to properly manage electronic prescriptions, maintain mandatory licenses, and complete continuing education (CE) courses. Pharmacy compliance is adhering to laws, regulations, and professional standards governing pharmacy practice.

Compliance 52

Compliance Licensing Governance FDA 52