MedTrainer

MARCH 30, 2024

Built-in Automation Keep the enrollment process moving forward with automated reminders for providers to send documents, notification of recredentialing deadlines, and license expiration. Choose software with dynamic graphs that show application age, average time to complete applications, and number of closed applications per credentialer.

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Malpractice Licensing Medicaid Medicaid 98

Physician Credentialing Company

NOVEMBER 21, 2024

Insurance credentialing is the verification process in which credentials like educational degrees, licenses, training certificates, and work experience are evaluated to determine whether a specific provider can provide standard care to insured patients or not. We will also discuss the documents needed and various credentialing challenges.

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Licensing Malpractice Medicaid Medicaid 52

MedTrainer

MAY 7, 2024

This blog will highlight how credentialers can navigate UnitedHealthcare provider enrollment. Built-in Automation: Keep the enrollment process moving forward with automated reminders for providers to send documents, notification of recredentialing deadlines, and license expiration. It’s a challenge.

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Malpractice Licensing Medicaid Medicaid 52

Physician Credentialing Company

JUNE 12, 2024

This blog post will delve deeper into these issues and help you navigate the credentialing process with insurance companies more effectively. You will need to gather and submit documents such as your medical license, malpractice insurance, and board certifications. This includes certificates, licenses, and transcripts.

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Malpractice Licensing Nurses Compliance 52

MedTrainer

MARCH 22, 2024

In this blog, we’ll highlight how to navigate Cigna provider enrollment. Here are the key steps: Gather Training and Education Gather Licensing and Certification Gather Work History Details Gather Payer-Specific Requirements Following Application Submission Get the tools you need to eliminate delays in your provider enrollment process.

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Malpractice Licensing Hospitals 52

MedTrainer

MAY 30, 2024

Traditionally, credentialers call the appropriate entities to verify transcripts, licenses, etc. They also conduct background checks, which require calling law enforcement and other regulatory agencies for criminal records and malpractice history. Keeping the spreadsheet current requires continuous effort.

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Licensing Malpractice Medicare Medicare 52

The Health Law Firm Blog

MARCH 11, 2024

By: George F. Indest III, J.D., Board Certified by The Florida Bar in Health Law and Hartley Brooks, Law Clerk, The Health Law Firm On November 22, 2023, the Supreme Court of Pennsylvania unanimously decided that a serial killer cannot sue his psychiatrist for gross negligence because the action is barred by the [.]

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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.

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Malpractice Licensing Due Diligence Hospitals 52

The Health Law Firm Blog

FEBRUARY 6, 2024

By: George F. Indest III, J.D., Board Certified by The Florida Bar in Health Law and Hartley Brooks, Law Clerk, The Health Law Firm On November 22, 2023, the Supreme Court of Pennsylvania unanimously decided that a serial killer cannot sue his psychiatrist for gross negligence because the action is barred by the [.]

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Malpractice Licensing Nurses 52

The Health Law Firm Blog

MARCH 26, 2024

By George F. Indest III, J.D., Board Certified by The Florida Bar in Health Law On September 29, 2021, the U.S. Court of Appeals for the Ninth Circuit ruled that a former federal employee can sue the United States under the Federal Tort Claims Act (FTCA). The suit alleges medical negligence that occurred [.]

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Malpractice Nurses Hospitals Licensing 52

Physician Credentialing Company

JULY 23, 2024

In this blog, we will delve deep into the details of hospital credentialing steps, their importance, and the obstacles in undergoing this process. If candidates get approved by the credentialing committee, they are presented with a medical practicing license to work in a specific healthcare department.

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MedTrainer

AUGUST 2, 2023

Thoroughly reviewing and verifying credentials helps organizations identify any gaps or issues that may pose risks to patient safety, such as expired licenses or malpractice claims. Fines, medical malpractice claims, and patient harm are concerns if credentialing isn’t properly managed. Risk Mitigation.

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Provider Trust

JULY 8, 2022

A holistic approach to exclusion monitoring and license verifications must include monitoring of disciplinary databases such as the National Practitioner Data Bank (NPDB). Department of Health and Human Services (HHS) and contains medical malpractice payments and adverse action reports on healthcare professionals.

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Licensing Malpractice Fraud Compliance 52

MedTrainer

JULY 22, 2024

This blog will outline how the best healthcare credentialing software benefits enterprises to small organizations and what credentialing features and functions will best meet your unique needs. License expiration reminders for both providers and credentialers keep recredentialing on track.

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Licensing Compliance Malpractice Hospitals 52

The Health Law Firm Blog

SEPTEMBER 6, 2023

By George F. Indest III, J.D., Board Certified by The Florida Bar in Health Law and Hartley Brooks, Law Clerk, The Health Law Firm On July 18, 2023, a federal judge in North Carolina granted a motion to dismiss a suit against Naval Hospital Camp Lejeune based on a state law four-year time [.]

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Malpractice Hospitals Licensing Nurses 52

Verisys

JULY 20, 2023

An organization must verify all certifications and licenses for every provider who administers patient services. 4: Not updating and verifying information Healthcare practitioners need to renew their licenses and credentials on a regular basis, according to federal and state laws. Mistake No. Mistake No. Mistake No. Mistake No.

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Physician Credentialing Company

JULY 2, 2024

We have also covered insightful blogs for the process of credentialing verification and flow chart for provider credentialing , you may have a look. Educational Qualifications Providers must hold a valid license to practice in the state where they intend to work. Regularly check the status of verifications and follow up as needed.

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Licensing Compliance Nurses Malpractice 52

Physician Credentialing Company

SEPTEMBER 19, 2024

If something goes wrong while providing medical services, providers do not have any legal protection and have to face malpractice claims. Liability issues can even result in the termination of their license. There is no specific law, but it is advised not to see patients without credentials.

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Physician Credentialing Company

JULY 15, 2024

By validating staff competence, it reduces the likelihood of malpractice claims and legal issues. It also involves checking for any disciplinary actions or malpractice history. This includes verifying licenses, liability insurance, and education history. There are also checks for malpractice history and criminal background.

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Verisys

AUGUST 17, 2023

This helps guarantee that all practitioners in your organization meet the requisite licensing and certification requirements. Mitigating liability and legal risks Malpractice claims and legal disputes can financially and emotionally drain healthcare providers and organizations.

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Malpractice Licensing Compliance Medicaid 52

Physician Credentialing Company

SEPTEMBER 10, 2024

This blog will elaborate how to credential a provider with insurance companies. Provider credentialing is the process of evaluating the providers’ credentials, including medical degrees, training certificates, work history and licenses. We will discuss key steps and importance of provider credentialing as well.

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Licensing Malpractice Medical Billing Doctors 52

MedTrainer

SEPTEMBER 5, 2024

Typical organizations that may query the NPDB are: Hospitals Professional healthcare organizations or societies Boards of medical examiners State board of licensing Attorneys Drug Enforcement Agency Medical malpractice payers Most of these organizations must also report any adverse actions to the NPDB.

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MedTrainer

MARCH 23, 2024

Many other licensed healthcare providers must be credentialed: nurses, physical therapists, speech pathologists, and behavioral health therapists. For example, a healthcare organization verifies a provider’s state license by calling or searching the state license registration board. BLS/ACLS certifications status.

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MedTrainer

FEBRUARY 5, 2024

In this blog, we’ll discuss the two processes and key differences between provider enrollment and credentialing. This process typically involves submitting an application with detailed information regarding the provider’s qualifications and licenses. The information confirms a provider is currently licensed to practice medicine.

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MedTrainer

MAY 6, 2024

This blog will highlight how credentialers can navigate Aetna provider enrollment. Built-in Automation: Keep the enrollment process moving forward with automated reminders for providers to send documents, notification of recredentialing deadlines, and license expiration.

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Licensing Malpractice Health Insurance Medicaid 52

Physician Credentialing Company

OCTOBER 25, 2024

For example, a psychotherapist who has a professional practicing license might embrace the cognitive-behavioral approach to urge the patient to overcome negative thinking methods. Only licensed mental health professionals are permitted to send the bill for the services offered defined by code 90834. Who can Bill CPT Code 90834?

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MedTrainer

APRIL 27, 2024

In this blog, we’ll look at the unique aspects of HRSA credentialing requirements and why many community health centers, FQHCs , and look-alikes use credentialing software to prepare for a successful on-site visit. Primary source verification (PSV) directly from the state licensing or certification agency/body.

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Licensing Compliance Malpractice Governance 52

MedTrainer

FEBRUARY 29, 2024

In this blog, we’ll review insurance credentialing and the steps to getting credentialed with insurance companies. Some examples of required information include the provider’s education, work history, licenses, and references. There are several steps to this time-consuming process. What is Insurance Credentialing?

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McBrayer Law Blog

SEPTEMBER 19, 2022

Often, these procedures require the supervision of a licensed physician or nurse practitioner, creating a unique regulatory issue.

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Malpractice Nurses 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.

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Malpractice Compliance Licensing Hospitals 52

MedTrainer

OCTOBER 26, 2023

In this blog post, we’ll demystify CAQH credentialing by answering some of the most commonly asked questions. Licenses & Certifications: Current and past medical licenses, DEA certifications, and other relevant certifications with details like issuing state, license number, and expiration date.

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Licensing Malpractice Hospitals 52

The Health Law Firm Blog

DECEMBER 31, 2022

By George F. Indest III, J.D., Board Certified by The Florida Bar in Health Law On September 29, 2021, the U.S. Court of Appeals for the Ninth Circuit ruled that a former federal employee can sue the United States under the Federal Tort Claims Act (FTCA). The suit alleges medical negligence that occurred [.].

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Malpractice Nurses Hospitals Licensing 40

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.

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MedTrainer

APRIL 18, 2024

In this blog post, we’ll explore these and how behavioral health practices are adopting technology to prepare for the future. This may include proof of licensure, certification, accreditation, malpractice insurance, DEA registration (if applicable), and other supporting documentation.

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Medicare Medicare Licensing Compliance 52

MedTrainer

AUGUST 9, 2023

Licenses and Certifications. Copies of all current and valid medical licenses, board certifications, and registrations must be submitted. Malpractice Insurance. Providers must show proof of malpractice insurance coverage or liability insurance to begin practicing. Work History. References. DEA Registration.

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MedTrainer

NOVEMBER 27, 2023

The State Medical Board of Ohio provides licensing and regulatory guidelines for medical providers in Ohio State. The Counselor, Social Worker, and Marriage and Family Therapist Board oversees regulatory adherence and licensing for mental/behavioral health providers and social workers.

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Compliance Licensing Medicaid Medicaid 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.

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