Physician Credentialing Company

JANUARY 17, 2025

Here are certain situations and entities who may require a COI in healthcare: HealthcareProviders: A COI showing medical malpractice insurance or professional liability coverage may be required for doctors, nurses, therapists, and other healthcare professionals. This is a necessary form to verify a physicians insurance.

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The Health Law Firm Blog

FEBRUARY 8, 2024

Board Certified by The Florida Bar in Health Law In a precedent-setting case, on November 9, 2022, for the first time, a New Jersey appeals court ruled that plaintiffs in medical malpractice cases do not need an affidavit of merit before filing a claim against a licensed [.] Indest III, J.D.,

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The Health Law Firm Blog

NOVEMBER 14, 2022

Board Certified by The Florida Bar in Health Law In a precedent-setting case, on November 9, 2022, for the first time, a New Jersey appeals court ruled that plaintiffs in medical malpractice cases do not need an affidavit of merit before filing a claim against a licensed [.]. Indest III, J.D.,

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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.

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The Health Law Firm Blog

APRIL 19, 2024

Board Certified by The Florida Bar in Health Law In a possibly precedent-setting case, on November 9, 2022, for the first time, an appeals court in New Jersey ruled that plaintiffs in medical malpractice cases do not need an affidavit of merit to file claims against a [.] Indest III, J.D.,

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Verisys

APRIL 3, 2025

Data inaccuracies: A misspelled name, incorrect license number, or missing documentation might seem minor, but they can lead to license and certification rejections, compliance violations, and delayed insurance reimbursementspotentially causing financial and operational headaches.

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US Department of Health and Human Services Licensing Compliance Malpractice 52

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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Verisys

MARCH 6, 2025

Consider a hospital hiring a new physician based on an old record that doesnt reflect a recent malpractice claimthis oversight can lead to severe legal and reputational consequences. For example, requiring all names to follow a “Last Name, First Name” format and license numbers to be entered uniformly can prevent mismatches.

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The Health Law Firm Blog

JANUARY 24, 2023

Board Certified by The Florida Bar in Health Law In a possibly precedent-setting case, on November 9, 2022, for the first time, an appeals court in New Jersey ruled that plaintiffs in medical malpractice cases do not need an affidavit of merit to file claims against a [.] Indest III, J.D.,

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Malpractice Overpayment Overpayments Licensing 52

The Health Law Firm Blog

SEPTEMBER 6, 2023

Board Certified by The Florida Bar in Health Law Many nurses, nurse practitioners, and certified registered nurse anesthetists (CRNAs) carry professional malpractice insurance through NORCAL Mutual Insurance or one of the other similar insurance companies. Indest III, J.D., This insurance is inexpensive and provides excellent coverage.

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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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The Health Law Firm Blog

JUNE 14, 2024

Proper documentation of client treatment records is crucial for defending against malpractice lawsuits, licensing board complaints, ethics complaints and Medicare or [.]

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Physician Credentialing Company

DECEMBER 9, 2024

Along with having necessary educational degrees and medical licenses, maintaining such credentials is also important and comes under credentialing. Generally, credentialing specialists verify the educational degrees, medical licenses, experience certificates, and training programs. What do we mean by maintaining credentials here?

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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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Verisys

FEBRUARY 3, 2025

As a healthcare provider, whether a physician, nurse, or specialist, obtaining medical licenses and completing the credentialing process are essential. This includes verifying qualifications, submitting proof of malpractice insurance , and ensuring compliance with all healthcare regulatory compliance standards.

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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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MedTrainer

FEBRUARY 27, 2025

Would you want a provider whos been disbarred due to patient abuse or malpractice providing your care? Many organizations perform exclusion checks only at key moments when a provider is hired, during reaccreditation, or at the time of license renewal. We wouldnt either.

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Verisys

DECEMBER 29, 2024

This includes verifying education, residency, employment history, malpractice insurance, hospital privileges, and board certifications. Credentialing services perform this verification by contacting primary sources, such as medical schools and licensing boards, to confirm the physician’s education and qualifications.

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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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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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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

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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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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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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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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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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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

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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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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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

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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Physician Credentialing Company

NOVEMBER 26, 2024

Credentialing refers to the verification process in which the evaluation of a provider’s educational degrees, medical license, and training certifications is done to check their legitimacy. All the degrees, certifications, and licenses are verified by contacting the issuing bodies. What Is Credentialing with Insurance Companies?

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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

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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MedTrainer

JULY 28, 2023

This ensures that medical facilities are not engaging in malpractice and following program rules and regulations. Medicare/Medicaid Compliance Reviews. The OIG performs regular compliance reviews of Medicare and Medicaid providers. What Is the Scope of an OIG Inspection? Run exclusion checks regularly and document the results.

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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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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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