Verisys

DECEMBER 29, 2024

This includes verifying education, residency, employment history, malpractice insurance, hospital privileges, and board certifications. Healthcare organizations and insurance companies rely on credentialing to ensure patient safety, regulatory compliance, and minimize liability risks.

Malpractice 52

Malpractice Licensing Regulatory Compliance Hospitals 52

HIPAA Journal

MARCH 28, 2023

Heidell, Pittoni, Murphy & Bach LLP (HPMB) is a New York City-based medical malpractice law firm. Confidential patient information should be treated with care and secured online to protect New Yorkers from identity theft and fraud.

HIPAA 109

HIPAA Ransomware Malpractice Health Insurance 109

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

Physician Credentialing Company

JULY 15, 2024

This involves checking education, training, licensure, and professional experience to ensure compliance with legal and professional standards. It not only supports compliance with regulations but also enhances the credibility of healthcare facilities. This process reduces the risk of fraud and ensures accuracy.

Malpractice 52

Malpractice Compliance Licensing Medical Billing 52

Total Medical ComplianceHIPAA

JANUARY 11, 2024

In the intricate landscape of healthcare, compliance with regulations isn’t just a choice but a necessity. Regulatory Compliance: HIPAA mandates the protection of patient information and the prevention of fraudulent practices. HIPAA stands as a beacon of privacy and security standards within the industry.

HIPAA 52

HIPAA Malpractice Regulatory Compliance Compliance 52

MedTrainer

SEPTEMBER 5, 2024

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

Malpractice 52

Malpractice Fraud Licensing Compliance 52

Compliancy Group

OCTOBER 17, 2023

With the healthcare industry constantly transforming and adapting, managing risks has become a critical aspect of ensuring patient safety, organizational resilience, and regulatory compliance. Rated #1 on G2 “Compliancy Group makes a highly complex process easy to understand.” Please Wait. Something is wrong with your submission.

Regulatory Compliance 52

Regulatory Compliance Compliance Malpractice Fraud 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

MedTrainer

FEBRUARY 5, 2024

Provider enrollment confirms the healthcare provider meets and maintains certain compliance standards for the insurance or payer network. The employer may also review any pending and past medical malpractice cases or disciplinary actions. Verify Compliance: Each involves verifying a provider has met compliance standards.

Licensing 52

Licensing Governance Compliance Fraud 52

AIHC

SEPTEMBER 5, 2023

Compliance Considerations for Best Outcomes Written in collaboration with the AIHC Volunteer Education Committee Delivering mental health services via telehealth has increased since the COVID-19 pandemic. This includes understanding various fraud and abuse laws. Telehealth rules and regulations vary greatly by state.

COVID-19 59

COVID-19 Telemedicine Informed Consent Compliance 59

Verisys

FEBRUARY 6, 2025

Effective healthcare provider data management ensures accurate records on physicians, nurses, and other medical professionals are readily available, which is crucial for compliance, patient safety, and smooth operations. Ensuring Compliance and Reducing Risk Proper data management is your shield against regulatory headaches.

Regulatory Compliance 52

Regulatory Compliance Compliance Licensing Malpractice 52

Verisys

FEBRUARY 6, 2025

By thoroughly evaluating a nurse’s credentials, healthcare organizations can: Minimize the risk of medical errors Ensure compliance with regulatory requirements Maintain a high level of patient trust Credentialing also serves as a mechanism for ongoing professional development.

Nurses 52

Nurses US Department of Health and Human Services Licensing Regulatory 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

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

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. Meets compliance standards: Both processes verify a provider has met compliance standards. Look for these 10 attributes in a credentialing specialist.

Malpractice 52

Malpractice Licensing Hospitals Compliance 52

Verisys

APRIL 27, 2023

Our solutions are fully accredited by NCQA and URAC, allowing us to maintain the industry’s highest data and compliance standards. Verisys’ proprietary dataset, Fraud Abuse Control Information System (FACIS) , is the largest and most comprehensive dataset for screening allied health and medical providers. With over 5.5

Malpractice 52

Malpractice Licensing Fraud Medicaid 52

Verisys

MARCH 1, 2022

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

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

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

Verisys

FEBRUARY 10, 2022

To stay in compliance with federal and state regulations and to keep patients safe, it’s vital for hospitals and health systems to monitor the licenses of their practitioners for new information that may prevent a physician from practicing. Malpractice Certification of Insurance. Professional Affiliations. License Expiry.

Licensing 52

Licensing US Department of Health and Human Services Malpractice Compliance 52

Healthcare IT Today

NOVEMBER 13, 2024

The goal of this requirement is to eliminate fraud and abuse. Some states may accept Medicare enrollment as proof of compliance, while others demand a completely separate credentialing process. For instance, Arizona demands a 10-year history of any sanctions on a provider’s license, while others ask about past malpractice suits.

Medicaid 70

Medicaid Medicaid Hospitals Malpractice 70

Hall Render

DECEMBER 20, 2024

United Therapeutics ‘no longer pursuing’ nearly 350 acres in Hackett Hill area NEW JERSEY 4 N.J. in Q3 Mergers give hospitals new EHR systems N.J. nursing home scam highlights host of problems | Editorial North Jersey Physical Therapy takes 1,800 sq. near Morristown, Sheldon Gross says NJ hospitals contribute $31.4B

Nursing Homes 40

Nursing Homes Nurses Hospitals Fraud 40

Hall Render

OCTOBER 11, 2024

NATIONAL 92% Of U.S. Here is what it will involve. billion on hospital acquisitions Wolfson Children’s Hospital ranked among best in 4 specialties, per U.S.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

FEBRUARY 24, 2023

medical workers 4 takeaways from Braselton hospital expansion presentation HAWAII Hawaii Gov. Staff shortages could spur next public health crisis, Baystate Health CEO warns CommonSpirit, Mass General, Moffitt execs to judge telehealth challenge Brigham and Women’s, AI company get $2.5M

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Hall Render

AUGUST 16, 2024

Medicaid fraud scheme Union leaders say payroll problems persist for home care workers CT universities embrace holistic care as a way to teach the new generation of health care workers Thousands of CT residents to lose HUSKY coverage, health group says. Therapist pleads guilty to $1.6M

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Hospitals Nurses 40

Hall Render

AUGUST 16, 2024

Medicaid fraud scheme Union leaders say payroll problems persist for home care workers CT universities embrace holistic care as a way to teach the new generation of health care workers Thousands of CT residents to lose HUSKY coverage, health group says. Therapist pleads guilty to $1.6M

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Hospitals Nurses 40

Hall Render

AUGUST 11, 2023

Spence Cox to join Biden promoting veterans health care Three Intermountain Health hospitals ranked among best cancer hospitals for 2023 VERMONT Hospital budgets sent to Green Mountain Care Board Rutland Medical Center sued for malpractice Vermont health regulators weigh double-digit premium hikes Vt.

US Department of Health and Human Services 40

US Department of Health and Human Services COVID-19 Nursing Homes Nurses 40

Hall Render

JULY 21, 2023

Luke’s named to Becker’s Great Heart Programs list Univ. 11th in mental health, No. 1 for adults and No. Luke’s named to Becker’s Great Heart Programs list Univ. 11th in mental health, No. 1 for adults and No. Luke’s named to Becker’s Great Heart Programs list Univ. 11th in mental health, No. 1 for adults and No.

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Hospitals Nursing Homes 40

Hall Render

NOVEMBER 1, 2024

fraud scheme Blue Cross Blue Shield, Phoenix Children’s at odds over contract renewal Former Tucson Heart Hospital to become El Rio Health clinic California company will manage troubled St. Vincent’s acquisition on Nov. area hospitals to conserve their supply Johnson & Johnson Innovation taps new head for D.C. incubator D.C.

Nursing Homes 40

Nursing Homes Nurses Hospitals Doctors 40

Hall Render

JUNE 30, 2023

Mary’s Hospital unit closures Two Blessing Health leaders retire on July 1 OSF: Peru hospital to be reopened in fall Expert panel examines policy opportunities at intersection of health and incarceration in Illinois Illinois health policy experts discuss Medicaid managed care and the future of dual-eligible coverage INDIANA 3 big noncompete ban (..)

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

SEPTEMBER 23, 2022

Healthcare Compliance Will Be a Challenge in Post-PHE World. million to resolve Medicare fraud claims. Vendor sues to identify mystery owners of shuttered nursing home so it can sue for fraud. fraud scheme. Former top Mississippi health official pleads guilty to fraud. Bingham Healthcare Appoints a New CNO.

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

Hall Render

MARCH 3, 2023

Clair Health partners with Duquesne University College of Osteopathic Medicine UPMC sees lower operating income in 2022 as economic headwinds persist UPMC settles lawsuit with federal government for $8.5

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Hall Render

DECEMBER 6, 2024

Medicare fraud scheme California system CEO to retire California system posts $165M annual operating loss, -18.5% Medicare fraud scheme HCA to acquire Prime Florida hospital HHS Office for Civil Rights Imposes a $1.19 Medicare fraud scheme HCA to acquire Prime Florida hospital HHS Office for Civil Rights Imposes a $1.19

Nursing Homes 40

Nursing Homes US Department of Health and Human Services Hospitals Nurses 40

Hall Render

FEBRUARY 28, 2025

Medicaid fraud scheme New York hospital exec chosen to lead Greenwich Hospital Why 5 ASCs are facing opposition 120 doctors in CT are at risk for losing their jobs. Louis physician sentenced for Medicare, Medicaid fraud ‘We all lost our jobs’: St. base in MN Report: Minnesota nonprofit hospitals totaled $6.2B

Medicaid 40

Medicaid Medicaid Nurses Nursing Homes 40

Drug & Device Law

AUGUST 8, 2022

Apparently, a fraudulent foreign-trained “doctor” treated the plaintiffs, none of whom claimed malpractice or any physical injury whatsoever. The unfortunate truth is that ECFMG was also a victim of this fake doctor’s fraud. has no power to enforce compliance”), aff’d , 405 F. March 23, 2020), vacated , 15 F.4th 471 (11th Cir.

Doctors 52

Doctors Fraud Licensing Compliance 52