Verisys

DECEMBER 8, 2022

A professional career can take a provider across state lines, and through an evolution of various license types. In order to see the full picture of an individual, the comprehensive whole of each state licensing board across all license types must be searched. Take the process back another step.

Licensing 52

Licensing Medicaid Medicaid Fraud 52

Healthcare IT News - Telehealth

SEPTEMBER 9, 2020

"On the doctor side, they're also finding it very convenient." "If we do a remote written second opinion delivered from consulting doctor to treating doctor, the physician in-state can discuss it with their patient," he said. "COVID-19 has forced people into virtual mediums," Flannery continued.

COVID-19 122

COVID-19 Doctors HIPAA Telemedicine 122

The Health Law Firm

FEBRUARY 14, 2022

Board Certified by The Florida Bar in Health Law On November 2, 2021, a doctor and his wife who had been indicted for their roles in a $1.3 The doctor argued that the bail condition impeded his ability to practice medicine. Indest III, J.D., million Medicare fraud scheme asked a New Jersey court to eliminate a bail condition.

Medicare 52

Medicare Medicare Fraud Doctors 52

Medisys Compliance

MARCH 21, 2023

What is Credentialing Doctors? Credentialing of doctors is a process that involves the evaluation of a doctor’s qualifications, education, training, licensure, and experience to determine if they meet the requirements set by the insurance company.

Doctors 52

Doctors Malpractice Licensing Medical Billing Outsourcing 52

Healthcare IT News - Telehealth

SEPTEMBER 9, 2024

Meanwhile, the American Telemedicine Association is pleading with the Centers for Medicare and Medicaid Services for expanded flexibilities and further guidance on payment and coverage. Patients are referred to urgent care or their doctor and the cost of the virtual visit does not apply to the referred care.

Telemedicine 160

Telemedicine Licensing Health Outcomes Governance 160

The Health Law Firm

OCTOBER 3, 2019

Board Certified by The Florida Bar in Health Law On October 1, 2019, a Florida doctor was implicated in what federal investigators say is one of the largest health care fraud schemes ever charged. billion worth of false Medicare and Medicaid claims between July 2018 and January 2019. Indest III, J.D., The vast fraud scheme totaled $2.1

Fraud 40

Fraud Doctors Medicare Medicare 40

HIT Consultant

DECEMBER 14, 2021

In order to prescribe buprenorphine, clinicians need a separate license from the federal government called an x-waiver, which only 5 percent have. At its core is buprenorphine (Suboxone), a medication used to treat withdrawal and cravings while also mitigating overdose risk. A major barrier to expanding access to MAT in the U.S.

Licensing 98

Licensing Governance Telemedicine FDA 98

Compliancy Group

FEBRUARY 16, 2024

In one case, the dentist himself was involved, practicing on a revoked license. We also covered two Medicaid fraud schemes , one resulting in billions of dollars in billing for medical supplies that were never received. As a result, his license was revoked in 2015. Dentist Ordered to Pay $8.5M Dentist Ordered to Pay $8.5M

Fraud 52

Fraud Licensing Medicaid Medicaid 52

The Health Law Firm

OCTOBER 31, 2019

Board Certified by The Florida Bar in Health Law On October 1, 2019, a Florida doctor was implicated in what federal investigators say is one of the largest health care fraud schemes ever charged. billion worth of false Medicare and Medicaid claims between July 2018 and January 2019. Indest III, J.D., The vast fraud scheme totaled $2.1

Fraud 40

Fraud Medicare Medicare Doctors 40

The Health Law Firm

NOVEMBER 7, 2011

State of Florida Department of Health , Dr. Mendelsohn's license to practice medicine was suspended under an Emergency Suspension Order (ESO). According to the ESO, Dr. Mendelsohn is licensed to practice medicine in Florida pursuant to the provisions of chapter 458, Florida Statutes. Doctor Pleas Nolo Contendre to Fraud Charge.

Fraud 40

Fraud Medicaid Medicaid Licensing 40

Pharmacy Law Blog

MARCH 8, 2018

On December 6, 2017, three nurse practitioners and a doctor were arrested following an Alabama federal grand jury indictment accusing them of operating a “pill mill.” Additional arrests of co-conspirators, including other doctors and health providers, are forthcoming, according to the DEA. By George F. Indest III, J.D., Narea, Nicole.

Nurses 40

Nurses Doctors Licensing Medical Personnel 40

Florida Health Care Law Firm

APRIL 20, 2022

They require medical professionals of all kinds to attain a certain level of education in order to gain license to practice in the state. When a patient feels their doctor has violated their code of ethics or responsibility, they are encouraged to file a complaint with the state. How to File a Complaint Against a Doctor in Florida.

Doctors 40

Doctors Malpractice Licensing Medicaid 40

HIPAA Journal

JUNE 28, 2023

A lawsuit – Young, et al.

Hospitals 87

Hospitals Fraud Licensing HIPAA 87

HIT Consultant

OCTOBER 6, 2021

It doesn’t even take you to the Centers for Medicare & Medicaid Services (CMS) website. Add to this the fact that patients with multiple chronic illnesses see multiple doctors – all creating care plans and prescribing medications to address their specialized areas. Try Googling the word “caregiving.” More Can—and Must—Be Done.

COVID-19 98

COVID-19 Doctors Health Outcomes Licensing 98

Healthcare IT Today

APRIL 29, 2023

Two key steps: Revisiting licensing agreements and ensuring new systems aren’t tethered to old processes. Read more… Leveraging Data to Maintain Access to Care Amid the Medicaid Redetermination Process. Up to 18 million Medicaid beneficiaries are due to lose coverage as the public health emergency ends.

Medicaid 92

Medicaid Medicaid Public Health Licensing 92

Healthcare IT Today

NOVEMBER 3, 2024

Reports and Other News Nearly all consumers (95%) want an easier way to pay medical bills , and 75% of consumers say their doctors don’t take an intuitive approach to billing, according to a Flywire survey. Partnerships Smartphone-based health assessment tool Helfie can now be licensed directly through the Microsoft Azure Marketplace.

Medical Billing 92

Medical Billing Licensing Medicaid Medicaid 92

Verisys

FEBRUARY 9, 2024

Here is a round up of bad actors: Physician Fraud Glastonbury Psychologist Admits Defrauding Medicaid of More Than $1.6 Here is a round up of bad actors: Physician Fraud Glastonbury Psychologist Admits Defrauding Medicaid of More Than $1.6 Million Civil Judgment and Drug Treatment Center Enters Settlement to Pay $2.2

Fraud 52

Fraud Medicaid Medicaid Medicare 52

Health Populi

AUGUST 5, 2019

Power is that only one in ten Americans have ever used telehealth or virtual health to substitute for an in-person visit to a doctor’s office, hospital, ER or urgent care clinic in the past year. ” All 50 state Medicaid agencies have adopted some coverage for telehealth, with 10 states not advancing coverage since 2017.

Telemedicine 82

Telemedicine Doctors Medicaid Medicaid 82

Hall Render

NOVEMBER 1, 2024

Health care fraud remains a significant focus for federal and state enforcement agencies, with particular attention placed on the integrity of Medicaid and Medicare billing. He was also ordered to pay $557,000 in restitution to Indiana Medicaid and Medicare.

Fraud 40

Fraud Compliance Medicaid Medicaid 40

Medisys Compliance

AUGUST 20, 2024

The following professionals are generally authorized to bill for behavioral health services: Psychiatrists: Medical doctors specializing in mental health, capable of diagnosing and treating psychiatric disorders, prescribing medications, and providing psychotherapy.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Licensing Medical Billing Informed Consent 59

Medisys Compliance

APRIL 11, 2024

You need to possess a master’s or doctorate degree qualifying for licensure or certification as an MFT or MHC in your state. Additionally, you must be actively licensed or certified within your state. Eligibility and Covered Services To directly bill Medicare, you must meet specific eligibility criteria.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

JULY 10, 2023

AJ Modifier – Licensed Clinical Social Worker (LCSW) The AJ modifier is used to identify services provided by a Licensed Clinical Social Worker (LCSW). HP Modifier – Psychologist or Doctorate Level (PsyD or Ph.D.) AH Modifier – Doctorate Level or Clinical Psychologist (Ph.D. or PsyD) in clinical psychology.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Licensing Doctors Medicare 52

Healthcare IT Today

JANUARY 6, 2023

Finding time to get to the doctor is a challenge. Additionally, CMS (Centers for Medicare & Medicaid Services) will repeal the patient data collection requirements needed to bill certain RTM codes, removing a substantial barrier to billing and making it easier to adopt remote monitoring solutions for patient care.

US Department of Health and Human Services 103

US Department of Health and Human Services Doctors Telemedicine Public Health 103

MedTrainer

FEBRUARY 12, 2024

Non-compliance can lead to significant fines, legal battles, and the loss of license or accreditation. These actions can include fines, sanctions, or even revocation of licenses or certifications. Automated exclusions monitoring and license verification ensure you’re aware anytime something is awry.

Compliance 52

Compliance Licensing Governance Fraud 52

Healthcare IT Today

SEPTEMBER 24, 2023

While 57% of doctors think patients miss appointments due to insurance issues , and 34% think it’s lack of access to appointments, a Tebra survey found the real reasons that patients skip appointments are work conflicts, not feeling well, and facing transportation issues.

Medical Billing 100

Medical Billing Department of Veterans Affairs Medicare Medicare 100

MedTrainer

NOVEMBER 28, 2023

Under the state’s Department of Health and Human Resources , Michigan Medicaid works with healthcare providers enrolled with Medicaid programs, provides information about billing, and conducts reporting for Medicaid programs. The state regulates medical marijuana dispensaries for safety and quality.

Compliance 52

Compliance Licensing Public Health Compliance Officers 52

HIT Consultant

JULY 19, 2023

Given how patient data remains parsed out across separate apps and databases, it’s nearly impossible for doctors and administrators to access critical patient data at times when they require it the most. As it stands, healthcare providers must complete rigorous education, training programs, and certifications to become licensed.

Doctors 75

Doctors Licensing Medicaid Medicaid 75

MedTrainer

NOVEMBER 17, 2023

The Pennsylvania State Board of Medicine is responsible for regulating medical provider licensing requirements. This licensing body ensures healthcare professionals meet the necessary qualifications and standards to practice safely and effectively. The Pennsylvania Department of Human Services (DHS) is the state’s Medicaid agency.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

Physician Credentialing Company

JULY 23, 2024

If candidates get approved by the credentialing committee, they are presented with a medical practicing license to work in a specific healthcare department. It has been reported in the past that 60% of the diagnoses made by doctors were false. Hospitals should hold training sessions, seminars, workshops, and meetings to inform doctors.

Hospitals 52

Hospitals Licensing Malpractice Doctors 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?

Licensing 52

Licensing Medical Billing Telemedicine Medicare 52

MedTrainer

NOVEMBER 5, 2023

The Colorado Medical Board enforces the licensing standards for Medical Doctors (M.D.s), Doctors of Osteopathy (D.O.s), Physician Assistants (P.A.s), and Anesthesiology Assistants (A.A.s). Credentialing Compliance in Colorado The Colorado Medical Board oversees medical credentialing and licensing within the state.

Compliance 52

Compliance Licensing Informed Consent Public Health 52

MedTrainer

AUGUST 5, 2024

Proper privileging documentation is also critical to meet the standards of regulatory bodies such as the Centers for Medicare and Medicaid Services ( CMS ) and the National Committee for Quality Assurance ( NCQA ). Such lawsuits can threaten a hospital’s ability to participate in federally funded programs like Medicare and Medicaid.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

MedTrainer

NOVEMBER 14, 2023

Exclusion from Government Programs: Entities found non-compliant may be barred from participating in government healthcare programs like Medicare and Medicaid. Loss of Licenses: Healthcare providers may lose their professional licenses, hindering their ability to practice.

Compliance 52

Compliance HIPAA Governance Medicare 52

AIHC

SEPTEMBER 25, 2024

There is value in learning from another organization’s lessons publicly posted by a government authority, such as the Department of Justice (DOJ), Centers for Medicare & Medicaid Services (CMS), the HIPAA enforcement agency, the Office of Civil Rights (OCR) or the Federal Bureau of Investigations (FBI).

Fraud 52

Fraud Compliance Compliance Officers Licensing 52

Verisys

DECEMBER 5, 2023

State licensing boards verify practitioner license type and status. The Centers for Medicare & Medicaid Services (CMS) Medicare and state Medicaid lists show practitioners who have opted out of those programs. Here are some examples: Medical schools verify completion of education.

Governance 52

Governance Licensing Malpractice Medicaid 52

Verisys

MARCH 1, 2022

State licensing boards verify practitioner license type and status. The Centers for Medicare & Medicaid Services (CMS) Medicare and state Medicaid lists show practitioners who have opted out of those programs. Here are some examples: Medical schools verify completion of education.

Governance 52

Governance Licensing Malpractice Medicaid 52

Healthcare IT News - Telehealth

MAY 6, 2020

Employers and payers may offer telehealth options that allow the team member to meet with their doctor via video. However, unless the patient is using an FDA-validated monitoring system to track blood pressure and glucose levels, the doctor cannot diagnose, prescribe medication or identify life-threatening situations, the company said.

COVID-19 197

COVID-19 FDA Hospitals Elder Care 197