Verisys

APRIL 3, 2025

It replaces manual data entry and physical document verification with streamlined digital processes. Faster Verification Automated systems instantly verify licenses , certifications, and malpractice history by pulling data from authoritative sources in secondssomething that would take human credentialing teams weeks to complete.

Licensing 52

Licensing Malpractice Compliance Nurses 52

Compliancy Group

APRIL 11, 2023

Clinical documentation mistakes can lead to declining patient care and a lack of compliance within your practice. We discuss the most common clinical documentation mistakes and provide tips on how to avoid making them. You should use standardized forms and terminology when recording information to ensure accurate documentation.

HIPAA 52

HIPAA Compliance Malpractice Compliance Officers 52

Healthcare IT News - Telehealth

SEPTEMBER 16, 2020

Review, revise and communicate telehealth malpractice policies. " "When we talk about independent primary care practices who do not have a lot of wriggle room or resources," Gupta added, it may not be realistic to "expect them to read through all these documents and know the details of every insurer."

COVID-19 209

COVID-19 Public Health Telemedicine Malpractice 209

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.

Malpractice 97

Malpractice Compliance Licensing Due Diligence 97

Med Law Blog

AUGUST 23, 2023

In summary, when negotiating a physician contract, it is important to pay attention to the restrictive covenants, contract term and termination, malpractice coverage, compensation, and plan for the worst-case scenario. This is a critical document that will set the terms of your employment for years to come.

Malpractice 91

Malpractice 91

Verisys

MARCH 6, 2025

Mitigating Risks for Healthcare Organizations By verifying that all providers are properly credentialed, organizations minimize the potential for malpractice claims, legal disputes, and reputational damage. Healthcare administrators and compliance officers must be prepared to navigate these obstacles to maintain a seamless, efficient process.

Licensing 52

Licensing Compliance Nurses Malpractice 52

Healthcare IT News - Telehealth

JUNE 26, 2023

We’re seeing a “rising of all ships” as people get more used to the modality and as documentation and workflows improve. They need to get clarity around what they're allowed to do legally, and certainly what their malpractice coverage will allow them to do. And why do you think this is? What's the address?

Telemedicine 194

Telemedicine Malpractice Licensing Public Health 194

MedTrainer

MARCH 30, 2024

Step-By-Step Provider Enrollment Process There are many reasons provider enrollments are delayed: incorrect information, missing documents, busy credentialers, and slow-moving payers. However, there are ways to leverage enrollment checklists and technology to ensure everything you need for a smooth application process happens the first time.

Malpractice 98

Malpractice Licensing Medicaid Medicaid 98

HIT Consultant

JANUARY 2, 2022

In another study by Harvard scientists, the monetary value of simulation training was assessed by examining malpractice claims. 2 The researchers observed a statistically significant reduction in malpractice claims for trained gynecologists and obstetricians who have participated in simulation training. Journal of Nursing Regulation.

COVID-19 98

COVID-19 Malpractice Nurses Hospitals 98

Verisys

MARCH 6, 2025

Preventing documentation from falling through the cracks can help ensure patients receive the medical care they deserve. 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.

Compliance 52

Compliance Licensing Doctors Malpractice 52

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.

US Department of Health and Human Services 52

US Department of Health and Human Services Licensing Compliance Malpractice 52

Physician Credentialing Company

DECEMBER 20, 2024

It acts as a shield against malpractice claims under the False Claim Act. Documentation should also be maintained on how providers supervised non-credentialed providers and the type of rendered services. Go through insurance guidelines, document everything, and perform audits as necessary.

Medical Billing 52

Medical Billing Compliance Malpractice Regulatory Compliance 52

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 [.]

Malpractice 52

Malpractice Licensing Medicare Medicare 52

Verisys

DECEMBER 29, 2024

This includes verifying education, residency, employment history, malpractice insurance, hospital privileges, and board certifications. It plays a key role in reducing malpractice risks, preventing fraud, and verifying that healthcare professionals have the necessary training and clinical experience to perform their duties.

Malpractice 52

Malpractice Licensing Regulatory Compliance Hospitals 52

Healthcare IT News - Telehealth

SEPTEMBER 20, 2022

For consumers seeking medication there is no prior doctor-patient relationship so the telehealth provider will not be aware of the person's medical history and use of medications unless it is disclosed by the consumer or documented in a Prescription Drug Monitoring Program registry. One is malpractice lawsuits.

Malpractice 161

Malpractice COVID-19 Patient Satisfaction Doctors 161

Physician Credentialing Company

JUNE 12, 2024

You will need to gather and submit documents such as your medical license, malpractice insurance, and board certifications. Key Documents Required Medical license Board certifications Malpractice insurance Malpractice insurance Completing these steps correctly is crucial for a smooth credentialing experience.

Malpractice 52

Malpractice Licensing Nurses Compliance 52

HIPAA Journal

MARCH 28, 2023

Heidell, Pittoni, Murphy & Bach LLP (HPMB) is a New York City-based medical malpractice law firm. The investigation confirmed that files were exfiltrated in the attack, including legal documents, patient lists, and medical records.

HIPAA 111

HIPAA Ransomware Malpractice Health Insurance 111

Physician Credentialing Company

DECEMBER 27, 2024

It is a standardized code to describe the services provided to a patient and thus, avoids any reimbursement and documentation issues. In order to document the level of service rendered, healthcare providers must take a medical history from the patient, execute a problem focused exam, and formulate a treatment plan.

Medicare 40

Medicare Medicare Medicaid Medicaid 40

MedTrainer

MAY 30, 2024

Healthcare credentialers must collect an average of 30 documents per provider to initiate and complete the credentialing process – also known as primary source verification (PSV). They also conduct background checks, which require calling law enforcement and other regulatory agencies for criminal records and malpractice history.

Licensing 52

Licensing Malpractice Medicare Medicare 52

Physician Credentialing Company

NOVEMBER 26, 2024

Preparation Stage This stage refers to the documentation gathering, CAQH profile formation, and application filing. All the necessary documents, including educational degrees, working licenses, malpractice insurance certifications, NPI numbers, training proofs, and compliance proofs, should be gathered beforehand.

Malpractice 52

Malpractice Licensing Doctors Compliance 52

MedTrainer

MAY 15, 2024

Since surveyors are likely to perform an unannounced audit to review the provider credentialing files for a random provider document or recredentialing date, having everything stored in MedTrainer’s credentialing platform is really helpful. Make it easy for providers to submit documents. Payers in New York have specific requirements.

Malpractice 52

Malpractice Medicaid Medicaid Licensing 52

Medisys Compliance

MARCH 21, 2023

By verifying a doctor’s credentials, insurance companies can mitigate the risk of malpractice claims and ensure patient safety. In addition to the application form, the doctor may also be required to submit additional documentation to support their application, such as transcripts, diplomas, certificates, and other credentials.

Doctors 52

Doctors Malpractice Licensing Medical Billing Outsourcing 52

MedTrainer

FEBRUARY 1, 2024

Reduce Medical Malpractice Risk: Ensuring patient safety is a fundamental component of compliance plans. By maintaining high standards of care and safety, healthcare organizations can reduce the risk of medical malpractice claims and associated liability.

Compliance 52

Compliance Malpractice Fraud HIPAA 52

Physician Credentialing Company

DECEMBER 9, 2024

Credential Verification A medical bachelor’s degree, medical state license, training certifications, and malpractice insurance are required as basic documents to practice medicine in the US. During the credentialing process, objections and asking for additional documents are common.

Malpractice 52

Malpractice Licensing Compliance Regulatory Compliance 52

The Health Law Firm

DECEMBER 1, 2015

(Baptist) filed a Petition for Writ of Certiorari with the First District Court of Appeal in Florida following a Florida circuit court ruling on the compelled disclosure of certain documents. The plaintiffs in a medical malpractice case were attempting to obtain peer review documents from the hospital on their claims.

Malpractice 40

Malpractice Hospitals 40

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

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. Risk Management: Reduces the likelihood of malpractice claims and other legal issues, thereby protecting the organization from potential risks.

Malpractice 52

Malpractice Compliance Licensing Medical Billing 52

MedTrainer

FEBRUARY 11, 2025

If its not documented, it didnt happen. MedTrainer Document & Policy Management makes it easy to create, organize, store, and track policies and procedures. You can easily track and report on stored documents and important dates, such as last revision and expiration dates.

Licensing 52

Licensing Malpractice Compliance 52

MedTrainer

AUGUST 9, 2023

The exact timeline depends heavily on the complexity of the provider’s background, the efficiency of the organization’s credentialing process, and the completeness of the provider’s documentation. What Documents and Information Are Required? Malpractice Insurance. Licenses and Certifications. Work History.

Malpractice 52

Malpractice Licensing Compliance 52

MedTrainer

MAY 7, 2024

We’ll walk you through the steps in enrolling your providers with UnitedHealthcare, the information and documents you need, and the best practices to follow. This blog will highlight how credentialers can navigate UnitedHealthcare provider enrollment. Why Is Payer Enrollment Important for Healthcare Providers?

Malpractice 52

Malpractice Licensing Medicaid Medicaid 52

MedTrainer

JULY 10, 2023

This involves checking for any disciplinary actions, malpractice claims, or adverse events related to the provider’s practice. This application includes personal information, educational background, work history, licensure details, certifications, and other relevant documentation. Review professional practice history. Peer references.

Malpractice 52

Malpractice Compliance Licensing Hospitals 52

MedTrainer

MAY 15, 2024

Florida Medicaid Portal The Florida Medicaid Web Portal is very specific and if you aren’t familiar with submitting the documentation, it is easy to make a wrong turn. Comprehensive background checks help rule out any criminal history, malpractice claims, disciplinary actions, or other records that might raisesend up red flags.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Physician Credentialing Company

JANUARY 14, 2025

Malpractice Insurance: Address liability coverage. Incomplete Documentation: Time lost due to lack of or wrong documentation. Malpractice Claims: Lawsuit history or any kind of settlement. Incomplete Documentation Most of the time, ensure you have gone through all the submissions a second time.

Licensing 52

Licensing Malpractice Regulatory Compliance Compliance 52

MedTrainer

JULY 22, 2024

It provides a centralized system for collecting, storing, and managing all the essential data and documentation related to a healthcare professional’s background, including education, training, certifications, licenses, work history, and malpractice history. Download the guide to Essential Credentialing Data.

Licensing 52

Licensing Compliance Malpractice Hospitals 52

MedTrainer

APRIL 27, 2024

Known for requiring a high level of documentation, OSVs add additional pressure and unique protocols regarding HRSA credentialing. Not to mention, HRSA-funded organizations typically have a wide range of provider types, which means differing processes, requirements, and documentation.

Licensing 52

Licensing Compliance Malpractice Governance 52

MedTrainer

SEPTEMBER 20, 2023

Legal costs, settlements, and increased malpractice insurance premiums can put financial burdens on ASCs found guilty of negligent credentialing. Document a Standard Process Establish a standardized credentialing process that outlines the specific criteria and requirements for granting privileges to providers at a given facility.

Malpractice 52

Malpractice Licensing Due Diligence Compliance 52

MedTrainer

MAY 29, 2024

Primary source verification involves contacting original sources — such as educational institutions, licensing boards, and certification bodies — to confirm the authenticity and accuracy of the documents and qualifications provided by the provider. Make it easy for providers to submit documents. Work History and Reference Checks.

Medicaid 52

Medicaid Medicaid Malpractice Licensing 52