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What Is Physician Credentialing?

Verisys

This includes verifying education, residency, employment history, malpractice insurance, hospital privileges, and board certifications. Physician credentialing is required not only for initial hiring but also for obtaining admitting privileges at hospitals or joining a medical practice.

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How To Prepare for an OIG Inspection

MedTrainer

Earlier this year, an in-depth OIG investigation resulted in a six-day trial of a former Louisiana health clinic CEO , who was ultimately convicted of Medicaid fraud and sentenced to 82 months in federal prison. This ensures that medical facilities are not engaging in malpractice and following program rules and regulations.

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What Is Physician Credentialing?

Verisys

This includes verifying education, residency, employment history, malpractice insurance, hospital privileges, and board certifications. Physician credentialing is required not only for initial hiring but also for obtaining admitting privileges at hospitals or joining a medical practice.

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Quick Guide to the National Practitioner Data Bank (NPDB)

Provider Trust

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.

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Kathryn Daggett Joins Hall Render

Hall Render

Katie leverages her experience to provide robust legal representation and counsel to clients, including hospitals, health systems and other health care entities navigating complex litigation challenges. In addition to litigation, Katie focuses on matters related to government investigations, the False Claims Act and fraud and abuse.

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Crucial Need for NPDB Credentialing

MedTrainer

This confidential clearinghouse primarily aims to safeguard public interest and healthcare quality while reducing fraud and abuse. Many health systems have multiple entities, such as hospitals, outpatient centers, and clinics, where numerous providers may practice or provide medical services.

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Credentialing in Healthcare: Essential Processes and Best Practices

Physician Credentialing Company

By validating staff competence, it reduces the likelihood of malpractice claims and legal issues. This process reduces the risk of fraud and ensures accuracy. It also involves checking for any disciplinary actions or malpractice history. Agencies like hospitals and health plans typically perform this verification.