Physician Credentialing Company

JULY 15, 2024

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. This includes verifying licenses, liability insurance, and education history.

Malpractice 52

Malpractice Compliance Licensing Medical Billing 52

MedTrainer

FEBRUARY 5, 2024

This process typically involves submitting an application with detailed information regarding the provider’s qualifications and licenses. During provider credentialing, the healthcare organization verifies the provider’s education, work history, licenses, references, and other vital information.

Licensing 52

Licensing Governance Compliance Fraud 52

Healthcare IT Today

NOVEMBER 13, 2024

The goal of this requirement is to eliminate fraud and abuse. For instance, Arizona demands a 10-year history of any sanctions on a provider’s license, while others ask about past malpractice suits. While this may seem straightforward, the implementation is far from simple.

Medicaid 68

Medicaid Medicaid Hospitals Malpractice 68

MedTrainer

MARCH 14, 2024

The specialist authenticates the provider’s education, work history, licenses, and other information during provider credentialing. Additionally, the credentialing specialist may request a record of any pending and past medical malpractice cases and disciplinary actions from the appropriate authority.

Malpractice 52

Malpractice Licensing Hospitals Compliance 52

Verisys

APRIL 27, 2023

If an application is missing key pieces, such as a scan through a primary source or a copy of their license, table the application. 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

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

Verisys

DECEMBER 5, 2023

State licensing boards verify practitioner license type and status. The policy issuer for malpractice insurance verifies insurance coverage. Because they have first-hand knowledge, these primary sources can confirm if the information claimed is accurate. Here are some examples: Medical schools verify completion of education.

Governance 52

Governance Licensing Malpractice Medicaid 52

AIHC

SEPTEMBER 5, 2023

This compact does not apply to nurse practitioners (NPs) because they are licensed under state boards of nursing and not medicine. Simply applying existing principles of malpractice liability to telehealth is not straightforward, especially when it is unclear what an appropriate “standard of care” is.

COVID-19 59

COVID-19 Telemedicine Informed Consent Compliance 59

Verisys

MARCH 1, 2022

State licensing boards verify practitioner license type and status. The policy issuer for malpractice insurance verifies insurance coverage. Because they have first-hand knowledge, these primary sources can confirm if the information claimed is accurate. Here are some examples: Medical schools verify completion of education.

Governance 52

Governance Licensing Malpractice Medicaid 52

Verisys

FEBRUARY 10, 2022

Did you know that for every 1,000 licensed healthcare practitioners there will typically be 20 with inactive licenses, 10 with a suspended license, and another six practitioners with either a restricted or revoked license, or on probation? By carefully screening the practitioner and continually monitoring his license.

Licensing 52

Licensing US Department of Health and Human Services Malpractice Compliance 52

Hall Render

APRIL 29, 2022

California to increase awards in medical malpractice cases. in malpractice case. State suspends Destin nursing home license, orders it to discharge 100-plus residents. Doctor overseeing coronavirus testing at BWI accused of health-care fraud. Owners Of Behavioral Health Companies Sentenced For Medicaid Fraud.

COVID-19 40

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

Hall Render

SEPTEMBER 23, 2022

Aspen U surrenders nursing program license. Aspen University in Phoenix surrenders nursing program license, failing to meet NCLEX first-time pass rate. 2 companies granted licenses to produce medical cannabis in Georgia. million to resolve Medicare fraud claims. fraud scheme. Bingham Healthcare Appoints a New CNO.

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

Hall Render

OCTOBER 25, 2024

Million in Tucson Steward Arizona behavioral hospital gets interim manager Former AZ Department of Health employee charged in Medicaid fraud indictment Arizona hospital performs kidney transplant using robotic technology ARKANSAS NIH Director “blown away” by health care efforts in Arkansas Arkansas Gov.

Nursing Homes 40

Nursing Homes Nurses Hospitals Doctors 40

Hall Render

DECEMBER 22, 2023

fraud scheme UConn Health is in financial trouble. health care spending hits $4.5 Another North Carolina Hospital Announces Visitor Restrictions North Carolina Hospital Gets Win Over Timeliness of Child’s Suit Mission Hospital to implement new ambulance patient handoff policy.

Nursing Homes 40

Nursing Homes Nurses COVID-19 Hospitals 40

Hall Render

DECEMBER 1, 2023

with more than 5 Magnet designations Four more years: Anthem Blue Cross and Blue Shield, Wellstar re-up contract Hospital fails to dodge $10M malpractice verdict after attempting to pin payment on radiologist New survey reveals insight into Georgia’s maternal health crisis New chief medical officer hired for St.

Nursing Homes 40

Nursing Homes Nurses COVID-19 Ransomware 40

Hall Render

OCTOBER 6, 2023

Tammany Health System create new residency program CHRISTUS nationally recognized for high-quality heart care Behind Ochsner LSU Health’s multimillion-dollar tech upgrades MAINE Millinocket hospital schedules renovation after $3.5M medical school to revamp philanthropic efforts Sage Health opening 3 central Md.

US Department of Health and Human Services 40

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

Hall Render

OCTOBER 6, 2023

Tammany Health System create new residency program CHRISTUS nationally recognized for high-quality heart care Behind Ochsner LSU Health’s multimillion-dollar tech upgrades MAINE Millinocket hospital schedules renovation after $3.5M medical school to revamp philanthropic efforts Sage Health opening 3 central Md.

US Department of Health and Human Services 40

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

Hall Render

MAY 10, 2024

Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M million expansion ‘Very, very unusual.’ biotech mulling sweetened acquisition offer D.C. Health Policy Commission still missing key document in Steward sale to Optum Local obesity drug developer lands deal worth up to $600M with Novo Nordisk Mass.

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

Hall Render

JUNE 7, 2024

Martin redirecting ambulances due to flooding MAINE MaineHealth CFO announces retirement Sen. million bird flu shots to U.S.

US Department of Health and Human Services 40

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

Hall Render

JULY 22, 2022

cancer, cardio lab fraud. State settles University of Iowa medical malpractice lawsuit for $7.5 Board suspends nurse’s license 17 months after arrest in stabbing incident. HHS orders additional 2.5 million doses of monkeypox vaccine. Supreme Court clarifies liability standard for physicians prescribing controlled substances.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 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

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

APRIL 14, 2023

But hospitals say they can’t afford to pay California hospital nurses to receive raises of up to 30% California pharmacist pleads guilty to multi-year Medicare fraud scheme Carmichael-based Eskaton pays $5.5 operating gain Mercer County medical office portfolio sells for $11M Mifepristone is at the center of growing legal battles.

Nursing Homes 40

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

Hall Render

APRIL 1, 2022

Arizona extends temporary licenses for healthcare workers. Governor Ducey Signs Bill Extending Temporary Health Care Professional Licenses. Ducey signs bill extending temporary health care worker licenses in Arizona. Fraud plagues California’s hospice industry, audit finds. over MassHealth fraud. NEW JERSEY.

COVID-19 40

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

Hall Render

NOVEMBER 17, 2023

Million Individuals Affected by MOVEit Hack MARYLAND Adventist HealthCare, Montgomery College form partnership to address need for qualified nursing workforce Harford Memorial Hospital closing set for Feb. million patients stolen during ransomware attack MINNESOTA CFO of the Year 2023: Penny Cermak, HealthPartners Inc. Many more are waiting.

Nursing Homes 40

Nursing Homes Nurses Hospitals Doctors 40

Hall Render

DECEMBER 15, 2023

Fitch Revises Outlook on Dartmouth-Hitchcock Health (NH) to Negative; Affirms IDR and Revs at ‘A’ NEW JERSEY 2 nurses, medical resident injured in attack at New Jersey hospital, authorities say New Jersey man convicted in $4M fraud scheme NJ hospitals make progress after crippling cyberattacks According to U.S.

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Hall Render

SEPTEMBER 27, 2024

Jaya Raj fosters relatable health care ARKANSAS 5 ASC legal cases, controversies in 1 month UAMS Report Shows Financials Improved in Fiscal Year 2023 Clinical Transaction Checks In at $1.5M Million Settlement with L.A. Million Settlement with L.A. headcount among top 10 biopharma employers shrinks New Mass.

Nurses 40

Nurses Hospitals Nursing Homes Medicare 40

Hall Render

MARCH 17, 2023

‘Not what we were looking for,’ CEO says Fired CEO files slander, defamation suit against Scotland County Hospital Missouri health system appoints strategy chief Missouri physician pleads guilty to $537K Medicare fraud scheme New Behavioral Health Crisis Center Open in Cape Girardeau St. and Del.

US Department of Health and Human Services 40

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

Hall Render

MARCH 3, 2023

million for youth mental health care KENTUCKY Pike County nursing home officials release statement following loss of Medicare agreement Three Humana executives drop $11.2M

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Hall Render

NOVEMBER 10, 2023

California physician convicted of healthcare fraud, kickbacks California’s healthcare minimum wage boost to cost $4B City Council upholds approval of Hollywood Presbyterian medical offices at 1321 N. Will it survive the next few years?

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Hall Render

JANUARY 19, 2024

in costs, report finds Pennsylvania hospital staff vote for union removal St. in costs, report finds Pennsylvania hospital staff vote for union removal St.

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 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

FEBRUARY 10, 2023

raising $5M endowment campaign for free health care clinic Trilogy Health Services names first chief medical officer OrthoCincy Orthopaedics expands reach in Kentucky with acquisition of Ortho Louisville LOUISIANA LCMC Health Launches Minority Administrative Fellowship Program St. million to UMass Memorial Health Care for COVID-19 costs Four Mass.

US Department of Health and Human Services 40

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

Hall Render

NOVEMBER 15, 2024

25, union says Physician sues Prospect Medical Holdings alleging insurance fraud Two more GoHealth Urgent Care clinics opened, expanding coverage across CT Yale New Haven Hospital Named Best In Connecticut In New Report DC DC Man Sentenced to 13 Years for Unprovoked Assault on Psychiatrist at St.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes 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 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 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