This site uses cookies to improve your experience. To help us insure we adhere to various privacy regulations, please select your country/region of residence. If you do not select a country, we will assume you are from the United States. Select your Cookie Settings or view our Privacy Policy and Terms of Use.
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Used for the proper function of the website
Used for monitoring website traffic and interactions
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Strictly Necessary: Used for the proper function of the website
Performance/Analytics: Used for monitoring website traffic and interactions
Board Certified by The Florida Bar in Health Law In a possibly precedent-setting case, on November 9, 2022, for the first time, an appeals court in New Jersey ruled that plaintiffs in medical malpractice cases do not need an affidavit of merit to file claims against a [.] Indest III, J.D.,
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.
Board Certified by The Florida Bar in Health Law In a possibly precedent-setting case, on November 9, 2022, for the first time, an appeals court in New Jersey ruled that plaintiffs in medical malpractice cases do not need an affidavit of merit to file claims against a [.] Indest III, J.D.,
This includes verifying education, residency, employment history, malpractice insurance, hospital privileges, and board certifications. Credentialing services perform this verification by contacting primary sources, such as medical schools and licensing boards, to confirm the physician’s education and qualifications.
A holistic approach to exclusion monitoring and license verifications must include monitoring of disciplinary databases such as the National Practitioner Data Bank (NPDB). Department of Health and Human Services (HHS) and contains medical malpractice payments and adverse action reports on healthcare professionals.
This includes verifying education, residency, employment history, malpractice insurance, hospital privileges, and board certifications. Credentialing services perform this verification by contacting primary sources, such as medical schools and licensing boards, to confirm the physician’s education and qualifications.
In addition to litigation, Katie focuses on matters related to government investigations, the False Claims Act and fraud and abuse. Before joining Hall Render, Katie gained hands-on litigation experience in medical malpractice defense, product liability and premises liability cases.
An organization must verify all certifications and licenses for every provider who administers patient services. 4: Not updating and verifying information Healthcare practitioners need to renew their licenses and credentials on a regular basis, according to federal and state laws. Mistake No. Mistake No. Mistake No. Mistake No.
This confidential clearinghouse primarily aims to safeguard public interest and healthcare quality while reducing fraud and abuse. MedTrainer’s credentialing platform saves time with exclusions monitoring, re-credentialing reminders, and automated license verifications.
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.
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.
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.
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
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Care Taps Health Net Exec as New CEO COLORADO Aurora’s Fitzsimons plans development opportunities on 60 acres Boulder drug discovery co. 3 in the U.S. for maternity care Healthcare Shifts Driving Demand For Outpatient Facilities In Denver Insider Breach, Email Attacks Net $1.7M sold for $4.1B TEXAS Bivacor to implant more U.S.
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.
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.
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.
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.
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 (..)
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.
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.
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.
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.
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.
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.
‘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.
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.
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
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
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?
in costs, report finds Pennsylvania hospital staff vote for union removal St. in costs, report finds Pennsylvania hospital staff vote for union removal St.
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.
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.
We organize all of the trending information in your field so you don't have to. Join 26,000+ users and stay up to date on the latest articles your peers are reading.
You know about us, now we want to get to know you!
Let's personalize your content
Let's get even more personalized
We recognize your account from another site in our network, please click 'Send Email' below to continue with verifying your account and setting a password.
Let's personalize your content