Remove Fraud Remove Licensing Remove Regulatory Compliance
article thumbnail

What is FACIS and Why is it the Gold Standard

Verisys

Maintaining compliance and safeguarding against fraud and abuse in today’s changing healthcare landscape can be challenging. Excluded from one means excluded from all, and the fines for non-compliance will likely be in the hundreds of thousands. License Verification & Monitoring. Credentialing.

article thumbnail

6 Critical Checkpoints Pharmaceutical Companies Need to Stay Compliant 

Verisys

Monitoring the status and expiration of each healthcare license. Preventing fraud by verifying the credentials of scientists, speakers, sales representatives, and research and clinical trial participants. This helps avoid legal and financial penalties associated with non-compliance.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

8 Step Healthcare Compliance Audit Checklist

Compliancy Group

Financial Analysis Financial aspects play a significant role in healthcare audits, identifying potential fraud or irregularities. By evaluating: Financial Statements Invoices Reimbursement Claims Accounting Processes This can help detect discrepancies or non-compliance issues related to billing or revenue recognition.

article thumbnail

What is GRC in Healthcare?

Verisys

Mitigating Provider Risk: Verisys’ solutions, such as FACIS® (Fraud Abuse Control Information System) , provide in-depth screening and continuous monitoring of healthcare professionals against the largest dataset of disciplinary actions and exclusions. Verisys significantly contributes to reinforcing healthcare compliance.

article thumbnail

Key Legal Issues Facing Telehealth Platforms, as Compliance Concerns Bubble for Platforms Launched During the Public Health Emergency

Health Care Law Brief

For example, New York continues to maintain a professional licensing waiver that enables certain providers, licensed out of state, to render care within the state, for the duration of the declared state of emergency. Provider Licenses. What types of providers will render care via telehealth?

article thumbnail

Credentialing in Healthcare: Essential Processes and Best Practices

Physician Credentialing Company

This process reduces the risk of fraud and ensures accuracy. This includes verifying licenses, liability insurance, and education history. Regulatory Compliance: Helps healthcare organizations comply with industry standards and regulations, avoiding legal penalties and enhancing credibility.

article thumbnail

What Is Provider Credentialing?

MedTrainer

Listen to a candid discussion on lessons learned from the 2023 federal investigation that uncovered fraudulent medical practice nationwide in this on-demand webinar: Moving Forward From the Nursing Fraud Scheme. Primary source verification is done by contacting educational institutions, licensing boards, and other relevant authorities.