Verisys

FEBRUARY 6, 2025

This process typically includes: Verification of medical education and training Confirmation of board certifications Review of malpractice history Checking state medical licenses Its not just about initial credentialing, though. This due diligence can significantly reduce malpractice claims risk and protect patients and institutions.

Licensing 52

Licensing Nurses Malpractice Compliance 52

Physician Credentialing Company

DECEMBER 20, 2024

It acts as a shield against malpractice claims under the False Claim Act. It is an administrative burden if a hospital goes to credentialing these locum physicians. This is applicable to organizations and hospitals which operate as a group and receive reimbursement collectively. What does billing under another provider mean?

Medical Billing 52

Medical Billing Compliance Malpractice Regulatory Compliance 52

HIT Consultant

NOVEMBER 11, 2022

External pressures from payors to malpractice lawyers to patients themselves lead to marginal and, too often, unnecessary treatments. But at the same time, the Hippocratic Oath of doing no harm should apply broadly to how healthcare institutions impact society environmentally, and governments are increasingly receptive to this view.

Malpractice 97

Malpractice Governance World Health Hospitals 97

HIT Consultant

AUGUST 5, 2022

Hospital stocks dropped 32.6% Rising costs for nurses and hospital staff along with growing labor shortages have resulted in several of the largest hospital companies, such as HCA Healthcare, lowering earnings estimates, which drove prices downward across the sub-sector in Q2 2022. from $34.61 in CY 2022 to $33.08 in CY 2023.

Telemedicine 98

Telemedicine Medicaid Medicaid Malpractice 98

Healthcare IT Today

JUNE 7, 2024

Why Paying Ransoms Incentivize Malpractice Ransomware gangs and hackers try to force healthcare providers into a difficult position: either pay the ransom or risk the theft or exposure of patients’ private data or disruption to critical operations. This means more cooperation between providers, regulators, and state and local governments.

Ransomware 81

Ransomware Malpractice COVID-19 Governance 81

Provider Trust

JULY 8, 2022

Department of Health and Human Services (HHS) and contains medical malpractice payments and adverse action reports on healthcare professionals. This prevents practitioners from moving from state to state or hospital to hospital with a hidden record. For more information, view the webinar on demand. NPDB Eligible Entities.

Licensing 52

Licensing Malpractice Fraud Medicaid 52

Hall Render

JUNE 3, 2024

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.

Malpractice 40

Malpractice Licensing Fraud Governance 40

HIT Consultant

SEPTEMBER 19, 2021

According to CRICO’s national CBS Database, 66% of malpractice cases in telemedicine from 2014 to 2018 were connected to misdiagnosis. Government cooperation. Cooperation between federal and state governments is crucial to ensure multistate licensing, payment parity, and expansion of telehealth services. Misdiagnoses.

Telemedicine 98

Telemedicine Licensing Nurses HIPAA 98

Verisys

DECEMBER 5, 2023

For the medical staff services team at a hospital to properly verify a healthcare practitioner’s credentials, dozens of primary sources must be contacted directly, and those primary source organizations must then verify the credentials of the practitioner in question. The policy issuer for malpractice insurance verifies insurance coverage.

Governance 52

Governance Licensing Malpractice Medicaid 52

Verisys

MARCH 1, 2022

For the medical staff services team at a hospital to properly verify a healthcare practitioner’s credentials, dozens of primary sources must be contacted directly, and those primary source organizations must then verify the credentials of the practitioner in question. The policy issuer for malpractice insurance verifies insurance coverage.

Governance 52

Governance Licensing Malpractice Medicaid 52

Medisys Compliance

MARCH 27, 2023

These terminologies are briefly discussed below for better understanding: Provider enrollment: This refers to the process of enrolling a healthcare provider with an insurance plan or government program, such as Medicare or Medicaid. By meeting these requirements, providers can expand their patient base and increase revenue.

Malpractice 52

Malpractice Medical Billing Outsourcing Governance Patient Satisfaction 52

MedTrainer

MARCH 14, 2024

Additionally, the credentialing specialist may request a record of any pending and past medical malpractice cases and disciplinary actions from the appropriate authority. Courtesy: This is when a hospital occasionally allows a provider to admit and treat a patient. However, not all providers need hospital privileges.

Malpractice 52

Malpractice Licensing Hospitals Compliance 52

MedTrainer

JULY 28, 2023

While learning of an inspection can cause alarm, oftentimes it’s a routine occurrence required by the federal government to ensure the overall quality and delivery of healthcare services. This ensures that medical facilities are not engaging in malpractice and following program rules and regulations.

Fraud 98

Fraud Compliance Medicaid Medicaid 98

Verisys

JANUARY 11, 2022

Government-issued photo identification. Chronological, comprehensive list of all facilities where the provider has worked or had clinical privileges (academic appointments, hospitals, practice groups, surgery centers, etc.). Malpractice history and hospital sanctions. Malpractice Insurance.

Malpractice 52

Malpractice Licensing Health Insurance Hospitals 52

Hall Render

JANUARY 7, 2025

office and practices in the area of government relations with a focus on federal, state and local advocacy. Ryan honed his litigation skills defending and trying criminal cases, civil rights violations, medical malpractice cases and complex business lawsuits from inception through trial.

Malpractice 40

Malpractice Medicare Medicare Governance 40

Physician Credentialing Company

JANUARY 14, 2025

Malpractice Insurance: Address liability coverage. Malpractice Claims: Lawsuit history or any kind of settlement. Average Turnaround Time for Credentialing Hospital Files What is your average turnaround time for completion of a credentialing hospital file? Final Approval: Governing board gives favors (2-4 weeks).

Licensing 52

Licensing Malpractice Regulatory Compliance Compliance 52

MedTrainer

NOVEMBER 27, 2023

Ohio Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Ohio Department of Health (ODH) is key to safeguarding and enhancing the health of Ohio residents. For over a century, OHA has been dedicated to assisting member hospitals in addressing community health needs.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

Med Law Blog

MAY 1, 2023

Please note that the potential for ulterior financial motives does not automatically presume that the intent is somehow suspect, in the same way that potential medical malpractice concerns does not legitimately question the clinical motives of all other providers. in United States ex rel.

Nursing Homes 52

Nursing Homes Malpractice Hospitals Nurses 52

Physician Credentialing Company

JANUARY 16, 2025

Credentialing in healthcare is a complex process of reviewing and evaluating the credibility of healthcare practitioners to fit the standard set by the government. Red Flags for Credentialing in Healthcare It is important for quality and compliance to identify the early roots of these issues during the credentialing process.

Malpractice 52

Malpractice Compliance Licensing Regulatory Compliance 52

AIHC

SEPTEMBER 5, 2023

Telehealth reduces the cost of healthcare and increases efficiency with better management of chronic diseases, shared health professional staffing, reduced travel times, and fewer or shorter hospital stays. This requirement can sometimes apply to specific types of professionals when located in law or regulations governing their profession.

COVID-19 59

COVID-19 Telemedicine Informed Consent Compliance 59

MedTrainer

MAY 6, 2024

Here is a list of the information you’ll need to gather to credential a provider with Aetna: Licensure and/or certification verified through state licensing boards in geographical areas where network practitioners will care for members Board certifications (when applicable) Loss of/limitation of hospital admitting privileges (when applicable) Current (..)

Licensing 52

Licensing Malpractice Health Insurance Medicaid 52

MedTrainer

AUGUST 5, 2024

Such lawsuits can threaten a hospital’s ability to participate in federally funded programs like Medicare and Medicaid. This engagement helps leaders make well-informed and balanced decisions, contributing to better governance and oversight.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

MedTrainer

APRIL 27, 2024

Credentialing Activity LIP OLCP; Other Clinical Staff Verification of identity (for initial credentialing) Government-issued picture identification. Government-issued picture identification. The table below outlines some required credentialing documents by practitioner type from the Bureau of Primary Health Care.

Licensing 52

Licensing Compliance Malpractice Governance 52

MedTrainer

DECEMBER 2, 2024

Diversification of Payer Sources FQHCs are not limited to government funding through Medicaid and Medicare. Familiarize yourself with any payer-specific requirements such as proof of malpractice insurance, state-approved alternatives, and specific forms like the special needs survey or disclosure of ownership statement.

Licensing 52

Licensing Malpractice Compliance Medicaid 52

Verisys

DECEMBER 23, 2021

Provider enrollment is the application process by which a practitioner is approved to seek reimbursement from government and/or third-party payers or seek admitting privileges at a hospital. It includes: The provider enrollment process for various government health plans. High number of malpractice cases.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Hall Render

MAY 13, 2022

340B hospitals amplify loss projections as more drugmakers unveil restrictions. Alabama hospitals were just ranked for safety: See how yours fared. IV contrast shortage impacting Alabama hospitals. Alabama hospital rationing medical supplies due to COVID disruptions in China. California hospital receives $25M gift.

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

Physician Credentialing Company

JANUARY 23, 2025

Documentation: These include diplomas, certificates, insurance forms, hospital privileges etc. To make these efficient involves streamlining processes, using technology, and maximizing interactions between healthcare providers and hospitals. There is a format for each chapter on CAQH.

Licensing 52

Licensing Compliance Malpractice Hospitals 52

Kaiser Health News

JUNE 23, 2023

Wade , many physicians and hospitals in the states that have restricted abortion reportedly are refusing to end the pregnancies of women facing health-threatening complications out of fear they might face criminal prosecution or loss of their medical license. “But most rational people would be more afraid of going to jail.”

Malpractice 97

Malpractice Doctors Malpractice Attorneys Hospitals 97

Hall Render

APRIL 29, 2022

CMS’ Brooks-LaSure defends 2023 pay bump for hospitals that groups charge is too small. HHS calls on hospitals to make voluntary pledge to cut emissions to zero by 2050. Hospitals sue HHS over Medicare billing calculation. Hospitals to OSHA: Do not finalize COVID-19 standard for healthcare workers. CMS Proposes $1.6B

COVID-19 40

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

Health Law Advisor

NOVEMBER 2, 2022

Announced in the Consolidated Appropriations Act of 2021, Rural Emergency Hospitals (REHs) will be a new type of Medicare provider starting January 1, 2023. Existing CAHs and rural hospitals with fewer than 50 beds will be eligible to convert to an REH.

Medicare 52

Medicare Medicare Hospitals Malpractice 52

Hall Render

OCTOBER 6, 2023

The CDC has stopped printing them Telehealth Visits Decline 46%, But Telebehavioral Healthcare Still High URAC to offer health equity accreditation Walgreens CIO is latest to leave in company’s C-suite shakeup AI is creating a complex landscape for healthcare executives ALABAMA Alabama hospital to remain on Cerner after sale Alabama gets $3.6M

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

The CDC has stopped printing them Telehealth Visits Decline 46%, But Telebehavioral Healthcare Still High URAC to offer health equity accreditation Walgreens CIO is latest to leave in company’s C-suite shakeup AI is creating a complex landscape for healthcare executives ALABAMA Alabama hospital to remain on Cerner after sale Alabama gets $3.6M

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 CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M million expansion ‘Very, very unusual.’

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

Hall Render

JUNE 7, 2024

News ranks hospitals in health equity. These hospitals earn top honors. facility Southern Research CEO talks biotech incubator, future of Birmingham medicine ALASKA Juneau’s hospital is bleeding cash. facility Southern Research CEO talks biotech incubator, future of Birmingham medicine ALASKA Juneau’s hospital is bleeding cash.

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

Omicron variant fueling uptick in Alabama COVID-19 hospitalizations. Five leading children’s hospitals secure $29M in federal funding to enhance future pandemic readiness. Hospital holds 2nd CEO candidate meet and greet: Dennis Welsh talks the future of Juneau’s health care community. CALIFORNIA.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

OCTOBER 25, 2024

in 2023 100M hit by Change Healthcare breach AHA pushes for hospital-at-home changes Amazon One Medical, Cleveland Clinic partner on primary care Big systems looking ‘outside of the four walls of the hospital’ Calm Health, UnitedHealthcare form partnership: 3 notes Cigna-Humana merger talks are back on: report Doctors hate MIPS.

Nursing Homes 40

Nursing Homes Nurses Hospitals Doctors 40

Hall Render

SEPTEMBER 22, 2023

in repairs Sutter Health faces possible $519M payout in alleged double billing case COLORADO Denver Health sued by sons after father’s jail death How a Kaiser Permanente worker strike could affect Colorado patients Kaiser names regional president Medical Office Building in Littleton Sells for $6.1M

COVID-19 40

COVID-19 Nursing Homes COVID-19 Vaccine Nurses 40