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

HIT Consultant

FEBRUARY 5, 2024

Credentialing lapses can expose a healthcare organization to malpractice suits and accreditation problems. This creates the potential for negative patient outcomes, which can lead to expensive malpractice lawsuits. Thorough and ongoing physician screening is critical to avoid costly negligent credentialing and malpractice claims.

Malpractice 96

Malpractice Licensing Due Diligence Hospitals 96

Bill of Health

OCTOBER 12, 2023

The tort of medical malpractice exists, at least in part, to motivate doctors to provide care at an acceptable level. Therefore, government leaders should not aim to solve health inequities by punishing people who shun the burden of entrepreneurship.

Malpractice 162

Malpractice Public Health Health Outcomes Doctors 162

Verisys

MARCH 6, 2025

Consider a hospital hiring a new physician based on an old record that doesnt reflect a recent malpractice claimthis oversight can lead to severe legal and reputational consequences. Inadequate Data Validation Without proper validation processes, organizations risk relying on outdated or incorrect information.

Compliance 52

Compliance Licensing Doctors Malpractice 52

MedTrainer

AUGUST 2, 2023

Credentialing management helps organizations maintain compliance with regulatory standards set by accrediting bodies, government agencies, and industry regulators. Fines, medical malpractice claims, and patient harm are concerns if credentialing isn’t properly managed. Enhanced Patient Safety. Risk Mitigation.

Malpractice 97

Malpractice Compliance Licensing Due Diligence 97

Verisys

MARCH 6, 2025

Mitigating Risks for Healthcare Organizations By verifying that all providers are properly credentialed, organizations minimize the potential for malpractice claims, legal disputes, and reputational damage.

Licensing 52

Licensing Compliance Nurses Malpractice 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

Physician Credentialing Company

DECEMBER 20, 2024

It acts as a shield against malpractice claims under the False Claim Act. Legal and financial risks For not following government and payer-specific guidelines, providers may have to bear legal penalties in terms of finances or exclusion from the program. It was reported in 2018 that a healthcare facility in New York paid about $6.6

Medical Billing 52

Medical Billing Compliance Malpractice Regulatory Compliance 52

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 78

Ransomware Malpractice COVID-19 Governance 78

Bill of Health

AUGUST 22, 2023

Patient safety crises All that said, the NHS is still rocked by major patient safety crises, despite having a sophisticated, highly engineered patient safety health regulatory and governance framework. Key patient safety messages do not always seem to permeate down to key sections of the NHS workforce to effect positive practice change.

Governance 130

Governance Malpractice Public Health 130

The Health Law Firm

DECEMBER 18, 2011

This will not affect the purpose of the federal government's clearing house for disciplinary and malpractice information, but will forever change how the information is disseminated.

Malpractice 40

Malpractice Governance 40

Verisys

AUGUST 31, 2023

Here are seven red flags to look out for and the reasons why: Incomplete or inconsistent application: Missing or conflicting data regarding education, training, work history, licensure, or malpractice history might indicate false information or attempts to conceal relevant details.

Malpractice 52

Malpractice Fraud Medicaid Medicaid 52

Hall Render

JUNE 3, 2024

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.

Malpractice 40

Malpractice Licensing Fraud Governance 40

Hall Render

MAY 29, 2024

Kennedy adeptly represents clients in complex commercial and regulatory disputes involving both private parties and government entities. Before joining Hall Render, Kennedy honed her litigation skills at a regional law firm, where she focused on medical malpractice defense litigation and compliance analysis.

Malpractice 40

Malpractice Governance Compliance 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

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.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Malpractice Governance Patient Satisfaction 52

Provider Trust

JULY 8, 2022

Department of Health and Human Services (HHS) and contains medical malpractice payments and adverse action reports on healthcare professionals. Below are the significant laws and regulations that govern NPDB operations: NPDB Regulations. For more information, view the webinar on demand. Healthcare Legislation & Regulations.

Licensing 52

Licensing Malpractice Fraud Medicaid 52

YouCompli

JANUARY 28, 2025

These include the Health Insurance Portability and Accountability Act (HIPAA), the Affordable Care Act (ACA), the False Claims Act, and other legislation that governs patient care, billing practices, and safety standards. Risk Management: Healthcare organizations face numerous risks, from malpractice claims to cybersecurity threats.

Compliance Officers 52

Compliance Officers Regulatory Compliance Compliance Informed Consent 52

HIT Consultant

AUGUST 5, 2022

RVUs are applied to each service for work, medical practice expenses, and malpractice expenses. Physician payments are based on multiplying Relative Value Units (“RVUs”) that are assigned to each type of service by a conversion factor. The proposed changes would reduce the conversion factor by 4.4% from $34.61 in CY 2022 to $33.08

Telemedicine 98

Telemedicine Medicaid Medicaid Malpractice 98

Verisys

AUGUST 17, 2023

Mitigating liability and legal risks Malpractice claims and legal disputes can financially and emotionally drain healthcare providers and organizations. Medical staff service teams typically check at least half a dozen primary sources to properly verify a healthcare provider’s credentials.

Malpractice 52

Malpractice Licensing Compliance Medicaid 52

Verisys

DECEMBER 5, 2023

An Office of Inspector General (OIG) search of the List of Excluded Individuals/Entities (LEIE) indicates if the licensee is excluded from participating in government-funded programs. The policy issuer for malpractice insurance verifies insurance coverage.

Governance 52

Governance Licensing Malpractice Medicaid 52

Verisys

MARCH 1, 2022

An Office of Inspector General (OIG) search of the List of Excluded Individuals/Entities (LEIE) indicates if the licensee is excluded from participating in government-funded programs. The policy issuer for malpractice insurance verifies insurance coverage. Government and Non-Government Sources. Criminal history.

Governance 52

Governance Licensing Malpractice Medicaid 52

Compliancy Group

MAY 9, 2024

Centralizing your Governance, Risk, and Compliance (GRC) processes is a simple way to streamline your compliance efforts. GRC puts risk management, healthcare governance, and compliance under one roof, centralizing your efforts. This is where you monitor and manage all aspects of your governance, risk, and compliance-based activities.

Compliance Officers 52

Compliance Officers Compliance Malpractice Governance 52

MedTrainer

FEBRUARY 5, 2024

Provider enrollment is when a healthcare provider is registered with insurance networks or government payers , like Medicaid or Medicare. The employer may also review any pending and past medical malpractice cases or disciplinary actions. We’ll also review why both processes are vital for healthcare organizations.

Licensing 52

Licensing Governance Compliance Fraud 52

Physician Credentialing Company

DECEMBER 27, 2024

It gets used by healthcare providers, medical coders, insurance companies, the government and even patients. Malpractice RVU: The cost of your liability insurance. Government agencies like Medicare and Medicaid use CPT 99213 to determine reimbursement rates as well.

Medicare 40

Medicare Medicare Medicaid Medicaid 40

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

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

MedTrainer

MARCH 23, 2024

Inability to receive reimbursement: Insurance companies and government payers require medical credentialing to authenticate a provider’s qualifications to practice. Without verifying qualifications, healthcare organizations won’t receive reimbursement for patient care services from insurance or government payers.

Licensing 52

Licensing Malpractice Governance Doctors 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

Medisys Compliance

OCTOBER 30, 2023

Mental health credentialing is the process of becoming an approved provider with insurance companies or government health programs. Here are the general steps involved: Gather Required Documents: Collect all the necessary documents, such as your professional license, certifications, malpractice insurance, and practice information.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Malpractice Licensing 59

AIHC

SEPTEMBER 5, 2023

This requirement can sometimes apply to specific types of professionals when located in law or regulations governing their profession. 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

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

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

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. Whether it’s government regulation or healthcare facility requirements is a matter. Upon completion and approval, the provider can begin billing for medical services.

Malpractice 52

Malpractice Licensing Hospitals Compliance 52

MedTrainer

FEBRUARY 29, 2024

The insurance credentialing process is when a healthcare organization registers a provider through specific insurance carriers or government payers. The organization should also obtain malpractice and liability insurance for the provider since all insurance companies require it.

Malpractice 52

Malpractice Licensing Nurses Governance 52

Physician Credentialing Company

JANUARY 14, 2025

Malpractice Insurance: Address liability coverage. Malpractice Claims: Lawsuit history or any kind of settlement. Final Approval: Governing board gives favors (2-4 weeks). Duration and Termination: Indicate the contract's time period and the terms of extension or cancellation.

Licensing 52

Licensing Malpractice Regulatory Compliance Compliance 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