Verisys

APRIL 3, 2025

As a centralized hub of critical practitioner data, the NPDB serves as a powerful ally in provider credentialing , helping hospitals, medical boards, and institutions verify backgrounds, track malpractice claims, and ensure regulatory compliance. What Is the National Practitioner Data Bank (NPDB)?

Malpractice 52

Malpractice Licensing Compliance Hospitals 52

Verisys

MARCH 6, 2025

Supporting Healthcare Compliance Healthcare facilities must comply with a myriad of legal and regulatory standards set by accreditation bodies that oversee general medical practices, including the maintenance of quality provider data.

Compliance 52

Compliance Licensing Doctors Malpractice 52

MedTrainer

JANUARY 21, 2025

Understanding the OIG Exclusion List The OIG maintains the List of Excluded Individuals/Entities (LEIE), which provides comprehensive information to the healthcare industry on those currently excluded from participating in Medicare, Medicaid, and any other federal healthcare programs.

Compliance 52

Compliance Fraud Regulatory Compliance Medicare 52

Verisys

FEBRUARY 3, 2025

Ensuring compliance with healthcare regulatory compliance standards is essential to maintaining operational efficiency and delivering quality care. As a healthcare provider, whether a physician, nurse, or specialist, obtaining medical licenses and completing the credentialing process are essential.

Malpractice 52

Malpractice Regulatory Compliance Licensing Compliance 52

Verisys

NOVEMBER 30, 2022

Maintaining compliance and safeguarding against fraud and abuse in today’s changing healthcare landscape can be challenging. organizations that receive any funds from Medicare, Medicaid, TRICARE, or other federal programs cannot afford to employ individuals or entities excluded from even one program. 38 Medicaid Sanctions.

Medicare 52

Medicare Medicare Regulatory Compliance Medicaid 52

Provider Trust

OCTOBER 29, 2024

About ProviderTrust ProviderTrust was founded in 2010 with a mission to create safer healthcare for everyone through OIG and state Medicaid exclusion monitoring. With a team of 100+ employees, our Nashville-based company has consistently been recognized as one of the Best Places to Work by Modern Healthcare, Inc.

Regulatory Compliance 52

Regulatory Compliance Licensing Medicaid Medicaid 52

Provider Trust

OCTOBER 14, 2024

Ntracts’ contract lifecycle management (CLM) solution empowers healthcare organizations to mitigate risk, maintain compliance, and increase contracting efficiencies. million annually  on administrative activities related to regulatory compliance and even more in fines if they experience a violation.

Compliance 52

Compliance Licensing Regulatory Compliance Medicaid 52

MedTrainer

NOVEMBER 20, 2023

Its departments, like the Office of Compliance, diligently uphold ethical standards, integrity, and regulatory compliance. Ensuring adherence to licensing requirements, the Florida Agency for Health Care Administration oversees Medicaid, coordinating essential healthcare access to vulnerable populations.

Compliance 52

Compliance Licensing Regulatory Compliance Medicaid 52

Verisys

OCTOBER 23, 2023

Here is our monthly regulatory update. A big thanks to our compliance team, who monitors state, federal, and international updates. Alabama : License renewals for pharmacy technicians, pharmacy interns, and facilities are open as of 9/15/2023. See below for changes from several states introducing legislation.

Licensing 52

Licensing Nurses Compliance Medicaid 52

MedTrainer

AUGUST 5, 2024

Proper privileging documentation is also critical to meet the standards of regulatory bodies such as the Centers for Medicare and Medicaid Services ( CMS ) and the National Committee for Quality Assurance ( NCQA ). Provider Document Uploads: Providers can upload all documents, licenses, and more through a secure link.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

Verisys

FEBRUARY 14, 2024

Healthcare compliance is a critical component in the operation of healthcare organizations, encompassing a broad range of activities designed to ensure adherence to applicable laws, regulations, and ethical standards. For instance, within the realm of healthcare compliance, HIPAA compliance plays a pivotal role.

Governance 52

Governance Compliance Regulatory Compliance Compliance Framework 52

Health Care Law Brief

JANUARY 19, 2022

In an approval memo, Governor Hochul described the New York legislation as the most comprehensive regulatory framework in the country for PBMs. The new law requires PBMs to register with the State Department of Financial Services (DFS) by April 1, 2022 and thereafter to be licensed by January 1, 2023. Disclosure requirements.

Prescription Drug Pricing 52

Prescription Drug Pricing Licensing Compliance Medicaid 52

Health Care Law Brief

JUNE 2, 2022

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. Does the state apply different standards, for example, to Medicaid encounters?

Public Health 52

Public Health Compliance COVID-19 Licensing 52

MedTrainer

MARCH 28, 2024

Healthcare Compliance Complexities The first healthcare compliance programs began in the early 20th century as a response to concerns about the quality of care provided by medical practitioners. Licensing and credentialing were introduced to regulate healthcare professionals and ensure minimum standards of care.

Compliance 52

Compliance Compliance Officers Licensing Regulatory Compliance 52

MedTrainer

AUGUST 2, 2023

The organization conducts a thorough review of their application and collects supporting documents, such as transcripts, licenses, and letters of recommendation. Primary source verification is done by contacting educational institutions, licensing boards, and other relevant authorities.

Malpractice 52

Malpractice Due Diligence Compliance Licensing 52

Health Care Law Brief

FEBRUARY 6, 2023

The bill states that “physician practices are subject to far less oversight than [other facilities]” but that they “remain unregulated by the state outside of the licensure of the individual practitioners who practice at these sites and Medicaid enrollment.”

Patient Satisfaction 52

Patient Satisfaction Licensing Health Insurance Medicaid 52

Verisys

FEBRUARY 8, 2024

– The best resource for monthly healthcare regulatory compliance updates. Upon moving to another compact state, a nurse holding a compact license must apply for a new license in their new primary state of residence within 60 days of relocating. If the license is not renewed, it will expire on 8/2/2024.

Regulatory Compliance 52

Regulatory Compliance Compliance Licensing Nurses 52

HIT Consultant

DECEMBER 6, 2022

Telemental health providers were not immune to this activity in 2022, and providers should prioritize regulatory compliance as the industry looks ahead to 2023. “As For example, some states’ Medicaid programs now provide coverage for certain services supplied through audio-only modalities.

Compliance 98

Compliance COVID-19 Medicaid Medicaid 98