COMPLETE PROVIDER DATA, WORKFORCE DATA, AND RELATIONSHIP MANAGEMENT
COMPREHENSIVE SOLUTIONS FOR
HEALTHCARE MARKETS
HEALTH PLANS
Achieve compliance and strategic network management objectives with a streamlined, comprehensive approach to provider data management.
HOSPITALS AND HEALTH SYSTEMS
Simplify the credentialing and provider data management process and reduce the time from onboarding to revenue.
RETAIL PHARMACIES
Put your customers first and assure staff compliance through exclusion screening, credentialing, and continuous monitoring. Your community relies on you.
TELEHEALTH
Streamline credentialing and license verification so only competent providers treat patients with our data-driven SaaS platforms and cloud search portals.
STATE MEDICAID AGENCIES
Serve your community and improve access to quality providers by automating and streamlining credentialing and enrollment for a healthy and thriving population.
PHARMACEUTICAL COMPANIES
Protect your reputation and credibility with transparency on every individual and entity that contributes to your go-to-market products.
RESELLERS
Give your customers the best data, analytics, and user-friendly platforms for their background screening needs. We’ve made it our business to serve your business.
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FACIS is the gold standard of data for exclusions, debarments, sanctions, and disciplinary actions derived from thousands of primary sources covering all jurisdictions and taxonomies.
From the Verisys Blog
Data Challenges that Health Plans and Providers Must Navigate
By: Scott Alsup, Senior Vice President of Operations at Verisys How to Maintain Compliance and Data Integrity Despite Disruptions in the Healthcare Environment Care coordination systems revolve around the processes and people that affect a patient’s quality of care. Well-designed care coordination can increase patient retention anywhere from 25 to 95 percent. However, the challenge of getting response rates, information completed, and getting providers into a network in an unprecedented amount of time (10 days or less) can be a daunting task. In order to successfully respond at an accelerated rate, solid...
Is Your Medical Office Ready for a Medicare Audit?
Hospital administrators, physicians, and members of every healthcare office billing department know that if their practice or hospital provides services to Medicare patients, they must be prepared to potentially receive a request to be audited from the Medicare Parts C and D Oversight and Enforcement Group. The Centers for Medicare and Medicaid Services (CMS) is responsible for devising the audit strategy and enforcing it on a year-to-year basis. While this process may seem overwhelming, becoming familiar with the process will allow your organization to be prepared if an audit does occur. CMS provides documents...
What is the Difference Between Payer Enrollment and Credentialing?
Among healthcare practitioners, there is sometimes confusion between the concepts of “payer enrollment” and “medical credentialing.” The process of payer enrollment and credentials verification is intricate, and it becomes more so with each passing year. It’s important for your business to understand the difference and find a way to navigate the intricacies. Find a CVO Partner First off, your organization should consider finding a partner in this process. Without the proper verification services, small practitioners – and large ones too – lose money drowning in paperwork. This is where outsourcing to a...
What Is Physician Credentialing?
In healthcare, physician credentialing is the process of organizing and verifying the professional records that qualify a doctor to practice medicine. This includes their board certifications, hospital admitting privileges, education, malpractice insurance, professional references, work history, and more. It’s a vital safeguard for patient safety and risk management. Organizations must obtain primary source verification of the practitioner’s education, training, certificates, and licensure and maintain a file on each provider. When a doctor applies for admitting privileges in a hospital or medical practice,...
The Credentialing and Privileging Process
Healthcare organizations are legally responsible for assuring that individuals providing patient care are credentialed, verified, and competent to do so. In order to guarantee compliance and quality patient care, the Centers for Medicare and Medicaid Services (CMS), National Committee for Quality Assurance (NCQA), and Health and Human Services (HHS) require that members of the medical and allied health staff are properly credentialed and privileged. How does a physician become credentialed? Credentialing and privileging are both necessary before a physician is permitted to practice. The credentialing process...