What is the Excluded Parties List System (EPLS)? The Excluded Parties List System (EPLS) is a list of people, vendors, and suppliers prohibited from receiving federal assistance,...
Verisys Blog
A Tool for Practical Compliance: The HCCA – OIG Compliance Resource Guide
The result of a Compliance Effectiveness Roundtable held January 17, 2017 in Washington DC is the, “Measuring Compliance Program Effectiveness – A Resource Guide”...
How to Earn a CVO Certification
CVO credentialing refers to the use of a Credentials Verification Organization to perform medical credentialing on behalf of a healthcare practice or organization. The CVO...
Exclusion Monitoring Challenges
Building an effective healthcare compliance program that meets legal, ethical, and professional standards requires developing effective processes, policies, and procedures. The...
Ongoing Monitoring of Providers and Staff Reduces Risk of Exclusion
CONTINUOUS COMPLIANCE = CONTINUOUS MONITORING What’s true today may not be true tomorrow. For the purposes of this article, continuous monitoring assures that those individuals...
Top Exclusion Reasons
Under section 1128 of the Social Security Act, the Office of Inspector General (OIG) has the authority to exclude certain individuals from federal healthcare programs like...
Recent Provider Fraud Lawsuits
Although laws and regulations impose strict compliance requirements for healthcare entities, some providers still attempt to defraud patients, private insurance companies, and...
What Is SAM.gov?
The System for Award Management (SAM) is an official website of the U.S. government. Managed by the General Services Administration (GSA), SAM.gov is free for entities to:...
The Joint Commission’s Improved Accreditation Rules
The Joint Commission recently revised its rules for accreditation, specifically credentialing and privileging of telemedicine practitioners in hospitals. The latest rule change...
Top Healthcare Provider Fraud
The National Health Care Anti-Fraud Association (NHCAA) estimates between $100-$300 billion in healthcare fraud is committed in the United States annually; this often comes with...
