Locum tenens is Latin for placeholder. A locum tenens physician takes the place of a provider when they are absent — a substitute. In the early 1970s, a federal grant was awarded...
Verisys Blog
How the No Surprises Act Will Affect Provider Directory Search
Starting January 1, 2022, group health plans and insurers that provide benefits for emergency services may not impose any administrative requirement or limitation on benefits for...
Defining Roles of the Credentialing Process
In this blog, Hugh Greeley identifies the four distinct parties and the primary activities of each party’s role involved in credentialing a new applicant for medical staff...
Federal and State Level Exclusion Lists to Monitor
Navigating Exclusion Lists for Healthcare Compliance Healthcare institutions must monitor countless lists to stay in compliance; it’s a complex web of regulation. Some lists that...
The EPLS to SAM.gov Transition and What It Means for Healthcare Providers
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,...
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...
