While sanctions lists are constantly evolving and expanding, compliance with Health and Human Services (HHS) Office of Inspector General (OIG) standards are also becoming more...
Verisys Blog
What a ZPIC Audit Means for Your Medical Practice
ZPIC audits may sound intimidating and for good reason. During a Zone Program Integrity Contractor (ZPIC) audit, auditors investigating fraud can request any documentation, make...
THE IMPORTANCE OF MEDICAL BOARD CERTIFICATION
Continuous Monitoring Assures High Standards for Medical Board Certification In this blog, Hugh Greeley discusses the qualifications of medical board certification. The nature of...
A Quick Guide to Medicare Advance Beneficiary Notices (ABN)
As most providers are aware, procedures must be followed in detail for Medicare reimbursement, and an ABN is an integral part of those procedures. An Advance Beneficiary Notice...
TIPS FOR VERIFICATION OF WORK HISTORY
KEYS TO UNDERSTANDING OBJECTIVE DATA; AND SUBJECTIVE DATA REQUIRING ASSESSMENT This blog is about the two types of work history data included in an application for employment in...
Credentialing Documentation Checklist to Avoid Negligence
Provider Credentialing with Good Documentation and Solid Bylaws Protects Against Litigation and Settlements. This blog outlines tips to avoid litigation around provider...
Vulnerabilities in Government Healthcare Programs
Medicare and Medicaid Management: A Guide to Protect Against Fraud In 1965, President Lyndon B. Johnson created the federally funded, health-related Medicare and Medicaid...
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 government database that lists people, vendors, and suppliers prohibited from...
What Is a Medical Sanction?
A medical sanction, also known as a healthcare sanction, is a disciplinary action levied against an individual or entity by a state licensing board. A sanction can severely...
A Guide to Healthcare Sanctions and Screenings
Employing sanctioned providers and the CMP’s (Civil Monetary Penalties) that result from that can cost your organization millions of dollars and irreparably damage your...
