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...
Verisys Blog
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...
What is the OMIG State Exclusion Database?
The Office of the Medicaid Inspector General (OMIG) is a government entity that protects against Medicaid fraud. To keep governments, patients, and providers safe, OMIG keeps a...
What Does it Mean to be Sanctioned by Medicaid?
An important part of doing business with the federal government is understanding that all health care organizations, as well as any provider or entity that receives payments from...
Screening State Medicaid Exclusion Databases
Improper payments from the federal government to fraudulent providers is big business. In 2019, the estimated number of improper payments by Medicaid totaled $57.36 billion. The...
