February 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Here is a round up of bad actors: Physician Fraud...
Resources
The Importance of Primary Source Verification for Practitioner Credentials
If there’s one thing healthcare organizations can count on, it’s changing regulations. Although credentialing and recredentialing standards were temporarily changed due to COVID, many regulations are returning to the former protocol. That’s why it’s important to...
The Importance of NCQA Certification for CVOs
The Importance of NCQA Certification for CVOs Verifying credentials for practitioners and affiliated organizations is a key component of patient safety in healthcare. To perform thorough, efficient, and accurate credentialing, a credentials verification organization...
Eight Common Physician Credentialing Mistakes
If you find credentialing uninspiring, consider this cautionary tale. In a frequently cited negligent credentialing case, an Illinois jury awarded the plaintiff nearly $8 million dollars when the patient’s foot had to be amputated due to damage caused by the operating...
Is Your Medical Credentialing Taking Too Long?
The Importance of Thorough Credentialing The credentialing process for hospitals and health systems prioritizes in-depth research and meticulous accuracy, which means that it is not a speedy process, often taking from 90 to 120 days to complete. However, verifying a...
Everything You Need To Know About NPI Numbers
What Are NPI Numbers? NPI (National Provider Identifier) numbers are 10-digit numerical identifiers that uniquely identify individual providers or healthcare entities. Providers, employers, health plans, and payers use these numbers for billing purposes. CMS.gov The...
Healthcare Fraud Crackdown: Multi-Million Dollar Settlements & Compliance Solutions | Verisys
Healthcare Fraud Crackdown! Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Here is a round up of bad actors: Entity Fraud Cardiac imaging company and founder to pay historic $85M settlement Full Story Genomic Health...
Everything You Need To Know About OFAC+ Compliance
Everything You Need To Know About OFAC+ Compliance The U.S. Department of the Treasury's Office of Foreign Assets Control (OFAC) enforces economic and trade sanctions to protect against foreign countries and regimes, terrorists, international narcotics traffickers,...
How FACIS Impacts Life Science Organizations
FACIS & Life Science Sanction screening & monitoring is a vital part of a compliance program for life science organizations. Whether you are running clinical trials, bringing new products to market, helping to distribute products, or selling directly to...
Understanding FACIS Match Category Results
FACIS® is a comprehensive database that has been delivering high-quality data to the healthcare industry for over 30 years. It provides a 360-degree view of providers, employees, and entities, making it the most trusted and reliable dataset for provider sanctions,...
Travel Nurse Credentialing: What you need to know about the complex process
With the recent nursing shortages, traveling nurses help fill critical roles in organizations to help ensure that patient care is not affected. However, nursing shortages may require expedited credentialing, which can put your healthcare institution at risk. In...
