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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 applies to Standard MS.13.01.01 for telemedicine service providers. Under the revised guidelines, the distant site telemedicine entity must be accredited with either The Joint Commission or enrolled in the Medicare program. Before this revision, both the originating site hospital and the distant site…

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 unfairly high costs passed onto patients. Healthcare fraud can also have severe consequences and penalties for practitioners and healthcare organizations. Investigation of these crimes is a high priority for the FBI, and specific…

HOW TO VERIFY A PROVIDER’S APPLICATION

Charting a Course of Action When Applicant Attestation Conflicts with FACIS® or NPDB Data When hiring a physician, a fairly common issue is discrepancies on applications regarding legal claims. Standard applications inquire whether the applicant has had “any claims, suits or settlements” and many applicants will say no. However, thanks to medical credentialing data resources…

COVID Vaccine FAQs: Will We Need the COVID Vaccine Annually Like the Flu Shot?

As COVID-19 vaccines are administered, many hope that once the virus is less threatening, life will return to normal. Potentially one or more strains of the virus may stay with us for the next few years and the COVID vaccine could become an annual ritual rather than a one-time event. According to Johnson and Johnson…

EARTH DAY 2021

Happy Earth Day from Verisys Corporation! Despite the many differences that exist around the world among its many inhabitants, there is one thing we all have in common…this earth is our home. Each of us has a responsibility to take care of our planet and to find ways to improve its conditions for future generations….

New Drug Testing Laws in 2021

For nurses, physicians, and healthcare technicians, pre-employment drug testing could be a matter of life and death. Unfortunately, there may be more drug abuse among healthcare providers than expected. According to the Psychiatric Clinics of North America, 10 to 15 percent of physicians in the U.S. have a substance abuse issue. Increased stress from COVID-19…

MEDICAL CREDENTIALING – FROM THE MEDICINE MAN TO TELEMEDICINE

A Brief History of the Evolution of Medical Credentialing In this blog, Hugh Greeley offers a brief summary of medical credentialing throughout history spanning from 1800 BC to the late 1990s to today. Credentialing evolved from early practitioners who relied primarily on reputation, word of mouth, and personal attestation; to the use of documents such…

Credentialing, OPPE, and FPPE for Advanced Nurse Practitioners (APN) and Physician Assistants (PA)

What Is the Difference Between OPPE and FPPE?  The Joint Commission (TJC) is responsible for accrediting healthcare organizations and programs. The evaluations created by TJC provide benchmarks to evaluate the quality of care and assure patient safety. According to TJC, the Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE) are required for…

Vishing Cyberattacks Compromising Provider Credential Information

When scammers attack, they don’t just target private individuals – they also strike businesses, including the healthcare industry, to obtain information they can use for criminal activity. As a healthcare organization, you have a responsibility to protect the private healthcare information of your patients and providers. Understanding vishing and its risk to your organization can…

3-YEAR MEDICAL SCHOOL PROS AND CONS

Length of Medical Education is Less Important Than the Relevance of the Current Education Model Hugh Greeley addresses the topic of medical school in this blog. Four topics are covered: Weighing the pros and cons of three-year medical school programs Addressing the primary care practitioner shortage Examining the current education model Encouraging experimentation in education…