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“Begin with the End in Mind” — Recruiting, qualifying, hiring and training your verifications staff

Part 1 of 6 — Tips from Craig’s Verification Tips on Staffing for the Art and Science of Verifications Recruiting and Qualifying Staff Makes your Verification Department Effective A Holistic Approach to Managing I take a holistic approach to managing a verification department and rely on the wisdom of the old axiom, “Begin with the…

Verisys NCQA Certification Renewal

Verisys Corporation has received full renewal, 10 out of 10 certifications as a Credentials Verification Organization (CVO), by the National Committee for Quality Assurance (NCQA), the health care industry’s recognized quality assurance organization. The list of 10 verification services includes; Medical Board Sanctions, Medicaid/Medicare Sanctions, Ongoing Monitoring, License to Practice, Malpractice Claims History, DEA Registration,…

Valuing Verifications — Why Commoditizing Verifications Poses Grave Risk

I have watched the retail pricing of verifications and other screening services race to the bottom. Margins in our industry range from thin to non-existent. Some very high-volume screening firms have moved production to wherever the lowest cost of labor can be found (India, the Philippines, Mexico, etc.). In the process, these firms are undercutting…

Health Care Spending Factors for 2016

In a report by PWC, three factors are expected to decrease health care spending and two factors are expected to increase spending in the health care sector. The three factors that are expected to decrease spending are, the Affordable Health Care’s “Cadillac Tax”, Virtual Care and New Health Advisers. “Cadillac Tax” Set to come into…

Proctors, Their Role and Value

I have recently received a number of questions concerning “proctors,” their relationship to the medical staff, qualification, privileges and compensation. Before we delve into these questions, let’s take a look at just what “proctoring” means. According to most dictionaries, proctoring, to proctor and (the noun) proctor generally relate to “a person appointed to keep watch…