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Who Are Locum Tenens Providers and What Do They Do?

Locum tenens is Latin for ‘place holder.’ A locum tenens physician takes the place of a provider when they are absent — a substitute. In the early 1970s, a federal grant was awarded to the University of Utah for the purpose of providing physician staffing services to rural health clinics in medically underserved areas of…

The Importance of NCQA Certification for CVOs

Verifying credentials for practitioners and affiliated organizations is a key component of patient safety in health care. A CVO (credential verification organization) with the proper procedures, processes, and data in place to do a thorough, efficient, and accurate credentialing of a provider population doesn’t happen by accident. It takes months and years of careful review,…

What Is the OIG Exclusion List?

Since 1977, the federal government has provided a list of providers who are excluded from receiving payments from the federal government for committing certain violations. In its current form, this database is known as the List of Excluded Individuals/Entities (LEIE) and is managed by the Office of the Inspector General (OIG) at Health and Human…

Protecting and Serving Vulnerable Health Care Populations

While much is said about the monetary cost of fraud in health care, the danger to patients is more than just financial. Between 2012 and 2015, 1.2 million Medicare beneficiaries were defrauded by health care providers, and many were from vulnerable populations. In 1966, more than three-fourths of Americans had great confidence in medical leaders;…

The U.S. Department of Justice Governs the Health Care Fraud and Abuse Control Program

FOUNDING FATHERS FOR JUSTICE The early formulation of the Department of Justice started with the Judiciary Act of 1789 signed into law by President George Washington. The U.S. Department of Justice (DOJ) was created by an act led by the Attorney General and passed by Congress in 1870 to handle federal law enforcement, criminal and…

Verisys Discusses Full Transparency of Data on Providers and Entities at the HFMA Annual Conference

The HFMA Annual Conference focuses on improving the business of health care while giving you the tools you need to lead change and deliver on the promise of transformation. With three days of strategy-focused general sessions and over 50 best-practice breakout sessions, this conference draws more than 2,500 healthcare leaders from across the nation. This…

Part 3: Compliance by the Data – Closing the Data Gaps

Why thorough screening, verification, and continuous monitoring against gold-standard data are the cornerstones to risk reduction Creating and sustaining compliance according to the three areas of focus covered in part one of this series and keeping up with the growing numbers entering the health care arena and associated risk gaps covered in part two, requires…

Louisiana Department of Health Selects Verisys to Manage Provider Credentialing and Enrollment

The Louisiana Department of Health and Verisys Corporation join forces to fulfill a shared commitment to ensure Louisiana Medicaid recipients receive care from fully credentialed and enrolled providers. Verisys Corporation, a Credentials Verification Organization (CVO), is pleased to announce its selection by the Louisiana Department of Health (LDH) Bureau of Health Services Financing to deliver…

Why Organizations Use Verisys’ FACIS With Monitoring to Protect Their Patients Against the Opioid Crisis

No one is a stranger to the opioid epidemic sweeping the country. With the latest breaking news stories this week about the opioid bust in the Appalachian region, it is no surprise that organizations are seeking transparency within their provider and entity populations to protect their patients and reduce risk. “If you use the proper…

Full Transparency of Data on Entities & Individuals at CBI’s 16th Annual Pharmaceutical Compliance Congress

Verisys team members will shed light on risk exposure and discuss the importance of full transparency of data to screen, verify and monitor individuals and entities at this year’s conference. They will break down and cover a number of functional areas including procurement (vendor management), distribution (pharmacy and hospital compliance), speaker programs, clinical trial compliance…