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What is CVO Credentialing?

CVO credentialing refers to the use of a Credentials Verification Organization to perform medical credentialing on behalf of a healthcare practice or organization. The CVO verifies a provider’s credentials by obtaining primary source verification of a provider’s qualifications on the organization’s behalf. Upon verification, a provider may then enroll in payers’ health plans so that…

Recent Provider Fraud Lawsuits

Although laws and regulations impose strict compliance requirements for healthcare entities, some providers still attempt to defraud patients, private insurance companies, and federal health plans. These recent lawsuits from the first months of 2021 demonstrate the importance of thorough credentialing in the hiring and retaining of healthcare providers and careful monitoring of national databases for…

What Is SAM.gov?

The System for Award Management (SAM) is an official website of the U.S. government. Managed by the General Services Administration (GSA), SAM.gov is free for entities to: Register to do business with the U.S. government Update or renew their entity registration Check the status of an entity registration Search for entity registration and exclusion records…

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…

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…

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…