Retail Pharmacies

Reputation Shield

Put your customers first and assure staff compliance through exclusion screening, credentialing, and continuous monitoring. Your community relies on what’s behind your good name.

ASSURE CUSTOMER SAFETY

Verisys helps retail pharmacies stay compliant with a broad selection of turnkey solutions. VerisysConnect is the real-time self-serve portal that gives instant access to important primary source data sets including FACIS, the gold standard for exclusions, debarments, sanctions, and disciplinary actions. ProviderCheck is the transaction engine that verifies prescribers’ credentials and delivers a pass/fail score on five data points. CheckMedic is the comprehensive enterprise-wide provider data management SaaS platform.

Key benefits of proper screening, credentialing, and monitoring with Verisys:

  • Indicators of precursors to exclusion with alerts of debarments, sanctions, and disciplinary actions
  • Real-time exclusions notifications
  • Transactional dashboard for verifying prescriber credentials
  • Transparency to license history and status nationwide
  • Accurate, reliable science-based verifications of credentials
  • Enterprise-wide provider data management SaaS platform
  • Individual digital credential profiles for each provider with login access for ease of accessibility

Your customer service goes beyond friendly faces. Stand behind your good name with full and real-time transparency of the status of each member of your professional team.

There’s a lot under the Verisys hood

High standards:

Verisys is the only Credentials Verification Organization (CVO) that is National Committee for Quality Assurance (NCQA) certified for 11 out of 11 verification services, is Utilization Review Accreditation Commission (URAC) accredited, and is ISO 9001:2015 (quality management), ISO 27001:2013 (information security), and AICPA SOC 2 (customer data security) certified.

Data platform:

Verisys’ comprehensive data platform contains more than 320 million aggregated records derived from thousands of primary sources — and growing. Data collection began in 1992 with its Fraud Abuse Control Information System (FACIS). Verisys stores cumulative records that provide a unique, longitudinal view of exclusions, debarments, sanctions, and disciplinary actions.

Data matching science:

Verisys developed a proprietary matching logic using algorithms in combination with oversight by data analysts to collect, transform, and match each piece of data to the right provider/entity consistently with 99.9% accuracy. We stand behind our results 100% of the time.

Technology:

Our innovative technology stack transforms millions of records into intuitive, interoperable formats. This powerful solution simplifies workflow for turnkey compliance and a better bottom line.

Software:

Verisys designed and built the first data-powered Software as a Service (SaaS) credentialing platform, CheckMedic 20 years ago. Solutions innovation continued with real-time search and transaction engines, VerisysConnect, and ProviderCheck that instantly deliver accurate provider data when you need it. These unique, comprehensive solutions streamline provider data management, credentialing, privileging, and enrollment.

From the Verisys Blog

What is CVO Credentialing?

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 the healthcare organization can be reimbursed for services. Credentialing healthcare providers can include verification of their license, education, medical training, work...

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What Is a PTAN Number?

What Is a PTAN Number?

Because Medicare’s expansive system can be susceptible to fraud, it’s critical to identify and authenticate providers. Using a combination of PTAN and NPI numbers in their respective places helps healthcare organizations stay in compliance and protect Medicare from fraud and abuse as these organizations, providers, and patients rely on Medicare participation for their healthcare needs. To help you understand PTAN numbers, we’ve provided a guide to what a PTAN number means, how providers can locate their numbers, and how a PTAN number can be...

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Top Exclusion Reasons

Top Exclusion Reasons

Under section 1128 of the Social Security Act, the Office of Inspector General (OIG) has the authority to exclude certain individuals from federal healthcare programs like Medicare and Medicaid. In addition to not receiving reimbursement for services from Medicare and Medicaid, organizations that hire an individual from the List of Excluded Individuals/Entities (LEIE) – the list of excluded individuals maintained by OIG – may be subject to civil monetary penalties. Checking this list regularly is not only a federal requirement, it’s a best practice to...

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