Telehealth

TELECOMPLIANCE

Keep up with the growing use of telehealth by using data-driven SaaS platforms and cloud search portals that streamline credentialing and multi-state license verification so only compliant, competent providers treat patients on their devices.

ONE-STOP COMPLIANCE FOR
REMOTE HEALTHCARE

More providers mean more patients receiving care. This also means more administrative activity for health systems to verify licensure nationwide, plus credential, enroll and monitor a larger provider base.

Telehealth requires that physicians are licensed in all states of practice. Verisys helps health systems broaden patient access to quality care with its comprehensive credentialing and monitoring solutions for turnkey provider data management.

Here’s how:

  • Primary source data: Continuous access to Verisys’ proprietary database, FACIS in addition to its aggregated database of millions of records from thousands of primary sources.
  • Automated alerts and dashboard views: Alert schedules for expirations of licenses, registrations, and certifications. Learn of adverse actions and sanctions in real-time.
  • Centralized storage: All provider credentials system-wide in one, secure cloud platform, CheckMedic. The MedPass is the digital profile view of each provider and updates automatically in sync with CheckMedic.
  • License verification: Full historical and current license activity and status nationwide with Verisys’ service offering, Verified License Search and Status (VLSS).

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

Data Challenges that Health Plans and Providers Must Navigate

Data Challenges that Health Plans and Providers Must Navigate

By: Scott Alsup, Senior Vice President of Operations at Verisys How to Maintain Compliance and Data Integrity Despite Disruptions in the Healthcare Environment Care coordination systems revolve around the processes and people that affect a patient’s quality of care. Well-designed care coordination can increase patient retention anywhere from 25 to 95 percent. However, the challenge of getting response rates, information completed, and getting providers into a network in an unprecedented amount of time (10 days or less) can be a daunting task. In order...

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What is the Difference Between Payer Enrollment and Credentialing?

What is the Difference Between Payer Enrollment and Credentialing?

Among healthcare practitioners, there is sometimes confusion between the concepts of “payer enrollment” and “medical credentialing.” The process of payer enrollment and credentials verification is intricate, and it becomes more so with each passing year. It’s important for your business to understand the difference and find a way to navigate the intricacies. Find a CVO Partner First off, your organization should consider finding a partner in this process. Without the proper verification services, small practitioners – and large ones too – lose money...

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What Is Physician Credentialing?

What Is Physician Credentialing?

In healthcare, physician credentialing is the process of organizing and verifying the professional records that qualify a doctor to practice medicine. This includes their board certifications, hospital admitting privileges, education, malpractice insurance, professional references, work history, and more. It’s a vital safeguard for patient safety and risk management. Organizations must obtain primary source verification of the practitioner’s education, training, certificates, and licensure and maintain a file on each provider. When a doctor applies for...

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The Credentialing and Privileging Process

The Credentialing and Privileging Process

Healthcare organizations are legally responsible for assuring that individuals providing patient care are credentialed, verified, and competent to do so. In order to guarantee compliance and quality patient care, the Centers for Medicare and Medicaid Services (CMS), National Committee for Quality Assurance (NCQA), and Health and Human Services (HHS) require that members of the medical and allied health staff are properly credentialed and privileged. How does a physician become credentialed? Credentialing and privileging are both necessary before a...

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