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An In-Depth Look at The OIG Exclusion List

The OIG Exclusion List is the Foundation of Provider Screening The Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) oversee the reimbursement of health care providers who serve beneficiaries of federally funded programs. The Department of Health and Human Services Office of Inspector General (OIG) maintains and…

What Is the FDA Debarment List?

What Happens to Providers on the FDA Debarment List? The U.S. Food and Drug Administration maintains a list of persons and individuals who are debarred, meaning they are effectively forbidden from working in the drug industry. The FDA adds an individual to the FDA Debarment list when the person has been convicted of a crime…

What Is the Global Watch List?

Global Watch List: Manage Risk and Streamline Compliance While the globalization of health care offers tremendous possibilities for good, it also brings significant risk. Especially in the wake of a global pandemic, medical resources and health care providers themselves will be in short supply. During this critical time, manage risk and streamline compliance with Global…

Amy Andersen Employee Spotlight

This is Amy Andersen. Amy is the Vice President of Operations at Verisys. She’s responsible for overseeing the day to day operations of the business and ensuring delivery of Verisys products and services according to the service level agreements we have with our clients. Amy’s teams ensure the data and services we provide both meet and…

What is the OMIG State Exclusion Database?

The Office of the Medicaid Inspector General (OMIG) is a government entity that protects against Medicaid fraud. To keep governments, patients, and providers safe, OMIG keeps a database of providers and enrollees who have been accused of committing a crime related to health care services. OMIG adds practitioners to its list of Medicaid exclusions when…

What is FACIS? A Guide to the Fraud Abuse Control Information System

FACIS Level 1M Background Check A FACIS Level 1M background check is the recommended baseline and minimally required compliance search for candidates employed by organizations that receive any government funding for state or federal health care programs. FACIS Level 1M meets and exceeds the minimum standards set forth by the Office of Inspector General (OIG)…

What’s New with Credentialing During COVID-19 in 2020

What Verisys Clients and Health Care Organizations Need to Know about COVID-19 as it Relates to our Services March 12, 2020 The World Health Organization (WHO) officially declared COVID-19 a global pandemic. Although Verisys is not experiencing any direct impact, this communication is intended to inform you Verisys Corporation has triggered its business continuity procedures…

Phil Klingler Employee Spotlight

Say hello to Phil Klingler. Phil is a Verisys Software Engineer who works on our CheckMedic platform. He develops new features, works on performance enhancements for this online medical credentialing tool, troubleshoots issues, and helps architect future upgrades and enhancements to the tool. 20 years ago, Phil was stationed in San Diego with the Marine…

What Is Hospital Credentialing?

Hospital credentialing is the process of verifying that a provider is qualified to provide medical services. Although credentialing can be expensive and time-consuming, it is legally required and assures quality and safety for patients. Done properly, hospital credentialing also protects providers and hospitals. Although credentialing and privileging are sometimes used interchangeably, they are different processes….

Understanding NPI Numbers and Their Importance in Preventing Health Care Fraud

What is an NPI Number? The National Provider Identifier (NPI) is a standard that establishes a unique health identifier for health care providers and entities. An NPI is a unique identification number created to improve the efficiency and effectiveness of electronic transmission of health information. The NPI Final Rule, published on January 23, 2004, established…