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A 3-Step Guide to Understanding Health Care Fraud

Many Americans (including veterans and the elderly) rely on government-sponsored health care plans, but with increased health care spending, there is a higher risk of abuse of federal health care funds. In 2019, the DOJ reported recovering over $3 billion from just False Claims Act (FCA) cases; negligence or abuse of the government healthcare programs…

COVID-19 Modifications and Requirements for Provider Credentialing and Expanded Patient Care

There have been numerous Federal and State regulatory modifications and waivers enacted to ease the demands of provider credentialing during the COVID-19 pandemic and to allow for the care of greater numbers of patients. Telehealth services have been expanded by CMS to treat patients while minimizing the risk of exposure to the virus for both…

Danial Oberg Employee Spotlight

This is Danial Oberg and he’s a Sr DevOps Engineer at Verisys. Danial helps maintain and set up all of the servers and other infrastructure at Verisys. This includes maintaining DNS records, server packages, operating system upgrades, application upgrades, and security patches. He also does hardware maintenance, database maintenance, and programming. One of Danial’s most…

Onboarding Checklist for Physicians and Nurses

Hiring a new practitioner is a complex process for many health care entities. For a physician or nurse signing on as a new provider, adjusting to a new workplace can also be difficult. A clear onboarding process can make the transition easier for everyone. Although onboarding processes vary from one organization to another, every provider…

A Guide to Healthcare Sanctions and Screenings

Employing sanctioned providers and the CMP’s (Civil Monetary Penalties) that result from that can cost your organization millions of dollars and irreparably damage your reputation before you’ve even realized the error. Here’s why healthcare sanctions screenings are not only important but imperative. What Are Healthcare Sanctions and Screenings? A healthcare sanction is a disciplinary action…

Ernesto Banuelos Employee Spotlight

Say hello to Ernesto Banuelos. Ernesto (Ernie) is a Verisys Production Team Mentor. He works with all Verisys products: CheckMedic, full Medpasses, Individual Sanctions, VLS, License Verifications, ReferencePro, and Entities. Ernie trains new hires, conducts Peer Reviews, does QA for the team, and helps to answers any questions from members of the Production Team on…

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…