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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…

Kyle Neeley Employee Spotlight

This is Kyle Neeley.  Kyle is Verisys’ Senior Operations Resource Manager and has been with the company for almost nine years. Kyle has the incredible ability to see the potential in her team members and does all that she can to ensure each individual on the Operations Team is happy in their current role and…

How to Be Removed from the OIG Exclusion List

Federal payments for health care services account for 28% of all health care spending in the United States. Payments from Medicare, Medicaid, TRICARE, and other federal sources are a significant source of funds for nearly every health care organization and provider. The List of Excluded Individuals/Entities is maintained by the Department of Health and Human…

What Does it Mean to be Sanctioned by Medicaid?

An important part of doing business with the federal government is understanding that all health care organizations, as well as any provider or entity that receives payments from the federal government, must comply with rigorous screenings and credentialing to ensure that any claims submitted for payment do not get processed for entities or individuals who…

Anastasia Shashenkov Employee Spotlight

This is Anastasia Shashenkov and she’s a Verisys Content Team Coordinator. Anastasia works closely with the Content Team and the Team Leads regarding the processes they follow in acquiring data on health care providers. She also performs audits on our data and the publications we pull from, as well as content related client audits. Anastasia…