Resources
Intel Central
Your destination for insights and information about healthcare compliance, credentialing, and provider data management. Our leadership wrote the book on provider and network management.
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 experience, and other qualifications that confirm their status. The CVO acquires documents from the primary source such as state licensing boards, educational institutions, and exclusion lists and does not accept self-reported data for these requirements....
Merger
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What happened?
To continue to better serve our customers with turn-key provider screening, verifications, credentialing, and continuous monitoring, Verisys entered into an agreement to be acquired by the large private equity firm Stone Point Capital and to be combined with Aperture Health.
The resulting technology and services organization is a leader in comprehensive Provider Data Management (PDM) and Governance, Risk, and Compliance (GRC).
Why are Verisys and Aperture combining?
Which products and services are included?
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Will your products and services change?
Who leads the combined company?
What will the company be called?
Where can I go for more information?
Effectively Managing F and OPPE
FPPE and OPPE are evaluation processes that gauge a healthcare provider’s competence and ongoing performance. Learn the steps to integrate and streamline.
Work History for Credentialing
Discover the two types of work history data included in an application for employment in healthcare and how to use subjective and objective data to inform hiring decisions.
Credentialing Checklist
The credentialing checklist gives solid checks and balances for provider data management from credentialing to ongoing monitoring and recommended documentation practice.
Data Insights for Healthcare Compliance
Every organization lives by business rules that are designed to reduce risk by remaining in compliance with the regulatory requirements that govern health care. When in compliance with Federal and each state’s regulations as well as standards of an organization in which you hold certification or accreditation, there is the feeling of wellbeing from checking all the boxes of compliance. However, to stay ahead of the curve of fraud schemes, patient abuse, as well as a security risk, it behooves an organization to leverage an additional layer of data that may not be required by regulations and standards, but that will lend a deeper view and create a culture of complete transparency throughout an organization and its affiliates.Fraud Accounts for 10% of Healthcare Spending
An estimated 10% of healthcare spend is on fraudulent claims. Be part of the solution by thorough exclusion screening and continuous monitoring.
Active vs. Passive Data Acquisition
Verisys actively pulls data continuously for FACIS. The NPDB relies on providers and administrators at healthcare organizations to report adverse actions data which can delay access to important information.
Gatekeeping Prevents Fraud
Using FACIS data for exclusion screening and continuous monitoring helps create and sustain a fully compliant provider population ensuring your patients are safe.Origin and Drivers of Telehealth
by John P. Benson
In addition to being able to enhance a patient’s treatment options by creating remote access to primary and allied health practitioners with a wide variety of specialties and sub-specialties, telehealth provides efficiencies around scale, throughput, and distribution—all of which can drive down cost and improve long-term outcomes.
Navigating Telemedicine
by John P. Benson
This rapidly expanding platform of healthcare introduces complexities that could
implode the hospital administrative system because of the exponential growth of not only the practice of telehealth care, but also the use of locum tenens. As the use of telehealth care evolves, scalability and security will be the prevailing considerations .
The Diverse Faces of Telemedicine Delivery and Reimbursement
by John P. BensonBecause state and federal rules are ambiguous and convoluted, navigating the ever-changing telemedicine landscape can be a recipe for risk and lost revenue. Between the federal government, individual states, and private payers, the sheer volume of reimbursement rules applied by payers is mindboggling.
Credentialing Duplication Worksheet
See where duplication is within your organization. Consolidate data sources and streamline provider data management, credentialing, and ongoing monitoring.Verisys Data Sets At-A-Glance
See the data sets that Verisys pulls from on a continuous basis that makes up the 320-million record database available through a comprehensive platform, or through single or batch searches. Data is historical and current.Gold Standard Data for Exclusions
FACIS is the number one trusted data platform and nationally used database for screening and monitoring against healthcare exclusions, debarments, disciplinary actions, and sanctions.HOSPITALS
Hospitals have many moving parts that create exposure to breeches in compliance. Verisys offers the data and SaaS tools to mitigate fines, loss of life and reputational damage.
RETAIL PHARMACIES
Verisys has designed a set of tools specifically for the unique challenges facing pharmacy retail chains on an enterprise level. It takes an integrated, efficient approach to mitigating risk from an operational perspective.