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Worksheet to see where the credentialing duplication is within your organization.
The provider credentialing checklist by Hugh Greeley gives solid checks and balances from a provider credentialing documentation standpoint. Dot all the i’s and cross all the t’s. However, good documentation is only valuable when it is recording actions that follow bylaws based on best practice credentialing that exceed the minimum compliance requirements, and first and foremost, put the patient first.
This e-book is about the two types of work history data that are included in an application for employment in health care. Objective data doesn’t require evaluation or assessment. It either is included with the application, or it is not. If any one of the required objective data is missing or in the case of an exclusion, the application process is simply terminated. The type of data requiring assessment is subjective in nature and in the case of work history, is sometimes selectively edited by the applicant. Relying on attestation alone can leave a health care organization exposed to liability, loss of reputation, fines and civil monetary penalties. Adding additional data sets to screen and monitor against will fill those data gaps. If a provider omits a stint at a hospital where he was fired for sexual abuse, checking that provider’s name against a national abuse registry may reveal the information that was intentionally withheld. Any subjective data hiring and cause for dismissal decisions are best backed by the rules, regulations, and bylaws of the organization.
Learn about the five critical gaps in health care screening, verification, and monitoring for credentialing and how to close these gaps to protect your organization.
Addressing the regulatory and enforcement developments that affected health care providers during 2016.
Hugh Greeley outlines the guiding principles for credentialing systems.
Hugh Greeley outlines the guiding principles for credentialing systems.
The difference between FACIS® and the NPDB in how they gather data.
The differences between FACIS ® and the NPDB in regards to sources and actions.
Understand the data gaps and data assurance between FACIS® and the NPDB.
An estimated 10% of healthcare spend is on fraudulent claims.
"Fear of regulatory factors should not influence widespread implementation of telemedicine..."
Read this article published in the April 2019 edition of Compliance Today magazine by John P Benson. Compliance Today magazine is published by the Health Care Compliance Association (HCCA) and is the foremost organization leading the health care compliance industry.
"Regulatory and market-driven factors affecting the implementation of telemedicine."
By Lauren Howard
Verisys is named a top 10 compliance solution provider in 2018 by Pharma Tech Outlook.
By John P. Benson
Because state and federal rules are ambiguous and convoluted, navigating the ever-changing telemedicine landscape can be a recipe for risk, lost revenue, and fines.
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.
