Showing Posts In "Healthcare Screening, Credentialing & Exclusion Screening" Category





Is Your Healthcare Background Screening Process Compliant? Follow this checklist to find out.

Are you confident your background check exceeds your standards? Use this Healthcare Background Screening Compliance Checklist to assess your process and see if there are gaps you need to address to ensure your organization is compliant. In this Compliance Checklist, you’ll learn how to: Review and monitor your current program Go beyond the background screening “basics” Expand your […]


DATA INSIGHTS FOR BEST PRACTICES PROVIDER CREDENTIALING

HEALTHCARE DATA INSIGHTS WHITEPAPER Returning to full compliance when the waivers are lifted will be a challenge as the COVID-19 Pandemic continues to keep hospitals busy. Turn to Verisys for turnkey compliance and deliver the best care to your patients by assuring the competence of your providers. Verisys’ medical license and certification verification service gives […]


How to Screen Your Non-Employed Provider Populations

All healthcare entities are responsible for verifying that contracted, referring, ordering and prescribing physicians are not excluded on a state or federal level from providing services or they could face penalties from the Office of the Inspector General (OIG) at Health and Human Services (HHS). It is important to regularly check the List of Excluded […]


New Jersey Provider Exclusion Screening

The List of Excluded Individuals and Entities (LEIE), which can be found on the website of the Office of the Inspector General (OIG), helps the federal government guard against fraud and abuse while keeping patients and healthcare entities safe. Those who bill the government for services provided by a medical professional on the LEIE not […]


Hospital Closures May Bring an End to Outdated Provider Credentialing Processes

Speed, accuracy, interoperability, and portability are some of the key elements of an effective credentialing strategy, but older systems make it hard to implement efficient technological solutions. Since May, the Becker’s Hospital Review has reported that 15 hospitals closed, with rural hospitals being the most vulnerable to reasons like competition for patients at acute care […]


What is a Medical Sanction?

The U.S. Department of Health & Human Services (HHS) Office of Inspector General (OIG) requires a healthcare sanction screening that is checked against the List of Excluded Individuals/Entities (LEIE) for individuals or entities who have participated in the following activities: Medicare and Medicaid fraud; patient abuse or neglect; felony convictions; financial fraud; and illegal manufacture, […]


What Healthcare Employers Need to Know About New Drug Testing Laws in 2020

The drug screening industry continues to change and with at least 33 states allowing medical use of marijuana and 11 of those states allowing recreational use, new laws can create complications within the healthcare field. The most common pre-employment screening identifies five substances, but many healthcare employers often use a more expansive 10-Panel Drug Screen. […]


CMS Preclusion List FAQs

The Centers for Medicare and Medicaid (CMS) Preclusion List is a record of providers and prescribers who are precluded from receiving payment for Medicare Advantage (MA) items and services or Part D drugs furnished or prescribed to Medicare beneficiaries. The List was found under a Federal Register Rules and Regulations update to be necessary to: […]


Why Comprehensive Sanctions Screenings are Important to Healthcare Organizations

With Health and Human Services (HHS) Office of Inspector General (OIG) standards becoming more stringent, it is becoming increasingly difficult to ensure effective and regular screening. Employing an individual who is included on the List of Excluded Individuals (LEIE) exclusion list can jeopardize a healthcare provider’s ability to continue federal programs, possibly accruing steep penalties […]


Credentialing Documentation Checklist to Avoid Negligence

According to Hugh Greeley, author of Hugh’s Credentialing Digest, defense costs for negligent credentialing litigation add up quickly and settlements to avoid a costly trial are common. Unfortunately, hospital executives and healthcare leaders often don’t take the time to focus on the internal workings of the organization’s credentialing program. When conducting a credentialing documentation audit, […]




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