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VERISYS’ JOHN BENSON AT NHCAA ANTI-FRAUD EXPO 2019

NHCAA (National Health Care Anti-Fraud Association) held their Anti-Fraud Expo this week in Nashville, TN. The NHCAA Institute for Health Care Fraud Prevention’s Annual Training Conference (ATC) is recognized as the single-most important health care anti-fraud event, spotlighting trends and emerging schemes. The ATC brings together the industry’s leaders every year to share information on…

CMS to Focus on State Medicaid Exclusion Lists for Greater Transparency in the Fight Against Health Care Fraud

CMS has numerous regulations and requirements in place to prevent individuals and entities from committing Medicare or Medicaid fraud. Verisys strictly adheres to those requirements and pulls in data from over 3,500 primary sources, including State Medicaid Exclusion Lists. “State hoppers” can be difficult to properly screen if organizations are not checking multiple data sources….

Let Verisys’ Expert Staff Check Your Provider Licenses for You in Q4

Can you believe it’s that time of the year again? Q4 is upon us and before we know it, we will be welcoming in the new year. Licenses for your providers need to be verified to ensure they are still in good standing. The end of the year also brings license renewals for many of…

The DEA is the “Single Unified Command” on Drug Law Enforcement

With the opioid crisis reaching catastrophic levels, regularly accessing the United States Drug Enforcement Administration (DEA) data is more important than ever. The DEA database is one of more than 5,000 primary source publishers that Verisys Corporation collects in its aggregated data platform of some 320 million records. Because of Verisys’ rich data volume of…

How the CMS Program Integrity Enhancements Affect You and Your Business

Program Integrity Enhancements to the CMS Provider Enrollment Process Effective November 4, 2019, the Centers for Medicare & Medicaid Services (CMS) Program Integrity Enhancements to the Provider Enrollment Process goes into effect. This means that CMS and state plans have the authority to deny or revoke a provider’s or supplier’s enrollment based on the affiliates…

OFAC’s Specially Designated Nationals and Blocked Persons List (SDN) for Health Care Screening and Monitoring Helps Enforce the U.S. Treasury’s Sanctions Programs

PROTECT YOUR PATIENTS AND ORGANIZATION FROM SPECIALLY DESIGNATED NATIONALS AND BLOCKED PERSONS The Office of Foreign Assets Control (OFAC) of the U.S. Department of the Treasury issues and enforces economic and trade sanctions according to U.S. national and foreign policy. OFAC plays an important part in sustaining our national security by targeting and acting against…

SAM OFFERS AN IMPORTANT VIEW FOR PROVIDER AND ENTITY TRANSPARENCY

While the Health and Human Services (HHS) Office of Inspector General, (OIG) manages the List of Excluded Individuals and Entities, (LEIE) The General Services Administration (GSA) administers the System for Award Management (SAM). Searching both of these data sets gives a broader view of the nature of an individual or entity in the screening and…

Verisys Joins Prasco and Boston Cares to Volunteer at an Elementary School in Conjunction with NACDS TSE

This past weekend as Verisys Team members gathered in Boston for NACDS Total Store Expo, they had the privilege of joining Prasco and Boston Cares for a day of service. Valerie Mondelli, Verisys CRO, and Lauren Howard, VP of Sales at Verisys, were among the many volunteers who took part in this worthwhile event. Patrick…

Verisys Exhibits at NACDS Total Store Expo in Boston

Verisys Corporation is excited to be exhibiting at the 2019 NACDS Total Store Expo held on August 24-26 at the Boston Convention and Exhibition Center. Stop by Booth #313 to join the Verisys team members in discussing risk exposure and the importance of full transparency of data to screen, verify and monitor individuals and entities at…

The OIG Exclusion List is the Keystone of Health Care Compliance

Established in 1976, the OIG was created to protect the sustainability of health care entitlement programs in order to serve program beneficiaries. The U.S. Department of Health & Human Services (HHS) began mandating exclusions in 1977 on behalf of the Medicare-Medicaid Anti-Fraud and Abuse Amendments, Public Law 95-142, now codified at section 1128 of the…