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Edgar Lucas Employee Spotlight

This is Edgar Lucas and he’s a Production Team Mentor at Verisys. Edgar helps train the new hires in production, answers any questions the production processors may have, does quality control checks on the team’s work, assists with special projects, and helps with the credentialing and license verifications that come to the team. Edgar has…


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….

Olga Beltran Employee Spotlight

This is Olga Beltran and she’s a Verisys Customer Service Team Lead. Olga trains and mentors the new customer service team members. Her goal is to ensure that all callers have their questions and concerns addressed and that it’s a great experience every time. She loves what she does! Olga also loves watching movies, specifically…

Devin Etcitty Employee Spotlight

This is Devin Etcitty and he’s a Verisys Content Team Lead. Devin ensures that the data captured by the Content Department and entered into our system by processors is accurate. He also helps investigate any issues with the data that Verisys captures. Devin studied applied math, modern dance and ballet in college and has a…

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…

Christy Roach Employee Spotlight

This is Christy Roach and she’s the Senior Solutions Consultant at Verisys. Christy works alongside our customer-facing teams to help our clients understand our product and platform capabilities. She also outlines workflows and configuration options prior to implementing our solutions for our customers. Did you know that only 2% of the world’s population has naturally…

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…