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The Power of Work Teams

Part 5 of 6 – Tips from Craig’s Verification Tips on Staffing for The Art and Science of Verifications Distributed Leadership Provides Mentoring and Motivation If your verification department has more than 10 people, you should consider using work teams of 5 to 6 people each for these reasons: 1. Competition between teams makes the…

Measure a Trainee’s Progress

Part 4 of 6 – Tips from Craig’s Verification Tips on Staffing for The Art and Science of Verifications. As a sailor, knowing my position on a chart tells me where I am on the vast ocean. Being a trainee in a new job is similar: am I where I am supposed to be and…

Training your Verification Staff

Part 3 of 6 – Tips from Craig’s Verification Tips on Staffing for The Art and Science of Verifications. After talking with many CRAs over the years, I have found that training new verification staff often falls to the most senior verification staff and consists of “showing them the ropes.” This is not scalable and…

National Health Care Fraud Takedown Results in Charges against 301 Individuals for Approximately $900 Million in False Billing

Most Defendants Charged and Largest Alleged Loss Amount in Strike Force History Attorney General Loretta E. Lynch and Department of Health and Human Services (HHS) Secretary Sylvia Mathews Burwell announced today an unprecedented nationwide sweep led by the Medicare Fraud Strike Force in 36 federal districts, resulting in criminal and civil charges against 301 individuals,…

Qualifying and Training Staff Makes your Verification Department Effective

Part 2 of 6 – Tips from Craig’s Verification Tips on Staffing for The Art and Science of Verifications. Not every candidate has the attributes of a verifier. Understanding the traits of top performers will provide a framework for qualifying individuals as you build your verification team. Here, the wisdom is, a little research goes…

Chad Fritz Joins Verisys as Chief Technology Officer

Verisys Corporation, a data and technology company specializing in health care data aggregation and verifications is pleased to announce the appointment of Chad Fritz as the Chief Technology Officer. During his 18 year career, Mr. Fritz has solved a variety of challenging business problems through the creative use of new technology. His leadership, clarity and…

“Begin with the End in Mind” — Recruiting, qualifying, hiring and training your verifications staff.

  Part 1 of 6 — Tips from Craig’s Verification Tips on Staffing for the The Art and Science of Verifications Recruiting and Qualifying Staff Makes your Verification Department Effective A Holistic Approach to Managing I take a holistic approach to managing a verification department and rely on the wisdom of the old axiom, “Begin…

Verisys NCQA Certification Renewal

Verisys Corporation has received full renewal, 10 out of 10 certifications as a Credentials Verification Organization (CVO), by the National Committee for Quality Assurance (NCQA), the health care industry’s recognized quality assurance organization. The list of 10 verification services include; Medical Board Sanctions, Medicaid/Medicare Sanctions, Ongoing Monitoring, License to Practice, Malpractice Claims History, DEA Registration,…

Valuing Verifications — Why Commoditizing Verifications Poses Grave Risk

by Craig Caddell I have watched the retail pricing of verifications and other screening services race to the bottom. Margins in our industry range from thin to non-existent. Some very high-volume screening firms have moved production to wherever the lowest cost of labor can be found (India, the Philippines, Mexico, etc.). In the process, these…

Health Care Spending Factors for 2016

In a report by PWC, three factors are expected to decrease health care spending and two factors are expected to increase spending in the health care sector.   The three factors that are expected to decrease spending are, the Affordable Health Care’s “Cadillac Tax”, Virtual Care and New Health Advisers.   “Cadillac Tax” Set to…