Introduction For most health care organizations, their primary purpose is to provide high quality patient care to support the best outcomes possible. The qualifications and expertise of an organization’s medic...
MANAGING THROUGH AN EXCLUSION BY THE OIG
AN OVERVIEW of THE OIG’S LIST OF EXCLUDED INDIVIDUALS AND ENTITIES Since 1977, the federal government has maintained a list of individuals and entities that are excluded from participation in any federal health care...
THE IMPORTANCE OF SANCTION SCREENING TO YOUR ORGANIZATION
What Is A Sanction Check Sanctions against medical personnel can create significant risk to a healthcare organization from financial, compliance and patient safety perspectives. Therefore, it is critical that organi...
NPI Numbers Enhancing the Exclusion Screening Process
Last month, the OIG released audit report findings regarding whether Medicare Part C health plans (also known as Medicare Advantage Organizations or MAOs) are fully utilizing National Provider Identifier numbers (N...
Fraud in the time of the Coronavirus Pandemic
Along with significant scientific and medical challenges, COVID-19 has also revealed significant fraud-related challenges. Some are novel and some are variations on age old schemes. This article addresses Coronavirus fra...
Understanding OFAC and the 50% Rule
What is OFAC? The U.S. Office of Foreign Asset Control (OFAC) is the department of the U.S. Treasury that is responsible for facilitating compliance with the U.S. foreign policy and national security agendas. OFAC&nbs...
Conducting Investigations and Responding to Government Inquiries: Considerations in the Age of Remote Workforces
Streamline Verify is proud to have had the privilege of working with the Journal of Regulatory Compliance at Loyola University Chicago School of Law to help galvanize research and resources for the publication of their u...
Nursing Licensure Verification & Credentialing
It goes without saying that nursing licensure verification is a benefit to all stakeholders in our healthcare ecosystem. Our licensing system allows patients to be satisfied that nursing professionals have the skil...
Streamline Verify Supporting the Battle Against COVID-19
In March 2020, the World Health Organization classified COVID-19 as a pandemic. The federal government declared a Public Health Emergency shortly thereafter. For the first time in a century, our country was in the grip o...