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The ProviderTrust Blog

Your source for healthcare compliance news, advice from industry experts, and all things related to OIG exclusions.

OIG, License Verification, Compliance Plan

You Can't Afford Not to Monitor Healthcare Licenses and Sanctions

Posted by Michael Rosen, ESQ on Thu, Aug 10, 2017

“An ounce of prevention is worth a pound of cure.” At least that is what Benjamin Franklin said a century ago. He is right, and that was insightful - even before his face would appear on U.S. currency. Little did he know how many “Benjamins” it would cost a healthcare company in fines for non-compliance with licenses.

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Industry News, Healthcare Compliance, License Verification

Are Physician Licenses Going Interstate?

Posted by Michael Rosen, ESQ on Tue, May 16, 2017

Nursing Boards have been proactive in making it easier for nurses to have a license in one state that is accepted in another state. The Nurse Licensure Compact allows for Nurses to have one multistate license, with the ability to practice both in their home state and other compact states. To date, there are 25 states that have enacted legislation accepting the Compact effect in their state.  

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Industry News, Health and Work, License Verification, healthcare

Nurse Practitioners: Practicing Their Rights

Posted by Michael Rosen, ESQ on Tue, May 09, 2017

Since it's National Nurses Week, we took a look at some obscure stories of how license verification can be a complicated process and stumbled upon this example from Alabama. A group of Alabama nurse practitioners sued the Alabama Nursing Board after the Board disciplined them due to some paperwork snafus.

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OIG Exclusion List, Healthcare Compliance, OIG, CMS, Self Disclosure, Sanction Screening, License Verification

More Scrutiny to Sell Weed in Colorado than to Get a Medical License

Posted by Michael Rosen, ESQ on Tue, Jul 12, 2016

Colarado high takes on a new meaning. When you compare the requirements to become a licensed medical marijuana dealer in Colorado to that of the scrutiny conducted by the Colorado Board of Nursing, you would be surprised which is harder to get. The Colorado Dept. of Revenue, Enforcement Division, will actually conduct a background check on an applicant for medical marijuana dealer, and the Colorado Nursing Board will not.

According to a recent article in the Denver Post, it is one of six states that do not require a background check in order to get a nurse license.  

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License Verification

Unlicensed Care: It's Healthcare License Fraud and a False Claim

Posted by Michael Rosen, ESQ on Tue, May 31, 2016

How important is it that a medical professional has a current, or for that matter, just a license?  Sounds like a rhetorical question doesn't it?  Well, it's also a legal question. 

In order to provide medical care, one must be trained and educated, at a minimum.  In certain cases, they must also be licensed and/or have a certification.  

Let's focus on physicians.

Each state has a Medical Board and associated regulations surrounding the requirements to obtain and maintain a medical physician's license.  In Ohio, the state law requires a medical practitioner who performs certain medical services to be licensed in Ohio.  

A recent Department of Justice case found several Ohio men to be liable for submitting false claims and for fraud when practicing medicine without a license in Ohio.  Cecil Alexander Kent, Jr., pled guilty to one count of conspiracy to commit healthcare license fraud, two counts of healthcare fraud and five counts of making false statements relating to healthcare matters. Kent admitted in court while he was employed at B&M Visiting Doctors PLC., and while he was unlicensed in Ohio, he treated patients and falsified related patient records, including medical documents. He falsified prescriptions for controlled substances he wrote using the name and U.S. Drug Enforcement Administration number of a licensed physician.  

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