Learn how to screen your non-employed provider populations (referring, ordering, prescribing physicians with NPI verification and ongoing sanction/exclusion monitoring.
Tag: Referring Physicians
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.
Recently, the state of New Jersey ramped up its enforcement efforts by sanctioning 31 physicians for allegedly over-prescribing painkillers. This is a trend that seems to put a dent in the proliferation of addiction to pain killers, and the epidemic of pain killer narcotic over-prescription.
Seems like a simple question. But the answer may surprise you. There are three things that are needed for a referral to be legitimate and to avoid potential civil fines, penalties and OIG exclusions. 1. Does the Physician have a current license without restrictions? 2. Is the Physician privileged or credentialed at the hospital? 3. Is the Physician excluded from participating in Medicare/Medicaid or other federal health care dollar reimbursed programs?