Medical Credentialing Companies Help With Continuous Monitoring of Licenses & Practitioner Credential Verification to Proactively Combat Healthcare Fraud
Fernando Mendez, out of Texas, has been charged with defrauding Medicaid. He practiced as a physician assistant at CCI Therapy Counseling Centers International and his license was suspended. Despite his suspended medical license, Mendez persisted in providing care to patients at multiple mental health clinics while billing Medicaid for his services. Mendez was confronted with seven healthcare fraud charges, carrying a potential sentence of up to 10 years in federal prison. Read more about the case here.
This legal action underlines the pressing requirement for healthcare organizations to maintain current awareness of shifts in license statuses rather than merely confirming them as they approach expiration. This necessitates the regular verification of practitioner credentials.
If you limit your license checks to pre-employment, annual, or near-expiry assessments, you may overlook crucial updates, potentially jeopardizing patient safety and enabling healthcare fraud in numerous instances. This is why physician credentialing companies and medical credentialing companies like MPR are so helpful!
When you choose Medical Provider Resources, we’ll take the stress and hassle out of:
- Provider source credentialing
- Provider enrollment and verification services
- Ensuring that medical licenses are always current
- Insurance enrollment management
- Medical insurance credentialing
- Client enrollment services
- Physician insurance credentialing
- Medical background checks for medical professionals
- Healthcare provider credentialing
