BESLER Consulting, a leading provider of comprehensive revenue recovery and compliance services to healthcare organizations, is pleased to announce that Bay Area Hospital of Coos Bay, Oregon has selected BESLER’s BVerified – Screening and Verification solution to address the Centers for Medicare and Medicaid Services (CMS) sanctions screening requirements.
Under federal regulations, Medicare will not reimburse providers and other healthcare organizations for services rendered by individuals and organizations that have been excluded from federal healthcare programs due to fraud and abuse convictions. When a provider discovers that one of its employees or vendors is found on the list of excluded parties, it is obligated to report this to CMS. CMS reserves the right to recover payments made to the provider that are directly or indirectly related to that employee or vendor.
While CMS instructs hospitals to screen their employees and vendors against the HHS OIG’s list of excluded individuals “routinely,” industry best practices dictate that providers screen all employees, vendors and caregivers on a monthly basis. BESLER’s BVerified – Screening and Verification solution makes this potentially tedious and daunting task straightforward. Going beyond CMS requirements, the BVerified tool also includes all available state Medicaid exclusion databases, additional federal exclusion lists and accessible state licensing databases. The software addresses the many difficulties that can be part of an effective sanctions screening solution, including name misspellings, hyphenated names and recurring false positive matches.
“We’re happy that Bay Area Hospital has chosen BELSER to help them address this important issue,” stated Jonathan Besler, BESLER’s President and Chief Executive Officer. “We think our software is the most comprehensive sanctions screening solution available today. By including all available lists and databases in the tool for a single price, we try to make using our solution an easy decision for providers.”
About Bay Area Hospital
As the Medical Center for Oregon’s South Coast, Bay Area Hospital offers a comprehensive range of diagnostic and therapeutic services. The hospital’s inpatient and outpatient services include medical, surgical, behavioral health, pediatric, critical care, home health, outpatient psychiatric, oncology, obstetrical, and other specialties. For more information, visit http://www.bayareahospital.org
About BESLER Consulting
For over 25 years, BESLER has helped hospitals recover otherwise lost revenue, increase reimbursement, ensure compliance, improve efficiency and reduce costs. BESLER’s deep domain experience in revenue cycle, reimbursement, compliance and unmatched software solutions has resulted in more than one billion dollars of additional revenue for our clients. For more information, visit https://www.besler.com.
(SM) BVerified is a service mark of Besler & Co., Inc. d/b/a BESLER Consulting