BESLER Consulting, a leading provider of comprehensive revenue recovery and compliance services to healthcare organizations, is pleased to announce that Denver Health of Denver, CO has selected BESLER’s BVerified (SM) – 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 Denver Health 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 Denver Health
Denver Health is the Rocky Mountain Region’s Level I academic trauma center, and the safety net hospital for the Denver area. The Denver Health system, which integrates acute and emergency care with public and community health, includes the Rocky Mountain Regional Trauma Center, Denver’s 911 emergency medical response system, Denver Health Paramedic Division, eight family health centers, 15 school-based clinics, the Rocky Mountain Poison and Drug Center, NurseLine, Denver CARES, Denver Public Health, the Denver Health Foundation and the Rocky Mountain Center for Medical Response to Terrorism, Mass Casualties and Epidemics.
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.
BVerifiedsm is a service mark of Besler & Co., Inc. d/b/a BESLER Consulting