Princeton, NJ (PRWEB) November 22, 2013
BESLER Consulting, a leading provider of comprehensive revenue recovery and compliance services to healthcare organizations, is pleased to announce that Lahey Health, a comprehensive health system that includes a tertiary teaching hospital and medical center, community hospitals, outpatient centers, community physician practices, a network of senior care and home care services, and comprehensive community based behavioral health services, serving north eastern Massachusetts and southern New Hampshire, 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 pleased that Lahey Health has chosen our sanctions screening solution,” stated Jonathan Besler, BESLER’s President and Chief Executive Officer. “We believe our tool’s features and support, combined with our flat pricing model and comprehensive data set, make it an attractive option for providers.”
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 http://www.besler.com.
About Lahey Health
Lahey Health provides a full continuum of integrated health services throughout eastern Massachusetts and southern New Hampshire, comprising nationally recognized, award-winning hospitals, including an academic hospital and medical center, and community hospitals, primary care providers, specialist physicians, behavioral health services, post-acute programs, such as home health services, skilled nursing and rehabilitation facilities, and senior care resources. Together, we are making innovative, integrated healthcare more personal and more accessible. For more information, visit LaheyHealth.org and its member websites Lahey Hospital & Medical Center, Beverly Hospital, Lahey Health Senior Care and Lahey Health Behavioral Services.
SM BVerified is a service mark of Besler & Co., Inc. d/b/a BESLER Consulting
Lahey Health is a registered service mark. 2013