Category: Press Release

Typhoon Data is Certified by the NCQA

Typhoon Data, a healthcare data solution provider, announced today it has received certification from the National Committee for Quality Assurance (NCQA), a private, non-profit organization dedicated to improving healthcare quality, for the following credentials verifications services;

License to Practice
DEA Registration
Medical Board Sanctions
Ongoing Monitoring
Medicaid/Medicare Sanctions

This credential verifies Typhoon Data’s use of industry best practices and demonstrates its commitment to quality improvement, increased performance measures, and better compliance data. Typhoon Data was built from the ground up applying knowledge gained from years of industry experience to provide the most effective and accurate solution available. Verification services designed to comply with NCQA credentialing standards demonstrates that Typhoon Data has the systems, process and personnel in place to thoroughly and accurately verify providers’ credentials and help health plan clients meet their accreditation goals.

Recognizing the critical nature of the services they provide, Typhoon Data determined that obtaining certification was a key business strategy. Typhoon Data was built with the customer in mind, and offers integration or turnkey solutions, customization, exclusion data, and verification services. Typhoon Data has revolutionized the method for continuously monitoring compliance data. Typhoon Data is positioned to move the industry forward through innovation and by leveraging technology.

As a bootstrapped startup Typhoon Data has worked to establish sound policies and procedures, and to become an expert in credentialing and compliance. The management and operations teams have created systems that ensure complete, accurate, and timely data gathering and verification. Certification includes rigorous on-site evaluations conducted by a team of health care professionals and certified credentialing specialists. A national oversight committee of physicians analyzes the team’s finding and determines certification based on the CVO’s compliance with NCQA standards.

About Typhoon Data

Typhoon Data is transforming the data industry through automation and partnerships. We make it possible to search for license, exclusion, and board action data in a more efficient and cost effective way. Because our processes are based in the future, we have the ability to offer better products than our competitors at a fraction of the price and in a standardized way that brings new meaning to Compliance Monitoring.

We efficiently handle monthly batching or quarterly reviews, we are constantly monitoring, making it possible for you to truly get the complete picture on your health care staff.

About the National Committee for Quality Assurance (NCQA)

NCQA is a private, non-profit organization dedicated to improving healthcare quality. NCQA accredits and certifies a wide range of healthcare organizations. It also recognizes clinicians and practices in key areas of performance. NCQA’s Web site (http://www.ncqa.org) contains information to help consumers, employers and others make more informed health care choices.

For the original version on PRWeb visit: http://www.prweb.com/releases/2017/01/prweb13989788.htm

Risk: It’s All About Time!

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Medical Provider data with regards to Medicare and Medicaid exclusions can be tricky from a timing perspective. Even though the Office of Inspector General (OIG) with the List of Excluded Individuals and Entities (LEIE) were created to attack the ever changing problem of Medicare Fraud, it can often be a trailing indicator. There are rules of inclusion that require the OIG to follow a process that often takes time. Once a name or entity is entered into the data set, it is only a matter of checking the names against the dataset either through the government website, downloading the data or using a Consumer Reporting Agency (CRA) or similar service.

The OIG is focused on this issue and does a good job to keep the data up to date as possible and it is a large effort indeed considering the estimate of Medical licensed professions is just under 12 million according to the most recent estimates.

But what about the risk of those organizations that hires or does business with individuals or entities who have been convicted of a crime or state boards who have taken action but the license is unaffected or the OIG has not issued an exclusion? What is the time factor of when the offender or subject shows up on the LEIE list? Or are the various State Medicaid lists timelier? Not all states have Medicaid sanctions lists but the number has grown to 37 states with the recent addition of Iowa and Georgia this year.

Let’s take for example the case of CNA Kenisha Abeene. Her name showed up on the Nevada List of Sanctioned Excluded Providers in early 2014. Her name did not appear on OIG until January of the following year.

As a matter of process, TyphoonDATA pulls press releases from various Law Enforcement sites, both state and federal to gauge how fast the issues get across the spectrum of reporting entities which include Federal sources like OIG, DEA Disbarment, SAM.gov and state exclusion sites like https://dch.georgia.gov/georgia-oig-exclusions-list. Also the issues might initially surface in Licensing repositories like Department of Professional Licensing or DOPL (pronounced “Dop-Pull”) or specific board sites. Unfortunately, the states are not uniform in the approach to posting and size does matter with regards to provider type licenses. There are more Doctors and Nurses in this country so often those boards have daily updates.

For example, in the case of Physician Cyrus Sajadi, Dr. Sajadi was charged in 2012 and his name was all over the DOJ and other news sites. But, there was no action granted until 2015. Meaning his license stayed clear and without action for three years, making it possible for him to practice when he was known to have committed fraud. Leaving any organization that hadn’t known of his fraud opens them up to potential risk. For three years, his name did not pop up on the OIG or any state exclusion site. Knowing as much about your employees or potential employees as possible will cut away at your exposure to fraud or potential fines.

Moving from state to state also presents challenges. Doing a Social Security (SSN) trace often reveals multiple states the subject has lived, worked or studied. Name changes, especially in marital status, are also a driving issue. The exclusion is a post that is current at the time of posting and personal identifying information or Pii is needed to capture the action or exclusion. Often the board action is “thin file” or lacking identifiers so Sherlock Holmes will be needed to crack the case.

And last but not least this is not a one and done issue. Continuous monitoring not periodic batching is recommended. The on-going update process of data should be at a minimum monthly and some sites (Medi–CAL) have some provider types where daily updates are done.

Here are examples of delayed reporting:

INDIVIDUAL

PROVIDER TYPE

DATE OF BOARD ACTION

DATE OF APPEARANCE IN THE OIG LEIE

H, AMBER DAWN

Pharmacy Technician

10/25/2013

1/20/2015

B, BENJAMIN

CNA

12/22/2014

5/20/2015

P, THOMAS A

Pharmacy Technician

11/22/2013

1/20/2015

A, DAVID

LPN

5/15/2006

8/20/2006

A, KENISHA

CNA

3/27/2014

1/20/2015

 

TyphoonDATA Releases Powerful Capabilities to Assure Exclusion and License Monitoring Exceed Compliance Requirements

TyphoonDATA continues implementing its rapid automation and delivery model for exclusion and licensure source data search, monitoring, and verification for the healthcare and long term care markets.

Orem, Utah (PRWEB) May 15, 2014

TyphoonDATA’s discussions with health providers’ leadership and compliance organizations offered a consistent set of requirements from the onset. Dan Decker, Chief Operating Officer shares, “The market was clear in what they wanted and were not finding: access to comprehensive and expanding core and optional search and monitoring source data; comfort knowing these data are current, accurately presented, and complete; optimized verification processes from reductions in false positives, saving time, money, and worry; and predictable and cost-effective pricing.”

TyphoonDATA is fulfilling on these requirements and more. Questin Francis, Chief Technology Officer, continues, “We are not constrained by prior investments in technologies, and as such, are able to automate a significant number of processes that are done manually elsewhere.”TyphoonDATA’s data acquisition, normalization, and presentation is highly scalable. It optimizes consistency and quality, supports rapid acquisition and launch of additional data sources, and provides a platform for continuous expansion of services at greater speed and accuracy while containing costs.

“While exclusion and license monitoring is not unique, the way TyphoonDATA delivers is,” offers Kim Kerr, Chief Executive Officer. “We continue to expand the highest quality, most comprehensive background and compliance data sources and tools available through collaborative client relationships and continued improvements in automation and delivery. In doing so, TyphoonDATA provides ongoing monitoring more economically, more frequently, more completely, and more accurately than other options.”

Introducing TyphoonDATA, the Powerful New Alternative for Exclusion and Licensing Data Products

TyphoonDATA announced today that it has launched its innovative products and services for the healthcare and long term care markets.

Orem, UT (PRWEB) April 18, 2014

Founded by executives with decades of experience in screening and compliance, TyphoonData applies the latest technologies to improve timeliness and effectiveness in these healthcare processes. Kim Kerr, CEO states, “We found in conversations with industry leaders that a void existed that we knew we could fill. By working closely with the market and most importantly our customers, and through unmatched application of today’s most current technologies and processes, we provide the most accurate, timely, and cost effective alternative that far exceeds the typical expectations that are commonly found in the marketplace.”

TyphoonDATA collects comprehensive data sets and applies compliance, investigation, and due diligence best practices. The initial focus matches customer-supplied data against federal and state exclusions/sanctions sources to improve compliance results and license verification and monitoring. “We foster an environment of continuous process improvement in cooperation and collaboration with our customers,” adds Dan Decker, COO. “We have already identified and are planning a long pipeline of other data and underserved customer requirements that we intend on providing.”

“We pride ourselves in effective application of technology and services that exceed customer requirements and improve the industry,” adds Questin Francis, CTO. TyphoonDATA also provides an Applicant Tracking Systems (ATS) which can be used for candidate onboarding, enrollment, volunteer screening, tenant screening, pre-employment screening, and medical credentialing tracking.