The task of managing a team while ensuring patients receive optimal care remains a crucial challenge for MSPs. Sara Collins, MHA, CPCS, CPMSM, AVP of professional medical affairs at Lifepoint Health and an accomplished healthcare executive, caught up with CRCJ to share vital insights in this...
Credentialing Resource Center Journal - Volume 32, Issue 5
A CVO’s primary responsibility is to process provider applications for facility privileges (both initial appointments and reappointments) and occasionally for delegated health plans. This article covers several important factors that may come into play. No two applications are alike...
Credentialing Resource Center Journal - Volume 32, Issue 5
The United States Court of Appeals for the Sixth Circuit (the “Court”) affirmed a district court’s dismissal of a physician’s claim of age discrimination against the health system in which he was employed. The Court found that the physician was unable to show that the health system’...
Credentialing Resource Center Journal - Volume 32, Issue 5
Artificial intelligence (AI) and machine learning (ML) present opportunities in the credentialing and enrollment processes within the healthcare industry. Specifically, AI and ML can be used to automate and enhance various aspects of these processes.
Credentialing Resource Center Journal - Volume 32, Issue 4
The District Court for the Southern District of New York (the “Court”) granted a university health system’s motion for summary judgment against a physician’s discrimination claim, finding it had a legitimate, nondiscriminatory reason for removing the physician from his role as program director:...
Credentialing Resource Center Journal - Volume 32, Issue 4
When talking about burnout in healthcare, most of the recent focus has been on clinicians. However, what about those who support the work of clinicians? CRCJ recently caught up with Dawn Anderson, CPCS, CPMSM, director of credentialing, privileging, and licensing at Ob...
Credentialing Resource Center Journal - Volume 32, Issue 4
The Accreditation Commission for Health Care (ACHC) is now allowing its accredited entities to reappoint practitioners every 36 months. Previously, ACHC required organizations to reappoint practitioners every 24 months.
“Customers had requested flexibility with this aspect,” says ...
Credentialing Resource Center Journal - Volume 32, Issue 3
The District Court for the Southern District of New York (the “Court”) granted summary judgment in favor of a health system against a physician’s claim of religious discrimination for not hiring him. The Court found that a reasonable jury could not ultimately find that the physician would have...