Organizations should identify proactively how they will address low- or no-volume practitioners both at initial appointment and reappointment to ensure that as organizations they are extending privileges only to individuals who can demonstrate current clinical competence.
Provider enrollment is critical to your organization’s revenue cycle as it ensures providers are paid for the care they provide. This makes provider enrollment professionals (PEP) a vital part of an organization, but they can often be undervalued and overlooked.
Credentialing Resource Center Journal - Volume 32, Issue 7
The Massachusetts Appeals Court (the “Court”) upheld a ruling in favor of a hospital against a physician whom it reported to the National Practitioner Data Bank (NPDB).
The plaintiff in the case, Bharanidharan Padmanabhan, MD, brought several claims...
The provider enrollment process helps ensure that organizations are reimbursed for the care their practitioners provide patients. While it’s easy to focus on the main streams of revenue, provider enrollment professionals must be careful not to overlook the smaller streams that can easily escape...
This week, Hawaii became the 38th state to join the Interstate Medical Licensure Compact (IMLC). Supported by the Federation of State Medical Boards, the IMLC launched in 2017 as a way to make it easier for physicians to practice in multiple states.
According to its...
Credentialing Resource Center Journal - Volume 32, Issue 6
