A Massachusetts District Court (the “Court”) denied the motion to dismiss put forth by Massachusetts General Hospital (MGH), Massachusetts General Physicians Organization, and Partners Healthcare System (collectively, “Defendants”). Defendants based the motion on the plaintiff’s failure to state...
Credentialing Resource Center Journal - Volume 28, Issue 9
Plus, anesthesiologist billed $7 million for fraudulent telemedicine services, nurses in Tennessee fight for less physician oversight, and District Court in Oregon approves $74 million settlement after Premera Blue Cross breach. Find out what’s happening in the world of federal healthcare...
Credentialing Resource Center Journal - Volume 28, Issue 9
I had just completed my case presentation on provider master data management (MDM) at a conference for medical professionals. A well-suited executive came up to me and asked me, “Our mergers and acquisitions are moving at a rapid pace; the other teams can’t keep up. Can master data help?”
Credentialing Resource Center Journal - Volume 28, Issue 9
Accreditation organizations require medical staff services departments to perform ongoing professional practice evaluations to assess the competency of providers granted clinical privileges, including APPs, on a continual basis.The OPPE process relies on MSPs’ ability to collect clean data that...
Credentialing Resource Center Journal - Volume 28, Issue 9
Lengthy enrollment turnaround times with commercial payers can hurt an organization’s bottom line with delayed or lost revenue. Provider enrollment specialists have traditionally performed this function, but a growing contingent of MSPs are managing enrollment duties in addition to their...
Credentialing Resource Center Journal - Volume 28, Issue 9
A Massachusetts District Court (the “Court”) denied the motion to dismiss put forth by Massachusetts General Hospital (MGH), Massachusetts General Physicians Organization, and Partners Healthcare System (collectively, “Defendants”). Defendants based the motion on the plaintiff’s failure to state...