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...
Credentialing Resource Center Journal - Volume 32, Issue 3
As the credentialing coordinator of a residency program, my role is split between the clinical practice and the administrative office of the residency program. Although my primary role is to ensure the providers in the practice are credentialed to see patients, I also provide administrative...