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...
Credentialing Resource Center Journal - Volume 32, Issue 3
Ambulatory surgery centers (ASC) accredited by the Accreditation Commission for Health Care (ACHC) are once again being reminded that they must have a completed credentials file for every practitioner at their organization.
According to the ACHC’s latest Quality Review Edition of its...
Credentialing Resource Center Journal - Volume 32, Issue 2
The Court of Appeal for the State of California (the “Court”) affirmed a superior court’s denial of a physician’s petition for relief from discipline he received from the university hospital where he practiced, after the hospital found he violated the Health Insurance Portability and...
Credentialing Resource Center Journal - Volume 32, Issue 2
Foreign national physicians and international medical graduates who are pursuing employment or seeking to become clinically active in the United States most often apply for an H-1B visa, which allows a foreign national to enter the U.S. for professional-level employment for up to six years. This...
Credentialing Resource Center Journal - Volume 32, Issue 2
MSPs can add value to their organizations by streamlining and unifying the credentialing and provider enrollment processes, leading to greater efficiencies and increased revenue, according to Lisa Velasco, MSM, LPTA, CPMSM, CPCS, director of professional services at The Hardenbergh Group in...
Credentialing Resource Center Journal - Volume 32, Issue 1
The Wisconsin Court of Appeals (the “Court”) reversed a circuit court order awarding summary judgment in favor of a surgery center against a patient’s claim of negligent credentialing for failing to investigate a physician history of misconduct and disciplinary actions.
Credentialing Resource Center Journal - Volume 32, Issue 1
The Joint Commission’s time frame for evaluating licensed practitioners’ ability to provide care, treatment, and services has been updated from two years to three years.
The new time frame is intended to better align with the standard practice of evaluating licensed practitioners every...
Credentialing Resource Center Journal - Volume 31, Issue 12
How does your medical staff team handle a situation in which a physician with documented red flags resigns during an investigation or prior to an investigation?