LaShawna Brown, CPMSM, CPCS, credentialing manager at CommunityCare Managed Health Plans of Oklahoma in Tulsa, wasn’t sure if she could take the plunge. The management plunge, that is. A manager position was open at her healthcare facility. She was the likely choice. But she had doubts.
Credentialing Resource Center Journal - Volume 31, Issue 8
Due to a lack of clear guidance on the issue and the risk of disposing of something they may need to reference later, many medical staffs choose to keep every record that has ever made its way to the medical staff services department. But is this best practice?
Credentialing Resource Center Journal - Volume 31, Issue 8
A New York hospital being sued after one of its physicians was convicted of sexually assaulting several patients can’t use the state’s peer review privilege or the Health Insurance Portability and Accountability Act (HIPAA) to prevent one of the victims from discovering the identities of the...
Credentialing Resource Center Journal - Volume 31, Issue 8
Use the July 11 CMS memo reminding hospitals of their obligations under the federal Emergency Medical Treatment and Active Labor Act (EMTALA) as a good opportunity to review policies and to educate doctors, nurses, and other personnel on requirements for caring for emergent patients who are...
Credentialing Resource Center Journal - Volume 31, Issue 7
Keeping up with provider enrollment as an organization expands is one of the top challenges for an MSP, according to respondents of the Credentialing Resource Center's latest survey on the state of the industry. It’s also top of mind for Mathieu O. Gaulin, CPMSM, CPCS, director of health affairs...
Credentialing Resource Center Journal - Volume 31, Issue 7
It seems like a paradox: As credentialing becomes more complex, MSPs are asked to credential practitioners even faster. Yet this is the case in most hospitals and health systems across the country. So how can MSPs reduce the number of days to process a credentialing file (also known as...
Credentialing Resource Center Journal - Volume 31, Issue 7
The U.S. District Court of the Eastern District of Tennessee (the “Court”) recently dismissed a registered nurse’s claim against her employer that it violated her constitutional rights to procedural and substantive due process when it mandated that all healthcare employees be vaccinated against...
Credentialing Resource Center Journal - Volume 31, Issue 6
The United States District Court for the Western District of Missouri (the "Court") denied a hospital's motion for summary judgment, finding that there were factual disputes that needed to be resolved by a jury regarding the plaintiff's claim of disability discrimination. A request for summary...
