Peer references should be valuable tools in helping MSPs and credentialing committees uncover potential competency issues and assess whether the APP will be a good culture fit.
Credentialing Resource Center Journal - Volume 28, Issue 11
The researchers categorized articles and reports according to the six domains and whether they assessed cost of waste, savings from interventions that address waste, or both. They then translated costs and savings from included studies into national costs and savings and converted these values...
Credentialing Resource Center Journal - Volume 28, Issue 11
Following a fair and thorough investigation, the medical staff in your hospital has determined a physician has clinical performance issues and has recommended a limitation in clinical privileges. Per the medical staff bylaws, a fair hearing process commences. If the hearing/appeal processes do...
Credentialing Resource Center Journal - Volume 28, Issue 10
Sharing peer review information between healthcare organizations is essential to help medical staffs determine practitioners' competence and make informed privilege-granting decisions. However, medical staffs can find themselves facing legal challenges if the disclosure process is done
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Credentialing Resource Center Journal - Volume 28, Issue 10
Also, medical boards take action against physicians in Massachusetts and California, medical group receives $2.6 million in overpayments, and patient medical images exposed online across the globe. Find out what’s happening in the world of federal healthcare regulations by reviewing some recent...
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...
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 8
The United States Court of Appeals for the Fourth Appellate District of California (the “Court”) upheld a trial court’s denial of Riverside County’s (the “County”) special motion to strike the Respondents’ pleading, finding that the activity in question was not considered protected speech, and...
