An Indiana appellate court (the “Court”) reversed a trial court’s dismissal, finding that the Heath Insurance and Portability Act (HeHIPAA) can form the basis of a duty of care for a negligence-based suit.
The plaintiff, Amanda Henry, originally filed suit against defendant Community...
Credentialing Resource Center Journal - Volume 28, Issue 12
Succeeding as a medical staff services manager/director requires more than just knowing the ins and outs of credentialing, privileging, and medical staff bylaws. You must also know how to be a leader, deal with stressful situations, manage your staff, manage your time, and delegate work tasks....
Credentialing Resource Center Journal - Volume 28, Issue 12
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
...
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?”
