The Pennsylvania Superior Court (the “Court”) affirmed a trial court’s decision, finding that a credentials committee is considered a review organization, not a review committee, and therefore, certain peer review documents may not be protected under peer review privilege.
Credentialing Resource Center Journal - Volume 29, Issue 4
The National Committee for Quality Assurance (NCQA) has created a new must-pass element for credentialing for 2020 that requires organizations to have policies and procedures describing their credentialing system controls. The new must-pass element falls under its Health Plan standard, “CR 1,...
Credentialing Resource Center Journal - Volume 29, Issue 3
Plus, nurses and physicians voted most ethical professionals, physician defrauds insurers to finance political pursuits, and physician lets unlicensed colleague treat patients in his clinics. Find out what’s happening in the world of federal healthcare regulations by reviewing some recent...
Credentialing Resource Center Journal - Volume 29, Issue 3
Although sometimes used interchangeably, temporary, emergency, and disaster privileges are different. Let’s take a look at how and when to use each type of privilege.
Credentialing Resource Center Journal - Volume 29, Issue 3
A South Carolina Court of Appeals (the “Court”) affirmed a trial court’s decision, finding that a hospital does not have a duty to ensure that a hospital physician maintains malpractice insurance coverage, regardless of the language in an admission contract and/or a special relationship forming...
Credentialing Resource Center Journal - Volume 29, Issue 3
The 2010s are officially over. However, it’s worth a peek back into the last decade at the top trends and changes over the last 10 years for MSPs. We saw changes to what’s expected of MSPs among their healthcare colleagues, the rise of employed physicians, and new technologies that presented...
Credentialing Resource Center Journal - Volume 29, Issue 2
A privilege dispute among practitioners can be overwhelming, to say the least. In these situations, it is up to medical staff leaders and medical staff professionals (MSP) to remain calm, review processes and policies, and not jump to any quick solutions just to settle the dispute.
Credentialing Resource Center Journal - Volume 29, Issue 2
Physicians request leaves of absence for both personal and business reasons, such as overseas military assignments, extended education, parental leave, and health issues. Generally, medical staff bylaws allow a medical staff member to obtain, for good cause, a voluntary leave of absence. Keep...
Credentialing Resource Center Journal - Volume 29, Issue 1
A New Jersey Court of Appeals (the “Court”) affirmed a trial court’s decision, finding that unnecessary patient transfers may constitute an “imminent risk,” which can serve as grounds for the suspension and/or revocation of a physician’s privileges.
The plaintiffs, Robert Patel, MD, and...
Credentialing Resource Center Journal - Volume 29, Issue 1
As APPs increasingly specialize in areas of practice, medical staff services departments (MSSD) must evolve their privileging practices to ensure that APPs are only granted privileges for the procedures they are competent to perform.
