With physician employment on the rise, advanced practice professionals (APP) gaining clinical and political ground, and the trend toward team-based care shaping peer review, today’s medical staffs are more diverse and...
Credentialing Resource Center Journal - Volume 26, Issue 2
The Appellate Court of Illinois for the First District (the “Court”) affirmed a circuit court’s judgment that documents produced by Loyola University Medical Center’s Medical Care Evaluation and Analysis Committee (MCEAC), which conducts peer reviews of hospital deaths to reduce morbidity and...
Credentialing Resource Center Journal - Volume 26, Issue 1
Affirming a judgment by the Third Circuit Court of Appeals, the Supreme Court of Louisiana (the “Court”) concluded that claims of negligent credentialing did not fall under the purview of the Louisiana Medical Malpractice Act (LMMA) and consequently were not subject to its statutory damages cap...
Credentialing Resource Center Journal - Volume 25, Issue 12
Although CMS has now substantially limited the ability of a hospital to establish provider-based (PB) locations, they have been extremely popular over the past few years because they allow a hospital to bill for services as if they were provided at the main hospital building (i.e., each service...
Credentialing Resource Center Journal - Volume 25, Issue 11
The Office for Civil Rights (OCR) stepped up HIPAA enforcement in a big way this year. The agency handed down more than $5 million in HIPAA settlement fines in one week in March, and in July reached a HIPAA violation settlement with Advocate Health Care in Illinois that carried a $5.55 million...
A job application is the first look an employer gets at a potential employee. Along with providing the essential information an employer needs to know, it may also provide some subtle--yet valuable--insight into whether that candidate is a good fit for the organization. The same is true for...
Credentialing Resource Center Journal - Volume 25, Issue 10
References to red flags are rife in the medical staff arena. Loss of licensure, significant malpractice activity, poor clinical references, and their ilk are targets of considerable scrutiny during the credentialing process. But what about the subtler inconsistencies and deviations that can...
Credentialing Resource Center Journal - Volume 25, Issue 9
On July 25, the public comment period closed on the U.S. Department of Veterans Affairs' (VA) proposal to grant full practice authority to advanced practice registered nurses (APRN). The regulation, which would allow APRNs to independently assess, diagnose, prescribe medications, and interpret...
