One of the biggest challenges facing hospital medical staffs today is obtaining sufficient information to accurately document practitioner competency. It is easy to confirm that a practitioner held a medical staff appointment at a healthcare facility and whether he or she was subject to any...
Credentialing Resource Center Journal - Volume 27, Issue 1
21st Century Oncology Inc. of Fort Myers, Florida, which operates 179 cancer centers, has agreed to pay $26 million after admitting it knowingly submitted false attestations to CMS as part of the Medicare Electronic Health Records (EHR) Incentive Program. Under the program, physicians may...
Credentialing Resource Center Journal - Volume 27, Issue 1
The Kentucky Supreme Court (the “Court”) recently reversed a Court of Appeals ruling that would have allowed patients to sue hospitals for negligent credentialing of non-employee physicians who are given staff privileges. The Court’s decision strikes down negligent credentialing as a separate...
Credentialing Resource Center Journal - Volume 27, Issue 1
For MSPs looking to create a more robust and streamlined onboarding process, an understanding of what is involved in onboarding is the first step. And the process probably involves more pieces than MSPs realize.
For example,...
Credentialing Resource Center Journal - Volume 27, Issue 1
Telemedicine is becoming more prevalent than in years past as hospital administrators look to technology and collaborative opportunities to make services accessible to patients. As the leader of a central verification office within a large health system, I am often brought into discussions about...
Credentialing Resource Center Journal - Volume 27, Issue 1
Handling requests for information from law enforcement can throw staff for a loop. Most staff are aware of their organization’s policies and the basic Health Insurance Portability and Accountability Act (HIPAA) requirements for disclosing patient information to family members, friends, and other...
Credentialing Resource Center Journal - Volume 26, Issue 12
The Health Insurance Portability and Accountability Act (HIPAA) requires covered entities (CE) to protect and confidentially handle patients’ protected health information (PHI). MSPs, physicians, and their organizations must remain vigilant or risk violating HIPAA. Luckily, HIPAA is a fairly cut...
Credentialing Resource Center Journal - Volume 26, Issue 11
Finding that external peer review reports are not protected from disclosure by the state constitution, the Florida Supreme Court (the “Court”) reversed the decision of the Second District Court of Appeal of Florida regarding a case of a patient suing a hospital for medical negligence, including...
Credentialing Resource Center Journal - Volume 26, Issue 12
I started working with doctors as a college student. During the summers, the company-owned hospital where my mom worked paid me pretty well to work in the outpatient reception area, preparing medical records for patient appointments and then filing them. This small but creditable hospital only...
