The Superior Court of New Jersey, Appellate Division (the “Court”) recently affirmed a trial court’s finding that a hospital was not only within its rights to, but was required to report a physician’s resignation while she was under review to the New Jersey Board of Medical...
Credentialing Resource Center Journal - Volume 27, Issue 2
All hospitals have some kind of peer review system in place, yet physicians and support staff often receive little training on how to conduct peer review well. Conducting peer review fairly and efficiently requires critical steps be taken by peer review coordinators, physician reviewers, the...
Credentialing Resource Center Journal - Volume 27, Issue 2
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...
