Recently, CMS issued a final rule to revise and clarify certain outdated Conditions of Participation (CoP) and Conditions for Coverage for hospitals, critical access hospitals, and other providers. The final rule expands CMS' definition of the medical staff and addresses medical staff...
The Court of Appeals of Ohio in the Eighth Appellate District, County of Cuyahoga (the "Court"), affirmed the grant by a lower court of a patient's motion to compel production of an incident report prepared after the patient suffered injuries in a hospital. The Court ruled...
The U.S. Court of Appeals for the Tenth Circuit affirmed a district court's decision to award more than $700,000 in attorneys' fees to a hospital, following the dismissal of a lawsuit brought by a physician arising out of the suspension of his medical...
Credentialing Resource Center Journal - Volume 23, Issue 7
HCPro's Credentialing Resource Center is constantly adding to and updating its library of Clinical Privilege White Papers, which outline sample privileging criteria and background research for a wide range of medical specialty and subspecialty areas, procedures, and...
Trying to get MSPs excited about their role in managing and tracking expirables is like trying to make a trip to the dentist sound like it will be fun. Actually, a trip to the dentist might be more exciting.
Credentialing Resource Center Journal - Volume 23, Issue 6
According to the Agency for Healthcare Research and Quality's glossary, a Just Culture is defined as "a culture that recognizes that competent professionals make mistakes and acknowledges that even competent professionals will develop unhealthy norms (shortcuts or 'routine rule...
H.R. 3402, the "doc fix" legislation that President Barack Obama signed on April 1 to provide additional temporary Medicare Sustained Growth Rate funding--and avert a 24% pay cut for physicians--included a provision to postpone the deadline for ICD-10 implementation to at least...
Credentialing Resource Center Digest - Volume 15, Issue 19
Three out of four physicians believe that fellow practitioners prescribe an unnecessary test or procedure at least once a week, according to a survey released last week. The most frequent reasons that physicians order extraneous—and costly—medical care are fears of being sued, the desire to be...
Credentialing Resource Center Digest - Volume 15, Issue 18
The vast majority of physicians aren't troublemakers, but bad behavior clearly isn't an isolated problem. There have been cases of physicians throwing objects in the operating room, yelling and hitting patients, and sexual abuse, the Association of Health Care Journalists reported recently—yet...