Expect accrediting organizations (AO) to get even tough-er on problems found within the physical environment after yet another critical CMS report to Congress about the agency’s oversight of AOs.
Credentialing Resource Center Journal - Volume 30, Issue 2
The United States District Court for the Western District of Washington at Seattle (the “Court”) granted in part and denied in part a defendant’s motion for summary judgment, finding that immunity under the Health Care Quality Improvement Act (HCQIA) cannot be applied when the information is...
Credentialing Resource Center Journal - Volume 29, Issue 5
Communication is the establishment of a relationship where one person’s actions, thoughts, feelings, or intentions prompt a response by another person. When we present information to a committee, we are attempting to transmit the information as well as receive a response in return. A lack of...
As physician practices transition to value-based care and incorporate population health management (PHM) solutions into their day-to-day workflows, there are opportunities to close the communication gaps that can lead to opioid abuse. By aggregating and analyzing data across the care continuum,...
Credentialing Resource Center Journal - Volume 29, Issue 2
A United States court for the middle district of Pennsylvania (the “Court”) reaffirmed basic tenets of the Patient Safety and Quality Improvement Act (PSQIA) and the Pennsylvania Medical Care Availability and Reduction of Error Act (the “MCARE Act”), finding that certain patient safety work...
Credentialing Resource Center Journal - Volume 28, Issue 10
Delegated credentialing has the potential to improve enrollment turnaround times for providers, decrease paperwork for practitioners and staff, and reduce lost or delayed revenue. However, the process for attaining delegation status with commercial payers encompasses a number of critical steps...
Credentialing Resource Center Journal - Volume 28, Issue 9
A Massachusetts District Court (the “Court”) denied the motion to dismiss put forth by Massachusetts General Hospital (MGH), Massachusetts General Physicians Organization, and Partners Healthcare System (collectively, “Defendants”). Defendants based the motion on the plaintiff’s failure to state...
Credentialing Resource Center Journal - Volume 28, Issue 4
