A difficult recruitment and retention environment—as well as patient, community, and hospital need—provide understandable pressure to quickly get certain practitioners and specialties credentialed and privileged. While CMS is silent regarding the use of temporary privileges or locum...
Credentialing Resource Center Digest - Volume 15, Issue 44
A licensed physician assistant was sentenced to 15 years in prison and ordered to pay more than $85 million in restitutions for participating in a scheme in which he and his co-conspirators claimed $200 million in fraudulent Medicare billings
Credentialing Resource Center Journal - Volume 23, Issue 10
Effective October 1, the National Practitioner Data Bank (NPDB) has lowered the rates it charges for information about practitioners and organizations. The new fee to query the NPDB will be $3.00 for both continuous and one-time queries and $5.00 for self-queries.
The North Carolina Court of Appeals (the “Court”), in an unpublished opinion, reversed a county Superior Court order for a hospital to produce peer review information. The Court ruled in a matter related to an orthopedic surgeon’s lawsuit alleging unfair and deceptive trade...
Although telemedicine has the potential to make access to care simpler and easier, healthcare experts and telemedicine advocates still have concerns that regulatory obstacles are preventing the industry from reaching its full potential, while raising legal questions for both hospitals and...
Credentialing Resource Center Journal - Volume 23, Issue 9
CMS' 2-midnight rule states that inpatient admissions are considered reasonable and necessary for stays that last at least two midnights. Stays that fall short of that benchmark should be billed as outpatient services.
The U.S. District Court for the Northern District of Alabama, Southern Division, denied a motion to compel the University of Alabama Birmingham (UAB) to produce documents created by its institutional review board (IRB) in regard to a clinical research trial performed on...
As a physician leader, when you think about publicly reported quality data, do you wince at potentially bad news, or do you welcome that data as another tool for improving patient care? Here is some information you should know about CMS' Physician Compare website and Hospital Consumer Assessment...
The United States Court of Appeals for the Eleventh Circuit (the "Court"), in an unpublished opinion, affirmed a district court's grant of summary judgment to a hospital facing claims of racial discrimination from a physician. The Court ruled that the physician failed to...
Credentialing Resource Center Journal - Volume 23, Issue 8
New research by the Center for Personalized Education for Physicians (CPEP) has corroborated several key factors associated with poor physician performance in prior studies. These factors include increasing age and solo practice, among others. However, CPEP's retrospective analysis...
