Being involved with provider enrollment entails being familiar with numerous complex processes to ensure your organization and its practitioners are reimbursed for their services. During the recent National Provider Enrollment Virtual Event, speakers fielded attendee-submitted questions about...
Credentialing Resource Center Journal - Volume 32, Issue 3
As the credentialing coordinator of a residency program, my role is split between the clinical practice and the administrative office of the residency program. Although my primary role is to ensure the providers in the practice are credentialed to see patients, I also provide administrative...
Recent news of more than 7,500 fraudulent nursing degrees being issued should serve as a shocking reminder for healthcare organizations to check their verification processes.
Credentialing Resource Center Journal - Volume 32, Issue 3
Ambulatory surgery centers (ASC) accredited by the Accreditation Commission for Health Care (ACHC) are once again being reminded that they must have a completed credentials file for every practitioner at their organization.
According to the ACHC’s latest Quality Review Edition of its...
By now, most MSPs are aware that The Joint Commission and ACHC/HFAP have made significant changes to their reappointment process for healthcare practitioners. The reappointment cycle has been extended from two years to three years for practitioners who hold medical staff appointments or clinical...
Credentialing Resource Center Journal - Volume 32, Issue 2
The Court of Appeal for the State of California (the “Court”) affirmed a superior court’s denial of a physician’s petition for relief from discipline he received from the university hospital where he practiced, after the hospital found he violated the Health Insurance Portability and...
This is the third in a continuing series of articles designed for medical staff leaders and their associates. This month, we join Williams and Greeley as they discuss how to make your quality improvement process less punitive.
This month we continue our dive into the pain points that provider enrollment professionals face. During the recent National Provider Enrollment Virtual Event, speakers fielded attendee-submitted questions about the processes involved with enrolling practitioners and facilities with both...
