The Pennsylvania Department of Human Services is implementing steps this year to hopefully reduce the amount of time it takes providers to become enrolled in its state Medicaid program, Physical Health Managed Care Organizations (PH-MCO). Beginning in 2016, the managed care organizations have to...
Credentialing Resource Center Journal - Volume 25, Issue 1
Maggie Palmer, MSA, CPMSM, CPCS, FACHE, presented "MSP Competencies" at NAMSS' 39th Annual Educational Conference and Exhibition, held in Seattle in October. The following is adapted from her presentation. Part one, which appeared in last month's CRCJ, included the...
Credentialing Resource Center Digest - Volume 16, Issue 47
The American Medical Students Association (AMSA) and the watchdog group Public Citizen are speaking out against two trials which are meant to study the effects of resident duty hour restrictions. The iCOMPARE and FIRST studies are trying to determine if rates of death and serious complications...
Credentialing Resource Center Digest - Volume 16, Issue 42
Physicians tend to be paid on a production basis (e.g., fee for service or work relative value units), and time away from seeing patients costs them money. In the past, physicians considered giving time to medical staff work a reasonable trade-off for the services the hospital provided them in...
Credentialing Resource Center Digest - Volume 16, Issue 39
HCPro is working on a book about how the medical staff applies its regular processes to employed physicians. The Medical Staff’s Guide to Employed Physicians will cover best practices for onboarding, credentialing, peer review, corrective action, and other issues that may have to be...
Credentialing Resource Center Digest - Volume 36, Issue 16
The world of board certification is complicated by the fact that many physicians subspecialize and many specialty societies offer subspecialty boards or “certificates of added qualifications.” It is often a challenge for these physicians to maintain board certification in their original board...
Credentialing Resource Center Journal - Volume 24, Issue 9
Bring your entire team to this 90-minute webcast as expert speaker Carol S. Cairns, CPMSM, CPCS, clarifies acceptable sources for credentials verification, the differences between verifying competency and previous affiliations, and the challenges of verifying professional...
Credentialing Resource Center Digest - Volume 16, Issue 30
Even as regulators and the public demand more verification of physician competence, physicians have less time—and are less willing—to perform competence assessments and undergo monitoring. With this in mind, medical staffs must develop proctoring and precepting plans that are effective and...
Credentialing Resource Center Digest - Volume 16, Issue 28