Plus, nurses and physicians voted most ethical professionals, physician defrauds insurers to finance political pursuits, and physician lets unlicensed colleague treat patients in his clinics. Find out what’s happening in the world of federal healthcare regulations by reviewing some recent...
Editor's note: This article was orginally published in April 2013 and discusses how MSPs in New York credentialed and privileged physicians in the aftermath of Superstorm Sandy. As many hospitals nationwide begin (or have already) activated their disaster plans because of the COVID-19...
It is useful to recall that there is no prescribed format for creating medical staff bylaws and associated documents. Laws, regulations, and accreditation standards require medical staffs to address some issues in the bylaws, but how these issues are organized and addressed is up to each medical...
Credentialing Resource Center Journal - Volume 29, Issue 3
Although sometimes used interchangeably, temporary, emergency, and disaster privileges are different. Let’s take a look at how and when to use each type of privilege.
Credentialing Resource Center Journal - Volume 29, Issue 3
A South Carolina Court of Appeals (the “Court”) affirmed a trial court’s decision, finding that a hospital does not have a duty to ensure that a hospital physician maintains malpractice insurance coverage, regardless of the language in an admission contract and/or a special relationship forming...
Leading up to the 21st century, peer review evolved constantly, undergoing rapid change. New regulations and requirements were implemented both by the Centers for Medicare & Medicaid Services (CMS) in the 1960s and by the establishment of the Health Care Quality Improvement Act of 1986....
Credentialing Resource Center Journal - Volume 29, Issue 3
The 2010s are officially over. However, it’s worth a peek back into the last decade at the top trends and changes over the last 10 years for MSPs. We saw changes to what’s expected of MSPs among their healthcare colleagues, the rise of employed physicians, and new technologies that presented...
A recent survey shows provider directory maintenance can be expensive and that, in the absence of an affordable technical fix, you’ll have to tighten up your record updating if you want to reduce those costs.
CAQH, the nonprofit alliance of health plans and trade associations best known...
Credentialing Resource Center Journal - Volume 29, Issue 2
A privilege dispute among practitioners can be overwhelming, to say the least. In these situations, it is up to medical staff leaders and medical staff professionals (MSP) to remain calm, review processes and policies, and not jump to any quick solutions just to settle the dispute.
Ensuring that patients receive quality care is the utmost priority for both physicians and MSPs. The federal government seeks to maintain this priority through the Stark Law and Anti-Kickback Statute, both of which prohibit physicians from referring patients to entities where...
