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
As hospitals diversify their medical staffs and contend with mounting regulatory efforts to ally payment and performance, interdisciplinary collaboration has emerged as a major driver of financial health, medical staff stability, and care quality. By extension, collaboration is also the...
Credentialing Resource Center Journal - Volume 27, Issue 8
CMS has cited University of Maryland Medical Center in Baltimore for violating the Emergency Medical Treatment and Active Labor Act (EMTALA) stemming from an incident in which a female patient wearing only a gown and socks was escorted from the hospital by security staff and left at a bus stop...
Credentialing Resource Center Journal - Volume 27, Issue 3
Fresenius Medical Care North America (FMCNA), a multistate clinic and provider network specializing in chronic kidney failure treatment, agreed to a $3.5 million Health Insurance Portability and Accountability Act (HIPAA) violation settlement, the Office for Civil Rights (OCR) announced February...