“Those that forget history are condemned to repeat it.” —George Santayana
With a new year comes a strong desire to look back at the events of the past, especially as we evaluate the potential impact they can have on our future.
I am currently preparing a lecture on the...
Credentialing Resource Center Journal - Volume 27, Issue 2
One of the biggest challenges facing hospital medical staffs today is obtaining sufficient information to accurately document practitioner competency. It is easy to confirm that a practitioner held a medical staff appointment at a healthcare facility and whether he or she was subject to any...
It is a truth universally acknowledged that the medical credentialing process is incredibly long and bureaucratic, with massive amounts of repetitive paperwork going to several different agencies with different methodologies, each laboring under the impression that their means of operation is...
Credentialing Resource Center Journal - Volume 27, Issue 1
21st Century Oncology Inc. of Fort Myers, Florida, which operates 179 cancer centers, has agreed to pay $26 million after admitting it knowingly submitted false attestations to CMS as part of the Medicare Electronic Health Records (EHR) Incentive Program. Under the program, physicians may...
Credentialing Resource Center Journal - Volume 27, Issue 1
The Kentucky Supreme Court (the “Court”) recently reversed a Court of Appeals ruling that would have allowed patients to sue hospitals for negligent credentialing of non-employee physicians who are given staff privileges. The Court’s decision strikes down negligent credentialing as a separate...
Privileges are the hospital organization’s way of identifying what a practitioner may do clinically at that institution. Obviously, it is important that the right privileges get matched with the right physician. This task sounds simple, but for many organizations, it is the toughest...
Credentialing Resource Center Journal - Volume 27, Issue 1
For MSPs looking to create a more robust and streamlined onboarding process, an understanding of what is involved in onboarding is the first step. And the process probably involves more pieces than MSPs realize.
For example,...
Credentialing Resource Center Journal - Volume 27, Issue 1
Telemedicine is becoming more prevalent than in years past as hospital administrators look to technology and collaborative opportunities to make services accessible to patients. As the leader of a central verification office within a large health system, I am often brought into discussions about...
Credentialing Resource Center Journal - Volume 27, Issue 1
Handling requests for information from law enforcement can throw staff for a loop. Most staff are aware of their organization’s policies and the basic Health Insurance Portability and Accountability Act (HIPAA) requirements for disclosing patient information to family members, friends, and other...
