MSPs can add value to their organizations by streamlining and unifying the credentialing and provider enrollment processes, leading to greater efficiencies and increased revenue, according to Lisa Velasco, MSM, LPTA, CPMSM, CPCS, director of professional services at The Hardenbergh Group in...
Credentialing Resource Center Journal - Volume 32, Issue 1
The Wisconsin Court of Appeals (the “Court”) reversed a circuit court order awarding summary judgment in favor of a surgery center against a patient’s claim of negligent credentialing for failing to investigate a physician history of misconduct and disciplinary actions.
Credentialing Resource Center Journal - Volume 32, Issue 1
The Joint Commission’s time frame for evaluating licensed practitioners’ ability to provide care, treatment, and services has been updated from two years to three years.
The new time frame is intended to better align with the standard practice of evaluating licensed practitioners every...
Credentialing Resource Center Journal - Volume 31, Issue 12
How does your medical staff team handle a situation in which a physician with documented red flags resigns during an investigation or prior to an investigation?
Credentialing Resource Center Journal - Volume 31, Issue 12
The California Court of Appeals (the “Court”) affirmed a trial court’s decision striking a physician’s complaint that a hospital falsely reported him to the National Practitioner Data Bank (NPDB), finding that the hospital’s actions were protected by the state’s anti-SLAPP (strategic lawsuit...
Credentialing Resource Center Journal - Volume 31, Issue 12
Credentialing professionals work under the assumption that the facilities they query are open for business and have practitioners’ records. However, it’s common for MSPs to find that a verification trail has gone cold. Perhaps the medical staff applicant is older and their medical school closed...
Credentialing Resource Center Journal - Volume 31, Issue 11
