Maggie Palmer, MSA, CPCS, CPMSM, like many MSP leaders, is grappling with proposed changes by the National Committee for Quality Assurance (NCQA) and changes to credentialing in her state of Texas. For MSPs working at NCQA-accredited organizations, it is crucial to be aware that NCQA is...
Credentialing Resource Center Journal - Volume 33, Issue 7
The Supreme Court of Ohio (the “Court”) affirmed a court of appeals judgment that while a negligent credentialing claim is separate and independent from a medical negligence claim, a negligent credentialing claim needs a finding of underlying medical negligence to proceed.
...
Credentialing Resource Center Journal - Volume 33, Issue 7
If a physician plans to practice at a hospital, they are required to submit an application for appointment to the medical staff and for the granting of clinical privileges. CMS and accreditation organizations such as The Joint Commission, DNV,...
Credentialing Resource Center Journal - Volume 33, Issue 7
Peer review, as it applies in today’s healthcare landscape, involves the evaluation of an individual practitioner’s professional performance for all relevant competency categories. It draws from multiple sources of data and identifies opportunities to improve care. Given these important aims,...
Credentialing Resource Center Journal - Volume 33, Issue 6
Florida's Third District Court of Appeals (the “Court”) quashed a trial court's order barring the discovery of a letter written by the defendant physician in the case, finding that the lower court’s reading of the peer review protection statute was too expansive.
The plaintiff, Joseph...
Credentialing Resource Center Journal - Volume 33, Issue 6
Enrollment is critical for any organization because if it’s not set up right when a provider starts working, then they're not seeing as many patients as they need to, says Jenny Jackson, EdD, MBA, CPMSM, CPCS, FMSP, director of credentialing and provider enrollment at Integrated Dermatology,
Credentialing Resource Center Journal - Volume 33, Issue 6
Provider enrollment has its challenges. Jenny Jackson, EdD, MBA, CPMSM, CPCS, FMSP, director of credentialing and provider enrollment at Integrated Dermatology, lives with these challenges each day.
Credentialing Resource Center Journal - Volume 33, Issue 5
