Most accreditation bodies now require medical staffs to subject applicants with newly granted privileges to some type of FPPE. Some accrediting organizations see this as an important capstone to the process of initial appointment, and knowledgeable plaintiff attorneys often seek documentation of...
As an enrollment specialist, you are responsible for the first step in ensuring that your organization gets paid. In fact, enrollment specialists are pivotal employees in collecting payments for their providers and facilities. Demonstrate your mastery of the provider enrollment process and...
Healthcare institutions seeking to execute efficient, high-caliber credentialing and enrollment processes must enlist high-performing professionals. All too often, however, there are no...
The difference between emergency and disaster privileges is simple: Emergency privileges are granted to existing practitioners on the medical staff; disaster privileges are granted to practitioners outside the medical staff so that they can work in the institution on multiple patients when the...
When the credentials committee considers an application, that application contains two parts. The first is for membership in the medical staff. Criteria for such membership may include type of licensure, education, training, and experience. The second part is for privileges, which define the...
One of the most important steps in readying internal processes for a new delegated credentialing arrangement is ensuring all employees involved in credentialing and payer enrollment understand the rationale behind the new requirements.
The National Provider Enrollment Forum returns September 16-18 in Charlotte, North Carolina, to delivers engaging education and training to provider enrollment professionals, enrollment managers, and credentialing specialists. Experienced veterans and top industry experts offer best practices...
What if the employment agreement doesn't have co-terminus language about termination/privileges? How does the medical staff services department (MSSD) terminate the physician's privileges? If there is no co-terminus language, the formerly employed physician will retain medical staff membership...
Communication with new applicants regarding their request for clinical privileges will help clarify what may be required on the part of the applicant (e.g., additional documentation specific to certain privileges and what that documentation needs to be). It is also important to be sure that...
Work-product privilege is a type of peer review protection law that prevents information associated with the peer review process from being discovered in court. This protection is based on the idea that physicians won’t candidly discuss a colleague’s shortcomings if their statements later could...