Several Nevada hospitals were found to have “inappropriately transferred” patients to the University Medical Center of Southern Nevada (UMC) in Las Vegas, a state investigation found. UMC officials believe many of the patients transferred there—supposedly in need of a specialist—did not actually...
Credentialing Resource Center Digest - Volume 4, Issue 14
The Centers for Medicare and Medicaid Services (CMS) on Tuesday announced “promising” results for the first performance year of the Pioneer Accountable Care Organization (ACO) model, including both higher quality care and lower Medicare expenditures. Costs for the more than 669,000 beneficiaries...
Credentialing Resource Center Digest - Volume 14, Issue 28
The challenge of assessing the competency of advanced practice professionals (APPs) increases as their roles expand. But the availability of data and defining competency measurements have not progressed at the same pace, leaving medical staffs struggling to find ways to assess APPs’ clinical...
Credentialing Resource Center Digest - Volume 2, Issue 14
Hospitals are likely losing money and incurring ill will from patients when they assign them to observation status under Medicare rules, especially if the patient has a general medicine diagnosis, and is female, according to an 18-month study of the practice at a Wisconsin academic medical...
Two U.S. Supreme Court rulings last month raise the bar for medical staff employees who claim workplace discrimination and retaliation, amednews.com reported. Legal analysts said the decisions protect physician employers from overly broad and frivolous discrimination suits by staff members, but...
The Joint Commission has revised its Leadership Standard LD.04.01.01, Element of Performance (EP) 5 to clarify the credentialing and quality assurance requirement for Critical Access Hospitals (CAHs). “Although Leadership (LD) Standard LD.04.01.01, Element of Performance (EP) 5, already...