Once a managed care application is successfully submitted and verified, a final review should occur to confirm that the file meets the plan’s requirements before it is presented for final consideration by the credentialing committee or, if authorized, the medical director. This can be...
Telehealth and digital health advocates aren’t pleased with the US Drug Enforcement Agency’s proposed rules for prescribing controlled substances via telemedicine after the expiration of the COVID-19 Public Health Emergency.
Bylaws should be carefully written to ensure that they can’t be changed casually, but also that amendments don’t face an unreasonable hurdle. This balancing act will be decided differently by various medical staffs. However the medical staff authorizes amendments to its bylaws, changes must be...
MSPs should be familiar with all provider contracts, but most importantly, they should know the particulars of exclusive contracts. The chief medical officer and hospital counsel can be valuable resources regarding the details of such agreements. Before any contract is signed, MSPs and...
The average physician earned 2.4% less in compensation in 2022, according to Doximity’s latest Physician Compensation Report. This is after physicians reported a 3.8% increase in compensation in 2021.
Physicians who have had a medical malpractice claim are four times more likely to have additional medical malpractice claims in the next five years. This is according to a study recently published in...
An organized medical staff requires governance in order to function. This sounds straightforward enough, but what does it have to do with credentialing? Medical staff membership, staff categories, privileging, credentialing, suspensions, fair hearing rights, MEC composition and function,...
The 2023 National Provider Enrollment Forum delivers two days of engaging education and training to provider enrollment professionals. Experienced veterans and top industry experts will be on hand to provide you best practices and tips. Whether you're a newly minted professional or an...
The pediatric mental health crisis is the top pressing patient safety concern, according to ECRI. The nonprofit patient safety organization recently released a special report spotlighting the top concerns along with recommended actions to mitigate them to coincide with Patient Safety Awareness...
Sometimes the most difficult thing to accomplish at work is work. With telephone calls, meetings, visitors, and faxes, not to mention the deluge of mail, email, and internal memos, it can be almost impossible to get anything done. To accomplish more, you must evaluate your time management and...
