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...
Advanced practice professionals (APP) have medical training but are not physicians. APPs have more advanced training and independence than do allied health professionals, and they play an increasingly important role in today’s healthcare industry. Some states allow independent practice by nurse...
Many medical staffs bemoan the fact there are too many meetings that are poorly run, poorly attended, generally a waste of time, and often without any definitive outcome(s). Do you want this to be the assessment of a meeting run by you? Learn nine quick tips to help medical staff leaders run an...
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...
General case review indicators should represent significant clinical outcomes or critical processes for which physicians are partially or completely responsible and therefore represent potential improvement opportunities. It is important to make sure that the general review indicators cover all...
