Most medical staff bylaws contain a section labeled “definitions.” The value of a definitions section in the bylaws is to ensure clarity in the use of terminology. For example, if a hospital is part of a larger health system, does the term “board” in the bylaws refer to the hospital board or the...
Across the care continuum, organizations and their employees are being charged to do more with less— less personnel and less financial support. Given these challenges, MSPs must educate their CEO and/...
Looking to earn continuing education credits? The National Provider Enrollment Forum offers attendees the chance to earn 12 AAPC continuing education hours.
The National Provider Enrollment Forum returns September...
Before beginning any complex process, it is imperative to have a blueprint for that process in place. Such a blueprint for credentialing allows the process to be both efficient and consistent. Making up a process as you go along takes a lot of time and effort, and runs the risk of appearing to...
Oftentimes, medical staffs suffer from a punitive or indifferent peer review culture. The good news is that peer review culture can indeed change to one that supports physician improvement and the pursuit of excellence. However, although policies can change quickly, true culture change is slow,...
The healthcare industry continues to evolve, and many healthcare systems and hospitals are seeking opportunities to become more fully integrated and achieve greater efficiencies among their various facilities, departments, and functions. For example, integration between medical staff services...
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...
