Employed practitioners must comply with HR policies, such as those surrounding orientation, patient safety, and risk management. Such requirements, which promote understanding of the organization’s culture and compliance with regulations and standards regarding patient care and safety, should...
The National Provider Enrollment Virtual Event is a one-of-a-kind online event focused on education for provider enrollment professionals, enrollment managers, and credentialing specialists.
Sixty-two percent of emergency medicine physicians reported feeling burned out, according to the AMA’s Organizational Biopsy report, based on responses from more than 13,000 providers across 30 states.
For organizations moving toward the development of a criteria-based core privileging system, determining whether a certain procedure or privilege is core or special/noncore can be problematic. Core are those procedures or privileges that any well-trained physician within a particular specialty...
Increasingly, organizations are implementing policies for evaluating older members of the medical staff—often for practitioners at age 70, or earlier if self-referral occurs. The policy may contain steps such as the following.
Given the high stakes and complexity of provider enrollment, aligning the function with traditional medical staff services work requires a clear strategy, strong approaches, and adept staff. Otherwise, the process may unravel, jeopardizing revenue, care access, and practitioner satisfaction.
As of 2022, there were 1,044,734 physicians in the United States, according to a census report released by the Federation of State Medical Boards (FSMB). Based on an estimated U.S. population of 333 million people, that means there are approximately 313 licensed physicians per 100,000 people.
Privileges are permissions that have been granted to a physician or other licensed independent practitioner to provide specific patient care services, which may include the ability to admit, treat, manage, and perform procedures. The term “privileging” refers to the process the hospital and...
Following in the footsteps of residents and fellows, employed physicians and allied health professionals are moving toward unionizing. Earlier this month, more than 550 physicians, PAs, and nurse practitioners at the Allina Health System in Minnesota petitioned to unionize. The group makes up...
We’re performing a review of Care Appropriate cases, but reviewers are very uncomfortable reviewing the cases after they have been reviewed by a department/section. Do you have suggestions on how to perform this review and about the physician uncertainty in this process?