In managed care credentialing, delegation is defined as a formal process by which an organization gives another entity the authority and responsibility to perform certain functions on its behalf through a contractual arrangement. For health plans that wish to delegate components of its...
Your medical staff should have a policy that places the burden on the applicant to prove his or her clinical competence and provide all the information the medical staff leaders, credentials committee, MEC, and governing body need to make evidence-based decisions regarding membership and...
In 2019, more than 41 million patient records were breached, nearly tripling the number of breaches from 2018, according to a report from Protenus and DataBreaches.net.
Unfortunately, ineffective peer review can and does happen at hospitals across the country. An organization's ineffective peer review system may be brought to light by examining publicly reported performance measurements, successful lawsuits that are the results of poor physician performance, or...
Over 20% of commercially insured adults who underwent a common in-network surgical procedure between January 2012 and September 2017 received surprise charges for the episode from out-of-network clinicians, according to a recent...
Time is one of the resources most valued by physicians. As a medical staff leader, when you chair a meeting, one way to show respect for your fellow physicians is to end all meetings on time.
A recent article published by the Journal of the American Medical Association provides clinical insights about the new coronavirus outbreak that started in China. As of February 12, more than 45,000 cases of infections had been reported, with the vast majority of the cases in China, and...
Attending the 2020 CRC Sympoisum is sure to keep you busy, provide valuable education, and great networking opportunities, but make sure you leave some time to enjoy the New Orleans area. When you first think of New Orleans, you likely think of taking a stroll down Bourbon Street. So yes, go to...
When a physician is not granted requested privileges, he or she will often threaten to sue the hospital and its medical staff leaders for restraint of trade or violation of antitrust statues. This is especially true if the reason for not granting privileges is a privileging dispute with another...
