It is wise to have potential external peer reviewers in mind because the need for them can arise without warning. A good external peer review organization should provide the following:
The Centers for Medicare & Medicaid Services (CMS) recently unveiled a new pilot program that will give clinicians direct access to Medicare beneficiaries' claims data. CMS Administrator Seema Verma says the "Data at the Point of Care" pilot is designed to improve care, sharpen diagnoses,...
Understanding what the NPDB considers an investigation is very important because several of the updates clarify reporting requirements when a practitioner resigns while under investigation. How does the NPDB describe investigations?
According to the Merritt Hawkins 2019 Review of Physician and Advanced Practitioner Recruiting Incentives, primary care physicians are extremely in-demand. However, data gathered by Merritt Hawkins, a national healthcare search and conducting firm specializing in the recruitment of practitioners...
How interested would you be in a book about telemedicine (including information on credentialing and peer review of telemedicine providers)? Answer our ...
The Mount Carmel Health System fired 23 employees, and its CEO will resign later this month after it was discovered that a physician at the health system killed 25 patients by overprescribing opioids.
The terminated employees include five managers of physician, nursing, and/or pharmacy...
How often have you heard it said that a medical staff leader was selected because he or she was not at a particular meeting? If the physician had been present at that meeting, he or she would have likely declined the invitation to become involved with leadership for a number of reasons: lack of...
A recent study published in JAMA Surgery indicates a correlation between collegial reports of unprofessional behavior and a surgeon’s rate of postoperative complications. Researchers collected data on surgeons and patients from two academic medical centers for operations occurring...
Is it appropriate for the medical executive committee (MEC) to reject a credentials committee recommendation and forward its own recommendation to the governing board? Absolutely.
Join us on Tuesday, August 13 from 1:00-2:30 pm ET for our webinar Enrollment Solutions: Improving Payer Approvals, presented by Amy M. Niehaus, MBA, CPMSM, CPCS.
Lengthy enrollment turnaround times with commercial payers...
