“Many prominent hospitals that are in the top echelon of other quality rating reports, and handle the most complex procedures and patients, may receive 1 or 2 stars (out of a possible 5), indicating that they have the poorest quality in comparison to all other hospitals.”
- A...
Credentialing Resource Center Digest - Volume 17, Issue 15
Earlier this week, several U.S. senators joined the American Hospital Association in expressing concerns with the upcoming release of CMS’ Hospital Compare ratings. There are some questions being raised about the methodology used to rate hospitals (see the “Heard this week”...
Emergency privileges are not disaster privileges (and they’re not clinical privileges in emergency medicine). Nor are they defined in accreditation standards. Emergency privileges are simply temporary privileges granted in an urgent situation.
The managed care organization's (MCO) reimbursement policy and rates are a major factor when deciding whether to sign a contract to participate in its provider network. One of your duties may be to create a fee schedule comparison by setting up a spreadsheet that lists the top or most common CPT...
Understanding and interpreting CMS regulations and accreditors’ standards is key to making sure your organization is in compliance with these requirements. However, this can be difficult even for the most seasoned MSP....
Practitioner competency is increasingly in the spotlight for patients, insurers, regulators, and others. Thus, documenting and ensuring competency is an increasing part of your job. CMS’ CoPs state that an organized medical staff must have a process in place for determining the...
