Documentation is everything, yet it is challenging working with physicians to obtain it, says OliviaLoeffler, CPMSM, CPCS, the regional director of medical staff services for Steward Health Care’s Arizona region.
There are two types of errors that can occur in the credentialing/privileging process: information errors and decision errors. Understand their differences so that both types of errors can be avoided during the credentialing and privileging process.
Provider enrollment involves navigating through multiple systems such as the Identity & Access Management System (I&A); the Provider Enrollment, Chain, and Ownership System (PECOS); and the National Plan and Provider Enumeration System (NPPES). These systems are designed to ensure that...
Credentialing Resource Center Journal - Volume 33, Issue 10
Discrimination claims are not to be taken lightly in the medical field, or any field for that matter. They require sufficient evidence and investigation, and in a recent case, an otolaryngologist had his discrimination claims dismissed by the District Court of the Western District of New York (...
One of the primary functions of the medical staff as delegated by the board is to improve the performance of all members of the medical staff and others granted privileges through the medical staff process. This sounds much easier than it is.
There are many factors that contribute to successful delegated credentialing for both the health and delegated entity to consider. Below are tips and recommendations for the health plan.
