Even four years after The Joint Commission introduced the concept of ongoing professional practice evaluation (OPPE), organizations still struggle with the details. HCPro's new book, The Complete Guide to OPPE, walks readers through the various questions that...
Historically, fraud and abuse claims were not connected to medical staff credentialing. Rather, medical staff credentialing is typically linked to cases in which a physician sues over denial of privileges or corrective action, negligent credentialing cases brought by patients,...
Hospitalists who are guaranteed more money make less overall, according to the Medical Group Management Association's and the Society of Hospital Medicine's State of Hospital Medicine: 2011 Report Based on 2010 Data. The report states that adult hospitalists who earn high...
In an effort to cut $33 million from its budget, Washington state has recently passed a law that limits Medicaid patients to three non-emergent ED visits per year. It will not cover visits beyond the initial three, even if the visit constitutes a true emergency. To determine...
Credentialing Resource Center Journal - Volume 20, Issue 12
Credentialing and privileging approval depends on a variety of hard data sources, from NPDB information to internal quality data. But one equally weighted component comes from colleague references in the form of peer recommendations.
Historically, fraud and abuse claims were not connected to medical staff credentialing. Rather, medical staff credentialing is typically linked to cases in which a physician sues over denial of privileges or corrective action, negligent credentialing cases brought by patients,...
