The Pennsylvania Department of Human Services is implementing steps this year to hopefully reduce the amount of time it takes providers to become enrolled in its state Medicaid program, Physical Health Managed Care Organizations (PH-MCO). Beginning in 2016, the managed care organizations have to...
Credentialing Resource Center Digest - Volume 17, Issue 2
Medical staff leaders need to understand that the path followed for non-conformance by employed physicians may follow a different process than that outlined in medical staff documents. A best practice is to develop a clear policy for how the more common performance issues will be handled. This...
Credentialing Resource Center Digest - Volume 17, Issue 2
This week, Medicare officials announced the creation of 121 new accountable care organizations (ACO). Almost 8.9 million Medicare beneficiaries will now be getting their care through ACOs, an increase of about 1 million beneficiaries receiving care under this model. ACOs are hoped to improve...
Credentialing Resource Center Digest - Volume 17, Issue 2
As the New Year begins, you may be planning what educational conferences you will attend in 2016. I recommend checking out the 2016 Credentialing Resource Center Symposium, which offers education for both medical staff leaders and medical staff professionals. This program is...
