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...
Credentialing Resource Center Digest - Volume 17, Issue 13
Newly released! The rate of employed physicians in the United States is on the rise and shows no sign of slowing. Employed physicians are subject to medical staff processes as well as human resources/employment processes. This can lead to employed physicians slipping through the cracks or...
Credentialing Resource Center Digest - Volume 17, Issue 14
Nearly all specialties that were represented in Medscape’s 2016 Physician Compensation Report noted a pay increase from the previous year. Rheumatology and internal medicine reported the largest pay increase (12%), while general surgery, anesthesiology, and HIV/ID reported only a 1% increase.
Credentialing Resource Center Digest - Volume 17, Issue 14
