All practitioners—employed or not—are to be held to the same minimally defined medical staff standards for clinical care, professionalism, documentation, on-call responsibilities, and so forth. One of your responsibilities as a medical staff leader is to ensure that the expectations are adequate...
Credentialing Resource Center Journal - Volume 28, Issue 11
Following a fair and thorough investigation, the medical staff in your hospital has determined a physician has clinical performance issues and has recommended a limitation in clinical privileges. Per the medical staff bylaws, a fair hearing process commences. If the hearing/appeal processes do...
Credentialing Resource Center Journal - Volume 28, Issue 10
Although the peer review coordinator is involved throughout the case review process, the coordinator has the primary responsibility at the beginning of case review and through the following four steps: case identification, case screening, review preparation, and physician reviewer assignment. It...
Credentialing Resource Center Journal - Volume 28, Issue 10
Delegated credentialing has the potential to improve enrollment turnaround times for providers, decrease paperwork for practitioners and staff, and reduce lost or delayed revenue. However, the process for attaining delegation status with commercial payers encompasses a number of critical steps...
