One of the most important steps in readying internal processes for a new delegated credentialing arrangement is ensuring all employees involved in credentialing and payer enrollment understand the rationale behind the new requirements.
The National Provider Enrollment Forum returns September 16-18 in Charlotte, North Carolina, to delivers engaging education and training to provider enrollment professionals, enrollment managers, and credentialing specialists. Experienced veterans and top industry experts offer best practices...
What if the employment agreement doesn't have co-terminus language about termination/privileges? How does the medical staff services department (MSSD) terminate the physician's privileges? If there is no co-terminus language, the formerly employed physician will retain medical staff membership...
In our latest practitioner check-in, we catch up with Teresa Miller, CPMSM, CPCS, senior medical staff specialist at INTEGRIS Health in Oklahoma City. She offers a window into the nuanced role that entails meticulous file reviews, collaboration with department chairs, and active...
Credentialing Resource Center Journal - Volume 33, Issue 4
The United States District Court for the Western District of Louisiana (the “Court”) found that a surgeon who was denied privileges at a hospital had alleged sufficient facts for most of her claims to deny the hospital’s motion to dismiss them.
The plaintiff, Rachel Bishop, MD, filed...
Credentialing Resource Center Journal - Volume 33, Issue 3
