References to red flags are rife in the medical staff arena. Loss of licensure, significant malpractice activity, poor clinical references, and their ilk are targets of considerable scrutiny during the credentialing process. But what about the subtler inconsistencies and deviations that can...
The Office for Civil Rights (OCR) stepped up HIPAA enforcement in a big way this year. The agency handed down more than $5 million in HIPAA settlement fines in one week in March, and in July reached a HIPAA violation settlement with Advocate Health Care in Illinois that carried a $5.55 million...
Credentialing has evolved from a clerical task to a profession that requires expertise in the interpretation of accrediting standards and state and federal regulations. Credentialing professionals have become the source of truth for medical executive committees, credentials committees, and...
The Bipartisan Budget Act of 2015 has many components. While it includes a raise in the nation's debt ceiling, MSPs need to be aware of the potential credentialing implications caused by the act's impending regulatory changes. The Bipartisan Budget Act excludes newly acquired, off-campus...
There should be very few times when a medical staff needs to deny an application for privileges. For the most part, the physician and other licensed independent practitioner applicants are practitioners who have excellent records and will continue to deliver high quality in their ongoing patient...
