Credentialing and privileging approval depends on a variety of hard data sources, from NPDB information to internal quality data. But one equally weighted component comes from colleague references in the form of peer recommendations.
There was a time when medical staff standards seemed simpler and they were all located in one place: the Medical Staff chapter of The Joint Commission's Comprehensive Accreditation Manual for Hospitals (CAMH). But things are different today. Standards that apply to the...
Historically, fraud and abuse claims were not connected to medical staff credentialing. Rather, medical staff credentialing is typically linked to cases in which a physician sues over denial of privileges or corrective action, negligent credentialing cases brought by patients,...
In an effort to cut $33 million from its budget, Washington state has recently passed a law that limits Medicaid patients to three non-emergent ED visits per year. It will not cover visits beyond the initial three, even if the visit constitutes a true emergency. To determine...
Credentialing Resource Center Digest - Volume 12, Issue 44
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