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,...
Credentialing Resource Center Journal - Volume 20, Issue 12
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...
Credentialing Resource Center Journal - Volume 20, Issue 12
The nation could face a shortage of up to 150,000 physicians in the next 15 years, according to the Association of American Medical Colleges. One solution to help bridge this workforce shortage is to enable healthcare professionals such as nurse practitioners and PAs to work at their highest...
Credentialing Resource Center Journal - Volume 20, Issue 12
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.
Even four years after The Joint Commission introduced the concept of ongoing professional practice evaluation (OPPE), organizations still struggle with the details. HCPro's new book, The Complete Guide to OPPE, walks readers through the various questions that...