At her first medical staff services conference, Sara Cameron heard a story that many medical staff professionals eventually encounter. “They started talking about this gentleman, Michael Swango, a serial killer physician,” she recalls. “And I was like, ‘Oh, I know him.’ ”
To maintain Medicare billing privileges, a provider or supplier (other than a durable medical equipment, prosthetics, orthotics and supplies [DMEPOS] supplier) must resubmit and recertify the accuracy of its enrollment information every five years, a process known as revalidation.
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Bias is a common stumbling block to effective peer review. Bias can take a well-meaning committee that is truly focused on improvement and make it appear as if it is practicing sham peer review.
Credentialing Resource Center Journal - Volume 35, Issue 1