Medical Staff Briefing - Volume 33, Issue 7

Event puts spotlight on advancing the provider enrollment professional role, CMS-855 forms

July 5, 2023

Provider enrollment is critical to your organization’s revenue cycle as it ensures providers are paid for the care they provide. This makes provider enrollment professionals (PEP) a vital part of an organization, but they can often be undervalued and overlooked.

Credentialing Resource Center Journal - Volume 32, Issue 7

Appellate court upholds NPDB report

July 5, 2023

The Massachusetts Appeals Court (the “Court”) upheld a ruling in favor of a hospital against a physician whom it reported to the National Practitioner Data Bank (NPDB).

The plaintiff in the case, Bharanidharan Padmanabhan, MD, brought several claims...

Credentialing Resource Center Digest

What are some common provider enrollment oversights that can result in lost revenue?

June 28, 2023

The provider enrollment process helps ensure that organizations are reimbursed for the care their practitioners provide patients. While it’s easy to focus on the main streams of revenue, provider enrollment professionals must be careful not to overlook the smaller streams that can easily escape...

Credentialing Resource Center Digest

Hawaii joins Interstate Medical Licensure Compact

June 28, 2023

This week, Hawaii became the 38th state to join the Interstate Medical Licensure Compact (IMLC). Supported by the Federation of State Medical Boards, the IMLC launched in 2017 as a way to make it easier for physicians to practice in multiple states.

According to its...

Credentialing Resource Center Journal - Volume 32, Issue 6

Legal news roundup: Former physician assistant practiced without license, nursing school operators plead guilty to fraud, woman jailed for unlicensed medicine, physician surrenders license

June 27, 2023

Find out what’s happening in the world of federal healthcare regulations by reviewing some recent headlines from across the country.

Credentialing Resource Center Journal - Volume 32, Issue 6

Struggling to hire MSPs? Consider restructuring your department

June 21, 2023

More than half of surveyed executives and senior managers found hiring to be “very” or “extremely” challenging. This statistic comes from a 2022 survey conducted by accounting and consulting firm RSM for its report What’s Driving the Middle Market Talent Gap? Similar findings, though,...

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