Last week we talked about the actions that should trigger the fair hearing and appeal due process. This week, let's talk about and clearly state what actions should not trigger a fair hearing. In general, unless an adverse recommendation pertains to clinical incompetence or unprofessional...
The Joint Commission’s move to extend the reappointment period for medical providers from two years to every three years has been met with a mixture of support and concern among credentialing leaders and medical staff. While the extension may offer administrative convenience, concerns have been...
Enrolling locum tenens providers properly will help your organization maintain its revenue stream while ensuring patients have access to the medical care they need.
CMS is ending a requirement that all hospital providers and suppliers be vaccinated against COVID-19 as of the end of the public health emergency (PHE) on May 11, according to new guidance issued on May 1 in the Quality, Safety & Oversight (QS) Group memo to CMS state agencies, “...
Credentialing Resource Center Journal - Volume 32, Issue 5
Artificial intelligence (AI) and machine learning (ML) present opportunities in the credentialing and enrollment processes within the healthcare industry. Specifically, AI and ML can be used to automate and enhance various aspects of these processes.
Your medical staff bylaws must specifically state the exact details as to when, by whom, and how a fair hearing is triggered at the medical staff level and an appeal is triggered at the board level. In addition, the bylaws should have a "bright line" definition of the actions that will trigger...
