Last April, the U.S. Department of Health and Human Services finalized the first substantive updates to the National Practitioner Data Bank (NPDB) Guidebook in more than a decade. Roughly one year after the rollout, experts say the broadened reporting expectations have weightier...
The hospital-only specialty, which originated in primary care in the 1990s, has caught on throughout many sub-specialties. Among OB-GYN, gastroenterology, and general surgery services, hospitalist growth has been driven in part by physicians' desires for greater work-life balance, particularly...
The Office of Inspector General maintains a List of Excluded Individuals/Entities (LEIE) database, which is updated on a monthly basis. Medical staff stakeholders can search the database to identify entities and individuals who are excluded from Medicare, Medicaid, and other federal healthcare...
Credentialing Resource Center Journal - Volume 25, Issue 7
On April 12, Oklahoma Governor Mary Fallin signed into law senate bill (SB) 1148, which moves to bar healthcare entities in the state from requiring physicians to maintain board certification in order to gain medical licensure, reimbursement, or admitting privileges. The bill is the latest—and...
Credentialing Resource Center Journal - Volume 25, Issue 7
With negligent credentialing suits on the rise, MSPs and medical staff leaders must implement approaches that help cultivate a high-caliber medical staff, promote patient safety, and diminish legal risk. But given the widening array of staffing models and technological advances at play in today'...
The controversial 2-midnight rule may be no more following CMS' release of its latest proposed rule for the hospital inpatient prospective payment system (IPPS). When it was first put in place for fiscal year 2014, the 2-midnight rule established a benchmark for inpatient admissions where a...
