MSPs should be familiar with all provider contracts, but most importantly, they should know the particulars of exclusive contracts. The chief medical officer and hospital counsel can be valuable resources regarding the details of such agreements. Before any contract is signed, MSPs and...
An organized medical staff requires governance in order to function. This sounds straightforward enough, but what does it have to do with credentialing? Medical staff membership, staff categories, privileging, credentialing, suspensions, fair hearing rights, MEC composition and function,...
Whether it is due to a conflict of interest of a lack of staff with the proper expertise, most organizations will eventually need to use external peer review. It is recommended that all organizations have a policy regarding external peer review. Although instances of when to use external peer...
Credentialing Resource Center Journal - Volume 32, Issue 3
Ambulatory surgery centers (ASC) accredited by the Accreditation Commission for Health Care (ACHC) are once again being reminded that they must have a completed credentials file for every practitioner at their organization.
According to the ACHC’s latest Quality Review Edition of its...
The number of privileging disputes occurring in hospitals is growing rapidly. It’s easy to understand this trend if you examine how medicine has evolved. In the “good old days,” physicians of all specialties had a defined area of turf on the playing field and specialties didn’t cross those...
Credentialing Resource Center Journal - Volume 32, Issue 1
The Joint Commission’s time frame for evaluating licensed practitioners’ ability to provide care, treatment, and services has been updated from two years to three years.
The new time frame is intended to better align with the standard practice of evaluating licensed practitioners every...