When conducting professional practice evaluation for APPs, peer reviewers should come from the same discipline whenever possible—PA to PA, NP to NP, CRNA to CRNA, and so forth. Of course, there may be times when it isn’t possible to get an evaluation from a peer in the same discipline. In such...
NCQA certification or URAC accreditation can be instrumental in evaluating whether a CVO meets minimum industry standards and will be able to provide the services that a health plan or system needs. Certification or accreditation is essentially an accreditor’s stamp of approval on the CVO’s...
Last week, the Interstate Medical Licensure Compact Commission officially began accepting applications from qualified physicians who wish to obtain medical licenses in multiple states, according to an ...
When it comes to staying ahead of critical practitioner vetting deadlines, such as privilege expiration dates, automation is your best friend, experts agree. The software on the market today offers a bevy of built-in reminders—checks, suspense dates, and popups—to help credentialers keep track...
The healthcare industry has long used credentialing processes, especially in the hospital setting, which must follow the requirements of the Centers for Medicare & Medicaid Services (CMS), The Joint Commission, and other organizations that accredit healthcare entities. In the health...
Credentialing Resource Center Journal - Volume 26, Issue 3
What’s in your compliance code? Though not technically mandatory, best practices and, in some cases, plans of correction, call for hospitals to create a compliance program with a plan or code applicable to its operation.
