Along with their existing medical staff credentialing obligations, MSPs are increasingly tasked with managing provider enrollment duties. With a solid grasp of the payer credentialing process and requirements, MSPs can avoid payer credentialing delays to reduce lost revenue.
Your organization should assess bylaws on an annual basis and whenever a regulatory body introduces a new standard or makes changes to an existing standard. However, a thorough assessment of your bylaws can occur less frequently.
The story of Michael Swango, the physician currently serving a life prison sentence for poisoning his patients and colleagues, motivated numerous medical executive committees to conduct background investigations on all medical staff applicants. Such practices allow medical staffs to identify...
When making a request for privileges, applicants must meet the criteria and qualifications for those privileges, or their request will not be processed. Criteria for privileging is focused on competency to perform the requested patient care services. Eligibility criteria for privileges could...
Each organization should have some level of orientation for its physicians, as there are many organizational and regulatory requirements that physicians should be made aware of. MSPs should work with the president of the medical staff, the vice president of medical affairs, and the credentials...
Comparing information that physicians have submitted in the past with current disclosures is one way MSPs can identify red flags or read between the lines. At the time of reappointment, the MSP should compare the information the practitioner has submitted on his or her reappointment application...