Although external peer review is seldom required in most organizations, it is nonetheless important to have a policy in place should the need arise. In many hospitals, the service line or department chair, medical staff quality committee (MSQC), or another designated group will make...
Check out (and contribute to) the latest conversations happening now on the CRC Forums. Don't forget that you can also ask your question there at any time.
One of the most important steps in readying internal processes for a new delegated credentialing arrangement is ensuring all employees involved in credentialing and payer enrollment understand the rationale behind the new requirements.
General case review indicators should represent significant clinical outcomes or critical processes for which physicians are partially or completely responsible and therefore represent potential improvement opportunities. It is important to make sure that the general review indicators cover all...
Granting of a state medical license is seen by many as a government's endorsement of a practitioner’s competence. However, in most states, the requirements for licensure are fairly minimal and largely consist of evidence the practitioner actually went to medical school and engaged in at least...
Hospitals must report adverse actions taken against the privileges of a physician or dentist to the National Practitioner Data Bank. They may choose to report actions against the privileges of other healthcare providers, but reporting is not required.
