Education and collaboration are the two words to keep in mind when MSPs work with outside entities. Successful MSPs foster strong relationships by continually educating themselves on requirements for their offices and how their office communicates with regulatory agencies. Many MSPs are often...
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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...
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...
