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To maintain Medicare billing privileges, a provider or supplier (other than a durable medical equipment, prosthetics, orthotics and supplies [DMEPOS] supplier) must resubmit and recertify the accuracy of its enrollment information every five years, a process known as revalidation.
Credentialing and privileging regulations for advanced practice professionals (APP) are currently a loose patchwork of federal and state statutes. Given this variability, today’s discussion centers on strategies that MSPs and medical staff leaders can use to identify and apply relevant laws to...
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...
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.
