The Healthcare Quality Improvement Act of 1986, which formed the legislative impetus for the NPDB, specifies that organizations must report a physician's "surrender of clinical privileges" while the individual is under investigation for potential incompetence or improper conduct, or in return...
Credentialing Resource Center Journal - Volume 25, Issue 8
Last April, the U.S. Department of Health and Human Services finalized the first substantive updates to the National Practitioner Data Bank (NPDB) Guidebook in more than a decade. Roughly one year after the rollout, experts say the broadened reporting expectations have weightier...
The Office of Inspector General maintains a List of Excluded Individuals/Entities (LEIE) database, which is updated on a monthly basis. Medical staff stakeholders can search the database to identify entities and individuals who are excluded from Medicare, Medicaid, and other federal healthcare...
This week, CRC Daily covers credentialing, which is among the many duties that require effective collaboration between medical staff leaders and MSPs. It is a mistake to assume that a practitioner who has been on the medical staff for a while and has gone through the application process...
Your organization must decide if it will include co-terminus language in the employment agreement regarding employment and privileges. This means that if the physician is terminated, he or she automatically loses medical staff membership/clinical privileges. If there is no co-terminus language,...
Your clinical privilege forms need to be reviewed on a regular basis to ensure they reflect up-to-date criteria requirements and standards for the procedure or specialty in question. For example, a procedure that used to be considered a special, noncore privilege when you developed your forms...
