Whatever the reason, a large number of physicians who have a low volume or no volume of clinical care will nevertheless want to apply or reapply to your hospital for membership and privileges. They may not meet your criteria for current competency for that set of privileges, and therein lies the...
Credentialing Resource Center Journal - Volume 33, Issue 4
Recruiting has become big business for hospitals and group practices. Typically, these efforts focus on filling a clinical position in a specialty that the hospital needs on an employed, contracted, or community basis. Having said that, the most damaging communication breakdowns often occur...
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.
In our latest practitioner check-in, we catch up with Teresa Miller, CPMSM, CPCS, senior medical staff specialist at INTEGRIS Health in Oklahoma City. She offers a window into the nuanced role that entails meticulous file reviews, collaboration with department chairs, and active...
MSPs and credentialing leaders have another case from which to draw lessons on how to handle late-career clinicians, namely the Scripps Clinical Medical Group settlement with the U.S. Equal Employment Opportunity Commission (EEOC) in December.
Advanced practice professionals (APP) have medical training but are not physicians. APPs have more advanced training and independence than do allied health professionals, and they play an increasingly important role in today’s healthcare industry. Some states allow independent practice by nurse...
