Credentialing and privileging approval depends on a variety of hard data sources, from NPDB information to internal quality data. But one equally weighted component comes from colleague references in the form of peer recommendations.
Even four years after The Joint Commission introduced the concept of ongoing professional practice evaluation (OPPE), organizations still struggle with the details. HCPro's new book, The Complete Guide to OPPE, walks readers through the various questions that...
Credentialing Resource Center Journal - Volume 20, Issue 12
Medical staff services departments (MSSD) are usually bombarded with applications and rarely have the staff members to keep up with it all. MSPs or MSSD directors find themselves searching for ways to do all their work with the same amount of people. Meanwhile, stricter...
In an effort to cut $33 million from its budget, Washington state has recently passed a law that limits Medicaid patients to three non-emergent ED visits per year. It will not cover visits beyond the initial three, even if the visit constitutes a true emergency. To determine...
Credentialing Resource Center Journal - Volume 20, Issue 12
Historically, fraud and abuse claims were not connected to medical staff credentialing. Rather, medical staff credentialing is typically linked to cases in which a physician sues over denial of privileges or corrective action, negligent credentialing cases brought by patients,...
