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.
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...
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,...
Hospitalists who are guaranteed more money make less overall, according to the Medical Group Management Association's and the Society of Hospital Medicine's State of Hospital Medicine: 2011 Report Based on 2010 Data. The report states that adult hospitalists who earn high...
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,...
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...