Although CMS has now substantially limited the ability of a hospital to establish provider-based (PB) locations, they have been extremely popular over the past few years because they allow a hospital to bill for services as if they were provided at the main hospital building (i.e., each service...
Most credentialing work is considered a peer review activity performed by the medical staff and governing board. As a result, state laws generally grant some amount of peer review protection to those parts of a particular credentials file that are acted upon by medical staff committees or the...
Frequently, emergency and disaster privileges are confused. Emergency privileges are those privileges that the medical staff has granted to existing members to do whatever is necessary (within the scope of each practitioner’s license) to save the life, limb, or organ of a patient. Typically, the...
Development of The Credentialing and Privileging Toolbox is underway! The 2017 title will feature first-class, field-sourced credentialing and privileging resources, along with expert commentary on what makes them so great. Think ...
About five years ago, my employer, Allegheny Health Network (AHN), decided to pursue delegated agreements with the big-name insurance companies in our area. AHN, which comprises seven hospitals and four ambulatory surgery centers throughout...
