It’s a mild April morning. Dr. Smith, an accomplished surgeon, and Bill Loney, an affable—if absent-minded—general surgery practice manager, walk briskly down the halls of St. Elsewhere Medical Center, a far-off, yet somehow familiar, facility where Dr. Smith was recently hired. They pause...
A compliance code describes how the hospital intends to comply with laws and regulations by establishing requirements its staff must follow in their course of work. The hospital administrator or a dedicated compliance officer typically oversees the compliance code and relevant program.
In addition to employment, many organizations utilize a contract to better align and integrate the parties involved. Such contracts can run the gamut from a relatively simple agreement to interpret EKGs, to an exclusive contract with a cardiology group to provide all cardiac services at the...
Credentialing Resource Center Journal - Volume 26, Issue 4
The United States could face a shortage of 40,800–104,900 physicians by 2030, according to a March study from the Association of American Medical Colleges.
NCQA certification or URAC accreditation can be instrumental in evaluating whether a CVO meets minimum industry standards and will be able to provide the services that a health plan or system needs. Certification or accreditation is essentially an accreditor’s stamp of approval on the CVO’s...
Credentialing Resource Center Journal - Volume 26, Issue 3
What’s in your compliance code? Though not technically mandatory, best practices and, in some cases, plans of correction, call for hospitals to create a compliance program with a plan or code applicable to its operation.
