The malpractice analysis form should be given out with your medical staff application. This form is used to help MSPs and physician leaders determine if claims are outside the norm and require further investigation. The questions/numbers on this form are just suggestions; you should adjust them...

Measuring medical staff professionals' performance promotes ongoing excellence and retention. Job descriptions and performance assessments should inform training and development initiatives, including orientation. Beyond regular assessments, MSP leaders should investigate performance issues as...

Navigating appointment processes, with their patchwork of expiration dates and verification expectations, can be difficult for ambulatory facilities, which often lack the dedicated credentialing presence and big-ticket resources of their acute care counterparts. To stay ahead of critical...

A health plan must designate a credentialing committee that uses a peer review process to make credentialing and recredentialing decisions. Members of the committee must include participating practitioners who can review and provide input on applicants for initial credentialing and...

CMS and The Joint Commission require individuals other than licensed physicians who provide a “medical level of care” in the hospital to be credentialed and privileged in the same fashion as physicians. As advanced practice professionals (APP) have a greater presence in medical centers, some...

While the concept of practitioner performance monitoring has been around for more than a century, the continuing march toward value-based reimbursement and integrated care makes routine evaluation more important than ever. As the tools driving this effort, performance indicators are critical to...

Although MSPs in any setting may feel underappreciated at times, those in provider enrollment positions and environments are often among the most misunderstood. Typically, there are no specific job eligibility criteria for professionals in these roles other than the ability to type and follow...

The Credentialing Resource Center’s (CRC) Achievement Awards are back! These special distinctions honor MSPs and medical staff leaders who make a difference in their organization and serve as an inspiration to the broader professional community. Winners, who will be selected by a panel of...

The Credentialing Resource Center (CRC) is seeking a pioneering MSP, physician leader, or small team to present a compelling case study at the 2019 CRC Symposium, which will be held in February in Las Vegas, Nevada. By imparting their in-the-trenches experiences and lessons learned, the chosen...

This white paper is the second in a series on the MSP’s growing role in provider enrollment. With a high level overview of the enrollment fundamentals, tips on adapting traditional credentialing processes for a broader range of vetting activities, and strategies for optimizing existing...

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