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...

This white paper is the first in a series on the MSP’s growing role in provider enroll-ment. Chock-full of professional statistics, expert guidance, and tales and tools from the field, this unprecedented look into an emerging facet of the medical staff services field will arm forward-thinking...

When it comes to temporary privileges, required credentialing steps and timelines vary based on the accreditor and, in some cases, the purpose for the grant. Regardless of accreditor, however, a hospital’s stance on temporary privileging parameters should be codified in the medical staff bylaws...

The Health Insurance Portability and Accountability Act (HIPAA) requires healthcare employees to use or share only the “minimum necessary” information they “need to know” to do their jobs. Use this form to help set a minimum necessary policy for your organization.

Regulatory and accreditation bodies require healthcare institutions to obtain peer references during the credentialing process to validate applicants’ current clinical competence. Created to comply with Joint Commission standards, this confidential peer review reference form captures the...

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