If a practitioner loses privileges or membership because the hospital offers an exclusive contract to another practitioner or specialty group, most institutions will not offer a fair hearing, and the action is not reported to the NPDB. Most hospitals have one or more exclusive contracts with ...
As telemedicine solutions gain ground, having an effective way to confirm the identity of applicants—some of whom may never step foot in your facility—is more important than ever. Download this sample form from The...
Facilities seeking competency data may need to amend their policies or medical staff bylaws. These samples can be customized for most facilities, but consult with counsel first.
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...
This free resource is a sample reappointment OPPE scorecard courtesy of Beebe Healthcare, a nonprofit community hospital in Lewes, Delaware, that upholds professional practice evaluation as one landmark in the greater quality landscape.
The employed physician applicant receives one standardized application package that requests all of the information required by the parties as outlined in the policy and allows the MSSD, human resources, and payer credentialing to simultaneously receive the same information so that each can...
The medical staff office’s daily operations touch many other areas of the organization to ensure patient safety and regulatory compliance. Here's a visual representation of the medical staff office's place in the system.
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...
For healthcare organizations that enter into credentialing by proxy arrangements, one of the most needling and long-standing pain points is allying intention and execution. Before enlisting telemedicine practitioners, hospitals should ensure that they have the necessary provisions in their...
