When faced with a negligent credentialing claim, two priorities are paramount regarding documents in the hospital’s or healthcare entity’s possession. Take steps to ensure that information does not go missing. In most organizations, a risk manager will place the relevant credentials file in a...
Last week, the Centers for Medicare & Medicaid Services (CMS) announced historic updates to the the Stark Law, also known as the Physician Self-Referral Law. CMS acknowledged that federal regulations related to physician self-referrals have become outdated as the United States’ healthcare...
One of the most important roles of a hospital’s organized medical staff is to evaluate practitioners’ credentials and make recommendations to the board regarding membership on the medical staff and/or the assignment of clinical privileges. Historically, many medical staff bylaws included...
Attribution of patient care for advanced practice professionals (APP) has the same implications as it does for physicians in regard to monitoring quality data and billing. Most APPs are allowed to bill independently for their services; therefore, they must be able to appropriately track the care...
Credentialing Resource Center Journal - Volume 29, Issue 11
