As 2020 launched, healthcare executives had no way of knowing the havoc a novel virus that had emerged in Wuhan, China, would wreak on the healthcare industry. By March 11, 2020, the World Health Organization acknowledged a pandemic was in progress, and COVID-19 began impacting the U.S....
A Texas-based pathologist resigned after learning his employer charged his insurance company nearly $11,000 for a COVID-19 antibody test. Zachary Sussman, MD, said he decided to use one of the freestanding ERs owned by Physician Premier ER, so he could witness the patient experience offered by...
Any MSP will tell you that they wear many hats. Frequently, MSPs have their hands in a little bit of everything related to credentialing, contracting, provider enrollment, and the medical staff itself. Deborah Ormay, CPCS, CPMSM, a writer and speaker with more than 30 years of managed care...
Credentialing Resource Center Journal - Volume 29, Issue 9
Once the medical staff and governing board grant a practitioner clinical privileges, the medical staff is then responsible for ensuring that the practitioner maintains current clinical competence for all privileges granted by monitoring and reviewing the quality of care provided by the...
Credentialing Resource Center Journal - Volume 29, Issue 9
Mary, a medical staff quality coordinator, has been charged with gathering activity information for all practitioners for ongoing professional practice evaluation (OPPE). Mary requests the data from several departments, including admitting, information systems, medical records, pharmacy, and...
When we hear the terms frontline workers or people on the front lines, we often picture medical scrubs and stethoscopes, physicians covered head to toe in personal protective equipment, nurses treating patients, and...