The Wisconsin Court of Appeals (the “Court”) reversed a circuit court order awarding summary judgment in favor of a surgery center against a patient’s claim of negligent credentialing for failing to investigate a physician history of misconduct and disciplinary actions.
During the National Provider Enrollment Virtual Event, held November 8–9, speakers took attendees on a deep dive into the complex processes of enrolling practitioners and facilities with both government and private payers, leaving them with best practices for developing and sustaining successful...
Credentialing Resource Center Journal - Volume 32, Issue 1
The Joint Commission’s time frame for evaluating licensed practitioners’ ability to provide care, treatment, and services has been updated from two years to three years.
The new time frame is intended to better align with the standard practice of evaluating licensed practitioners every...
The new year brings new opportunities and a clean slate. In the world of medical staff services, turning the calendar to a new year simply means continuing to improve processes, communication with physicians, and regulatory compliance—all in the name of patient safety.
Credentialing and peer reviewing providers involves many complex processes. During the recent Credentialing Resource Center Virtual Symposium, speakers discussed the ins and outs of those processes and shared their best practices when addressing the red flags that come along with them.
Credentialing Resource Center Journal - Volume 31, Issue 12
How does your medical staff team handle a situation in which a physician with documented red flags resigns during an investigation or prior to an investigation?
Credentialing Resource Center Journal - Volume 31, Issue 12
Healthcare inequities have plagued certain populations based on many factors, including race, religion, class, sexual orientation, and language. To help healthcare organizations address this situation, NCQA launched its Health Equity Accreditation programs, which provide frameworks of actionable...
In 2023 and beyond, credentialing specialists will face the reality that more and more applicants being recruited by hospitals and vetted by credentialing personnel and bodies will have significant concerns, blemishes, pink flags, and red flags in their backgrounds.
Credentialing Resource Center Journal - Volume 31, Issue 12
The California Court of Appeals (the “Court”) affirmed a trial court’s decision striking a physician’s complaint that a hospital falsely reported him to the National Practitioner Data Bank (NPDB), finding that the hospital’s actions were protected by the state’s anti-SLAPP (strategic lawsuit...
