Leading up to the 21st century, peer review evolved constantly, undergoing rapid change. New regulations and requirements were implemented both by the Centers for Medicare & Medicaid Services (CMS) in the 1960s and by the establishment of the Health Care Quality Improvement Act of 1986....
A recent survey shows provider directory maintenance can be expensive and that, in the absence of an affordable technical fix, you’ll have to tighten up your record updating if you want to reduce those costs.
CAQH, the nonprofit alliance of health plans and trade associations best known...
Ensuring that patients receive quality care is the utmost priority for both physicians and MSPs. The federal government seeks to maintain this priority through the Stark Law and Anti-Kickback Statute, both of which prohibit physicians from referring patients to entities where...
Whether you’re an MSP in the medical staff services department or a practitioner on the medical staff, understanding how to work effectively on a team is crucial, particularly if you are the leader. Leadership styles can vary greatly, and some teams and/or...
It turns out the doctor doesn’t always know best—at least not when it comes time to hang up the scalpel.
An accepted norm in the medical field is that with age comes more experience, and therefore more knowledge. That may hold true—but at what point does old age mean that surgeons can’t...
As physician shortages grow even faster and patient care needs intensify, more and more healthcare institutions are fortifying their ranks with telemedicine practitioners. While distance doesn’t diminish a hospital’s responsibility to thoroughly vet and assess affiliated practitioners, it can...
Like any industry, the provider enrollment field has its unique challenges and obstacles. One of the easiest ways to overcome these challenges, Dina Solis, PESC, says, is to incorporate automation and other technology solutions. For organizations already utilizing technology in their processes,...
The growth trend in digital healthcare has continued for much of 2019. In fact, according to InTouch Health, a telehealth services company that offers health systems solutions to deliver virtual care, the global telehealth market is expected to reach some $40 billion this year.
In 2018, 91.5% of people in the United States had healthcare coverage for at least part of the year. That means that 8.5%, or 27.5 million people, went the entire year without any form of health insurance.
As the need for increased healthcare services becomes more widespread in even the most remote parts of the country, providers continue to look for the most cost-efficient way to fill that need.
Yet the solution now being adopted isn’t to make hospitals bigger—instead, facility operators...
