Although CMS has now substantially limited the ability of a hospital to establish provider-based (PB) locations, they have been extremely popular over the past few years because they allow a hospital to bill for services as if they were provided at the main hospital building (i.e., each service...
Credentialing Resource Center Journal - Volume 25, Issue 11
References to red flags are rife in the medical staff arena. Loss of licensure, significant malpractice activity, poor clinical references, and their ilk are targets of considerable scrutiny during the credentialing process. But what about the subtler inconsistencies and deviations that can...
The Office for Civil Rights (OCR) stepped up HIPAA enforcement in a big way this year. The agency handed down more than $5 million in HIPAA settlement fines in one week in March, and in July reached a HIPAA violation settlement with Advocate Health Care in Illinois that carried a $5.55 million...
A job application is the first look an employer gets at a potential employee. Along with providing the essential information an employer needs to know, it may also provide some subtle--yet valuable--insight into whether that candidate is a good fit for the organization. The same is true for...
Credentialing Resource Center Journal - Volume 25, Issue 9
On July 25, the public comment period closed on the U.S. Department of Veterans Affairs' (VA) proposal to grant full practice authority to advanced practice registered nurses (APRN). The regulation, which would allow APRNs to independently assess, diagnose, prescribe medications, and interpret...
If your organization is struggling with where to place a practitioner in one of your medical staff categories, you either have too few or too many medical staff categories. Consider arranging your medical staff categories into these four common categories.
My goal in consulting and writing is to help medical staffs move from a punitive or indifferent peer review culture to one that supports physician improvement and the pursuit of excellence. The good news is that peer review culture can change. But how do you get there? In my experience, there...
The Supreme Court of Texas (the "Court") recently held that a trial court failed to adequately review allegedly privileged documents?to determine if they were disclosable pursuant to an exception to the state's peer review statute--before issuing an order compelling Christus Santa Rosa Health...
