As part of President Obama's executive order "Improving Regulations and Regulatory Review," which aims to reduce unnecessarily burdensome rules, CMS has granted hospitals and medical staffs greater flexibility in several key areas. The updated Conditions of Participation (CoP)...
A rash of cases in 2012 have piqued the interest of healthcare systems and legal experts on the matter of peer review protections. These cases serve as a timely reminder that medical staff services departments should take some time to review their procedures and ensure they are...
It is important that medical staff leaders, MSPs, and all other hospital staff that carry out credentialing, peer review, and medical staff leadership functions have a clear understanding of the basics of civil litigation that affect such important processes. Unless you're a Law...
One year ago, CMS handed down a ruling that allowed hospitals utilizing telemedicine providers to credential physicians through a proxy, using information about the physician from the distant-site facility rather than collecting and verifying information on their own.
At the beginning of 2012, New Mexico expanded its state laws regarding reporting settlements, judgments, adverse actions, and credentialing actions to the state medical board to include employed physicians.
Peer review is intended to promote open and honest conversations about the performance of physician peers, with the ultimate goal of promoting patient safety and improving care. The protections offered under the Health care Quality Improvement Act (HCQIA) allow these reviews to...
Credentialing Resource Center Digest - Volume 13, Issue 21
In the 1990s, the term "managed care" had a negative connotation, as patients perceived it as payers' way of encouraging physicians to deny needed healthcare services. But managed care has come a long way since then and is making a comeback in light of pressure from payers and...
Although a whistleblower and a disruptive physician may seem like they are on opposite ends of the spectrum, there is a very fine line that separates the two categories inside a healthcare facility.
Whenever medical staff leaders discuss medical staff engagement and alignment, talk of money isn’t far behind. Whereas 30 years ago, serving in a medical staff leadership role was par for the course, today physicians consider it going above and beyond the call of duty. Many hospitals offer...
