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...
According to preliminary results from the 2020 MSP Salary Survey, MSPs’ salaries are holding steady or even increasing in some ranges, which is reassuring to see in the uncertain financial climate that the COVID-19 pandemic has created for many healthcare organizations.
Credentialing Resource Center Journal - Volume 29, Issue 8
Because of the COVID-19 pandemic, many of us are working from home in some capacity. There have been a lot of emotions during this new normal, and as we learn to adjust and cope, staying organized and focused is the biggest challenge. In this article, we hope to share some of the tips that we...
Suspensions are an important tool that medical staffs can utilize for several reasons. First, suspensions explain the circumstances under which the medical staff will suspend a practitioner’s privileges because of failure to comply with one or more administrative requirements. Examples might...
Credentialing Resource Center Journal - Volume 29, Issue 8
The United States District Court for the State of Connecticut (the “Court”) granted a motion to compel discovery, finding that in certain cases, if medical peer review privilege is not proved to be “intrinsically meritorious,” a court can decline to recognize it.
Last year set the record for the number of fatal drug overdoses in the United States. According to preliminary data released by the Centers for Disease Control and Prevention, nearly 71,000 people across the country died of...
Credentialing Resource Center Journal - Volume 29, Issue 8
Healthcare organizations have become increasingly complex. In past decades, most organizations provided patient care within the walls of the facility. Essentially, no clinical care was provided outside the facility. This care delivery model is no longer the norm—it is actually quite the contrary...
