The American Medical Association (AMA), a number of other national provider associations, and 47 state medical societies are urging the Centers for Medicare & Medicaid Services (CMS) to preserve federal funding for state-based quality improvement organizations (QIOs). Some of the nation’s...
Credentialing Resource Center Digest - Volume 14, Issue 31
The Inpatient Prospective Payment System (IPPS) final rule, released late Friday, establishes terms that distinguish an inpatient admission from observation status, for which hospitals receive lower rates of Medicare reimbursement. Hospital groups angrily objected to the final IPPS rule...
Credentialing Resource Center Digest - Volume 14, Issue 30
The Centers for Medicare & Medicaid Services (CMS) last week announced its approval of the Center for Improvement in Healthcare Quality (CIHQ) as a national accrediting organization for acute care hospitals that wish to participate in the Medicare or Medicaid programs. CIHQ focuses largely...
Credentialing Resource Center Journal - Volume 22, Issue 8
Seasonal influenza vaccinations for all healthcare workers are not the law of the land-yet-although CMS, The Joint Commission, and numerous other organizations have goals or requirements aimed at getting more than 90% of U.S. healthcare professionals vaccinated by 2020. Many...
An article by a nurse that appeared recently in The New York Times has brought about a surge of discussion, sometimes revealing, sometimes aggressive, about the relationships and professional interactions between caregivers in hospitals.
The Appellate Court of Connecticut affirmed a lower court’s decision to set aside a jury verdict in favor of a physician in a medical malpractice case after the physician’s attorney violated the state’s peer review statute.
Credentialing Resource Center Digest - Volume 14, Issue 29
The Department of Health and Human Services (HHS) Office of Civil Rights director Leon Rodriguez announced the termination of Medicaid funding to a California surgeon who intentionally discriminated against an HIV-positive patient by refusing to perform much needed back surgery. An order,...
Credentialing Resource Center Digest - Volume 14, Issue 27
Quality experts, including the CEO of the National Quality Forum and a former CMS administrator, cautioned Senate Finance Committee members earlier this week that healthcare quality measures must be better coordinated to be effective.
Credentialing Resource Center Journal - Volume 22, Issue 7
Editor's note: HCPro's Credentialing Resource Center is constantly adding to and updating its library of Clinical Privilege White Papers, which outline sample privileging criteria and background research for a wide range of medical specialty and subspecialty areas, procedures and new...
The Court of Appeals of Iowa (the “Court”) reversed a lower court’s decision and ordered the Iowa Board of Medicine (the “Board”) to dismiss a disciplinary action against a physician stemming from incidents involving alcohol dependency.