Following a fair and thorough investigation, the medical staff in your hospital has determined a physician has clinical performance issues and has recommended a limitation in clinical privileges. Per the medical staff bylaws, a fair hearing process commences. If the hearing/appeal processes do...
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...
Credentialing Resource Center Journal - Volume 28, Issue 10
Sharing peer review information between healthcare organizations is essential to help medical staffs determine practitioners' competence and make informed privilege-granting decisions. However, medical staffs can find themselves facing legal challenges if the disclosure process is done
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Credentialing Resource Center Journal - Volume 28, Issue 10
Also, medical boards take action against physicians in Massachusetts and California, medical group receives $2.6 million in overpayments, and patient medical images exposed online across the globe. Find out what’s happening in the world of federal healthcare regulations by reviewing some recent...
For numerous MSPs, provider enrollment is becoming an increasingly familiar topic. According to the 2018 MSP Salary Survey Report, approximately 30% of respondents who work in the medical staff services department also handle provider enrollment. Although that means 70% of MSPs do not currently...
As the aging population increases, the physician workforce decreases, and reimbursement rates struggle to keep up, many organizations are seeking cost-saving solutions wherever possible. One way to achieve that is to consolidate services where it makes sense to, and MSPs and provider enrollment...
Most medical staff bylaws contain a provision concerning the categories into which the medical staff will be divided. In fact, many medical staffs have created an unnecessarily complex array of categories. Many of these categories were created 20–30 years ago as medical staffs tried to...
Credentialing Resource Center Journal - Volume 28, Issue 9
A Massachusetts District Court (the “Court”) denied the motion to dismiss put forth by Massachusetts General Hospital (MGH), Massachusetts General Physicians Organization, and Partners Healthcare System (collectively, “Defendants”). Defendants based the motion on the plaintiff’s failure to state...
Credentialing Resource Center Journal - Volume 28, Issue 9
Plus, anesthesiologist billed $7 million for fraudulent telemedicine services, nurses in Tennessee fight for less physician oversight, and District Court in Oregon approves $74 million settlement after Premera Blue Cross breach. Find out what’s happening in the world of federal healthcare...
