“Many prominent hospitals that are in the top echelon of other quality rating reports, and handle the most complex procedures and patients, may receive 1 or 2 stars (out of a possible 5), indicating that they have the poorest quality in comparison to all other hospitals.”
- A...
Credentialing Resource Center Digest - Volume 17, Issue 15
Earlier this week, several U.S. senators joined the American Hospital Association in expressing concerns with the upcoming release of CMS’ Hospital Compare ratings. There are some questions being raised about the methodology used to rate hospitals (see the “Heard this week”...
Emergency privileges are not disaster privileges (and they’re not clinical privileges in emergency medicine). Nor are they defined in accreditation standards. Emergency privileges are simply temporary privileges granted in an urgent situation.
The managed care organization's (MCO) reimbursement policy and rates are a major factor when deciding whether to sign a contract to participate in its provider network. One of your duties may be to create a fee schedule comparison by setting up a spreadsheet that lists the top or most common CPT...
Understanding and interpreting CMS regulations and accreditors’ standards is key to making sure your organization is in compliance with these requirements. However, this can be difficult even for the most seasoned MSP....
Practitioner competency is increasingly in the spotlight for patients, insurers, regulators, and others. Thus, documenting and ensuring competency is an increasing part of your job. CMS’ CoPs state that an organized medical staff must have a process in place for determining the...
Credentialing Resource Center Digest - Volume 17, Issue 13
Newly released! The rate of employed physicians in the United States is on the rise and shows no sign of slowing. Employed physicians are subject to medical staff processes as well as human resources/employment processes. This can lead to employed physicians slipping through the cracks or...
Credentialing Resource Center Digest - Volume 17, Issue 14
Nearly all specialties that were represented in Medscape’s 2016 Physician Compensation Report noted a pay increase from the previous year. Rheumatology and internal medicine reported the largest pay increase (12%), while general surgery, anesthesiology, and HIV/ID reported only a 1% increase.
Credentialing Resource Center Digest - Volume 17, Issue 14
Medscape recently released its 2016 Physician Compensation Report. For the second year in a row, orthopedics came in as the specialty with the highest average salary at $443,000 and cardiology came in at No. 2, with a salary of $410,000. The top earners across all...
