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....
Failure to hold the medical staff accountable for unprofessional behavior may have catastrophic consequences for patients. On July 9, 2008, The Joint Commission issued sentinel event #40, “Behaviors that undermine a culture of safety.” This led to the development of a leadership standard (LD.03....
The U.S. District Court for the District of Nevada (the "Court") recently ruled that Summerlin Hospital Medical Center in Las Vegas (the "Hospital") did not violate the Emergency Medical Treatment and Active Labor Act's (EMTALA) examination, screening, and stabilization requirements during its...
Clinician shortages are gaining ground across the country, adding new urgency to a long-standing pursuit in the medical staff services department (MSSD): striking the ideal balance between quality and efficiency.
