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Add EMTALA-based language to privileging forms

Language that addresses the EMTALA requirements to assess, stabilize, and determine a patient’s condition can be added to your delineation of privilege forms as applicable to each specialty for which the medical executive committee (MEC) has established call coverage requirements. The language can simply be stated as follows: “Assess, stabilize, and determine disposition of patients with emergent conditions consistent with medical staff policy regarding emergency and consultative call services.”

 

CRC Member Exclusive

Create process and communication efficiencies by aligning credentialing and enrollment functions

With integrated departments, onboarding of employed practitioners includes credentialing and privileging, but now ends after successfully enrolling practitioners with commercial insurers, Medicare, and Medicaid. However, this endpoint is changing as many hospitals integrate their medical staff services and provider enrollment functions into one department, says Amy Niehaus, CPMSM, CPCS, MBA, president of AMN Consulting.

Keep stakeholders up to date with regular meetings to review new practitioners’ credentialing and enrollment status

When medical staff services and provider enrollment processes are integrated into the same office, MSPs may have to work with enrollment specialists to report to stakeholders how providers are tracking through the credentialing and enrollment processes. Many organizations hold regular meetings where stakeholders receive updates on credentialing and enrollment. Who attends these meetings and their structure varies by organization. The following case studies provide examples for how you might set up similar meetings in your organization.

 

CRC Announcements

Last day for CRC Symposium hotel discount!

Time is running out to receive a discounted hotel room rate for the 2019 Credentialing Resource Center Symposium. The discounted rate is now only $115! The 2019 Credentialing Resource Center Symposium will take place at the MGM Grand in Las Vegas. Along with the convenience of staying where the Symposium is being held, the hotel also offers shows, casinos, and plenty of dining options. For the discounted room rate, reservations must be made by Monday, February 4. Rooms are available on a first-come, first-served basis. Make your hotel reservations immediately to guarantee rate and availability. Use this link to book your hotel room.

 

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Karen Kondilis
Managing Editor
Credentialing Resource Center
kkondilis@hcpro.com

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