Consider focused professional practice evaluation (FPPE) with regard to the no-volume provider. Most of the time, these physicians are either part of a large group, such as emergency medicine coverage, that covers many hospitals (as is often the case with low-volume providers). There also may be physicians who had every intention of practicing in the hospital but who have not yet done so.

CMS published the FY 2020 Inpatient Prospective Payment System (IPPS) proposed rule on April 23, and the rule’s proposal significantly alters rural health payments.

Ensure a comprehensive and consistent red flag file review with a set list of questions, says Linda Waldorf, BS, CPMSM, CPCS, director of the central credentialing office (CCO) at the University of North Carolina Healthcare System in Chapel Hill. Having a uniform and transparent process makes it easier for MSPs to speak up if they encounter an issue on a file.

If your organization is experiencing delays in revenue, you may not necessarily be aware of it, says Amy Niehaus, CPMSM, CPCS, MBA. Talk to your CFO or billing department. If you’re writing off accounts receivable or holding claims, they’re tracking that and know exactly how much money they’re waiting to receive from payers or may have to write off and never receive from payers. That’s something that would influence whether you need to seek delegation.

Platinum Plus members can now access two peer review webinars:

• Peer Review Challenges: Case Studies From the Field and Practical Solutions
• Peer Review Live!: Practical Training Through Credentialing Resource Center’s Virtual Workshop

These workshop-style webinars feature over 5 hours worth of peer review best practices and solutions to your most challenge physician competence issues.

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CRC members can peruse all the online articles from the April 2019 issues of CRCJ and MSB—as well as full-color, newly redesigned PDFs—here:

• CRCJ
• MSB

To access the relevant full-issue PDF, select "DOWNLOAD FULL ISSUE" at the top of the page.

Plus, hospital employees fired for accessing actor’s medical records, senators ask for old privacy regulation to be removed, and Match results hint at future of physician workforce. Find out what’s happening in the world of federal healthcare regulations by reviewing some recent headlines from across the country.

Credentialing Resource Center Daily is changing its delivery days! Instead of landing in your inbox Monday through Friday, CRC Daily will arrive Monday and Wednesday. Credentialing Resource Center Digest will still be sent out on Fridays, per usual. Not to worry: You will still receive the same timely, engaging content that CRC Daily has always provided you, just in a way that doesn't clutter your inbox!

Stay tuned for more details.