Plus, join us in Las Vegas for the CRC Symposium!

Friday, June 29, 2018
 

Weekly Roundup: Medical Staff Leadership

Featured content: Choosing credentials committee members

Who can be a credentials committee member? Your organization’s medical staff bylaws and/or credentialing policies and procedures set the actual criteria for credentials committee membership. Although it’s good to enumerate some basic requirements for membership, it’s also worthwhile to note that more effective credentials committee members are often those who exceed the minimum qualifications.

Leadership iInsight: Demand for physician specialists is growing

Physician recruiting firm Merritt Hawkins noticed an interesting in 2017: recruitment for specialists increased while recruitment for primary care physicians decreased. According to Merritt Hawkins' 25th Annual Review of Physician and Advanced Practitioner Recruiting Incentives, 74% of recruiting assignments were for medical specialties, up 7% from three years ago. As for primary care, searches for these physicians decreased by 32% percent from three years ago. The report assessed the 3,00 recruiting assignments Merritt Hawkins conducted from April 1, 2017 to March 31, 2018.

Heard this week

Free resource: Confidential information: Setting the minimum necessary

Editor's note: Today's Free Resource is a members-only article and form that we are making available to all CRC Daily readers. To make sure you receive all of the forms and articles available on CRC, click here.

The Health Insurance Portability and Accountability Act (HIPAA) requires healthcare employees to use or share only the “minimum necessary” information they “need to know” to do their jobs. For example, a coder needs to look at the entire record of a patient’s hospital stay to apply all the correct codes. However, perusing the correspondence section of the record is unnecessary and inappropriate.

Quick tip: Are there any exceptions to credentialing and privileging employed physicians?

The answer is maybe. One possible exception is this three-part consideration: (1) the physician is 100% in an ambulatory setting, (2) the practice site is a hospital/health system corporation with its own unique (non-hospital) CMS billing number, and (3) the physician does not require any hospital-based privileges. Strictly speaking, such a physician does not require either medical staff membership or privileges.

 

New Content: Members Only

Full June issues of CRCJ and MSB now available for download

CRC members can peruse all the online articles from the June 2018 issues of CRCJ and MSB—as well as full-color, newly redesigned PDFs—here:

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

U.S. Department of Justice intervenes in whistleblower case

Also, 63,000 patients affected by data breach, hospital network hit with class-action lawsuit, and physicians settle kickback allegations

Review emergency department policies, training on EMTALA

Every ED deals with difficult cases. Regardless of the ED’s capacity to deal with an emergent medical condition or with a noncompliant patient, it’s important to be able to show how staff dealt with each patient on a case-by-case basis.

Ohio appellate court reverses order compelling production of credentialing documents

The Court of Appeals of Ohio in the Sixth Appellate District (the “Court”) reversed a trial court’s judgment ordering a hospital to turn over documents within a physician’s credentialing file as part of a negligent credentialing lawsuit.

Understanding breach reporting and assessment requirements

With massive data breaches rocking industries and the public, and policymakers scrutinizing how organizations respond, it’s time to dust off policies and ensure organizations have meaningful, compliant reporting and response plans.

 

CRC Announcements

CRC is heading to Las Vegas

The 2019 Credentialing Resource Center Symposium will be held February 26-28 in Las Vegas at the MGM Grand. With so many credentialing, privileging, and medical staff leadership topics to cover, the Symposium has been expanded to 2.5 days and will feature a new provider enrollment track. Stay tuned as we announce our speakers and agenda, but in the meantime, mark your calendars!

Take our new poll: Telemedicine services

Do you think telemedicine services are as effective as in-person services? Answer our latest poll question to let us know. You must be signed in with your free or paid CRC account to participate.

Click here to learn more about telemedicine. Have a different question on your mind? Click here to get the conversation started in the CRC forums.

 

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

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