According to the results of an American Medical Association survey, more than 90% of physicians surveyed stated prior authorization has a significant or somewhat negative clinical impact on patient care. Twenty-eight percent responded that prior authorization “led to a serious adverse event such as death, hospitalization, disability, or permanent bodily damage, or other life-threatening event for a patient in their care.”

The Fifth District Texas Court of Appeals at Dallas (the “Court”) affirmed a trial court decision ruling that a surgery center did not breach a contract when it terminated a partnership with a physician who refused to perform an illegal act because the contract specifically stated that said partner can be fired for either any reason or for no reason at all.

Here are some highlights from Day 1 of the CRC Symposium!

“The MSP said, 'Primarily those physicians over there are low and no volume.' I asked them, 'What makes them low and no volume?' And she said, 'They are dead.' ”

- Sally Pelletier, CPMSM, CPCS, discusses low- and no-volume providers.

“If you see holes, if you see issues in your documentation, point them out. If nothing else, it’ll be helpful to your legal counsel down the line.”

- Catherine Ballard, Esq., discusses fair hearings.

“There’s a code of silence that exists in some places when late career practitioners start to become problematic, which is why we, as the gatekeepers of quality, need to be cognizant of this issue.”

- Todd Sagin, MD, JD, on aging practitioner policies.

"Everything that could have gone wrong, did."

- Carol S. Cairns, CPMSM, CPCS, on the roadblocks in the Miller v. Huron case, for which she served as an expert witness. For more on this cautionary tale of a negligent credentialing suit, read CRCJ's exclusive interview with Cairns here.

Keep posting comments and conference photos to the Activity Feed on the conference mobile app. We will award a free HCPro book to the attendee with the best posts. The winner will be announced on Wednesday, February 27, at 3 PM.

Don’t miss tomorrow’s session, Rapid Fire, at 3:30 PM in Premier Ballroom: Rooms 312 & 317. Carol Cairns, CPMSM, CPCS; Sally Pelletier, CPMSM, CPCS; Todd Sagin, MD, JD; Mark Smith, MD, MBA, FACS will provide high-level overviews and quick tips for today’s hottest topics in medical staff and credentialing.