We are currently seeking industry experts to speak at our upcoming conference, the 2023 National Provider Enrollment Forum! The Forum will take place August 7-8, 2023, at the Hilton Chicago/Oak Brook Hills Resort & Conference Center. This two-day, can’t-miss event will deliver fresh and valuable content for nearly every title and function in the provider enrollment industry. To apply, click here and fill out the application by Friday, January 13, 2023. Click here for more details. Please contact Son Hoang at shoang@hcpro.com with any questions.

It seems like a small issue, but sometimes what appears on the surface as an inconsequential turf battle among well-meaning physicians trying to maintain market share can result in everyone loosing. Take the following example.

How does your medical staff team handle a situation in which a physician with documented red flags resigns during an investigation or prior to an investigation?

Many MSPs have questions regarding what information to keep and how long to store it. This policy outlines the requirements of documents that must be present in each medical staff credentialing and privileging file, as well as a control process for logging when those files are checked in and out. It is important to review this policy with legal counsel in today’s litigious environment in which negligent credentialing lawsuits are dramatically on the rise.

Credentialing and peer reviewing providers involves many complex processes. During the recent Credentialing Resource Center Virtual Symposium, speakers discussed the ins and outs of those processes and shared their best practices when addressing the red flags that come along with them.