Friday, July 21, 2023

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California looks to streamline health plan credentialing

A bill enacted by California assemblyman Jim Wood would simplify the credentialing process for practitioners looking to join a health plan. AB-815 calls for the creation of a state board to certify certain entities to act as delegated credentialing entity for health plans. Health plans would then use this credentialing information instead of conducting their own credentialing of a practitioner.

Why do healthcare facilities and managed care organizations credential and privilege?

Although the credentialing and privileging processes may seem burdensome, applicants can take comfort in knowing that they will be working alongside other practitioners who have had to meet the same stringent requirements.

 

CRC Member Exclusive

Move to three-year reappointments? A no-brainer for this medical staff services department

Navigating the maze of provider reappointments can be a daunting task for hospital credentialing specialists. Faced with the complexities of managing hundreds of appointments and renewals, and with tracking ever-changing state laws, the credentialing process is a delicate dance that demands precision, adaptability, and efficiency.

Clinical Privilege White Paper: Critical care medicine

According to the American Board of Medical Specialties (ABMS), critical care specialists—also called intensivists—are qualified to diagnose, treat, and support critically ill and injured patients, particularly trauma victims and patients with multiple organ dysfunction. They also work to coordinate patient care among the primary physician, critical care staff, and other specialists. Critical care medicine differs from emergency medicine in relation to the length of treatment. Critical care medicine involves long-term treatment of patients, whereas emergency medicine is short-term treatment.

Briefings from Greeley and Williams: A call for the return of in-person socialization

This is the latest in a continuing series of articles designed for medical staff leaders and their associates. This month, Greeley and Williams discuss creating more opportunities for medical staff leaders and staffs to gather and socialize.

 

    

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

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