Ask the expert: Does the HCQIA require hospitals to query fellows in the NPDB?
Credentialing Resource Center Connection, July 31, 2008
Want to receive articles like this one in your inbox? Subscribe to Credentialing Resource Center Connection!
It depends on the functions the fellow is performing. Healthcare entities are not required to query the National Practitioner Data Bank on interns, residents, or fellows (house staff or rotating) as they are trainees in a structured program of supervised graduate medical education and are not members of the medical staff. However, if a resident or fellow is granted medical staff privileges to moonlight or work outside the guidelines of his or her training program, the Health Care Quality Improvement Act requires the hospital to query that individual.
This week’s answer is from The Credentialing Coordinator’s Handbook by Anne Roberts, CPMSM, CPCS.
Want to receive articles like this one in your inbox? Subscribe to Credentialing Resource Center Connection!
Comments
0 comments on “Ask the expert: Does the HCQIA require hospitals to query fellows in the NPDB? ”
Related Products
-
Credentialing Resource Center
CRC is now available online! Receive updates up to four days earlier than the print version and save on shipping costs.
-
Credentialing Resource Center Connection
National credentialing and privileging expert Sally J. Pelletier, CPCS, CPMSM, delivers useful and timely information in her...
-
Credentialing and Peer Review Legal Insider
The Credentialing and Peer Review Legal Insider provides the latest 'how-to' techniques, and practical 'working tools' to...
Most Popular
- Articles
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- Identify potential Medicaid RAC target areas
- HIPAA Q&A: Level of encryption needed for email
- Topic: CMS, OESS post new security compliance review information, checklist
- Capturing all necessary codes for IUD insertion and removal can be challenging
- What does case-mix index mean to you?
- OB services: Coding inside and outside of the package
- QA:Coding multiple initial infusions
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- HIPAA Q&A: Level of encryption needed for email
- Q&A: Follow CMS' coding guidelines when using modifier -25
- What does case-mix index mean to you?
- Catch up on what's new with injections and infusions
- CMS has reformulated payments for some bilateral procedures
- New conflicts of interest create new challenges
- Q/A. One injection code or two?
- ED-to-inpatient transfers are flawed with safety gaps
- Searched