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Credentialing & Privileging

Credentialing & Privileging

Medical staff services professionals turn to HCPro, Inc., and its sister company, The Greeley Company, for practical advice, training resources, breaking news, and sample tools to help improve credentialing, privileging, and a wide array of medical staff services concerns, including compliance with The Joint Commission and other accreditors and regulators.

Credentialing & Privileging Headlines

Top Stories

  • Communicate effectively while under pressure

    The ability to communicate calmly during stressful times is a critical skill for leaders. Performing well during these times will build confidence and trust within your team and foster teamwork. The following are tips to help improve communication when under pressure. Read more.

  • The MEC and bylaws

    Physician leaders are pressed for time. The Medical Executive Committee Manual provides them the knowledge and tools to confidently and effectively carry out their responsibilities. With this manual, MEC members will understand important medical staff functions, such as the role the MEC plays with bylaw and governing documents. Read more.

  • Welcome medical staff leaders!

    Welcome readers of Medical Staff Leader Insider (MSLI). As some of you may know, starting this week we’re rolling the content normally found in MSLI into Credentialing Resource Center Daily (CRC Daily). As a result, MSLI subscribers have been automatically switched over to CRC Daily. If you prefer to receive just the weekly digest on Fridays, click the “unsubscribe here” link at the bottom of this email, uncheck the box for CRC Daily, and makes sure the box for the digest is checked. Thanks for reading!

     

  • Medical staff bylaws and associated documents

    This week, CRC Daily focuses on bylaws. Medical staff bylaws and associated documents outline how your medical staff will organize and govern itself to carry out its board-delegated responsibilities to ensure the quality of care, which primarily depends on individuals granted privileges. At a minimum, they outline the credentialing and privileging process and the initial and ongoing review of physician competency. Read more.

  • CMS proposes rolling back 2-midnight rule

    The controversial 2-midnight rule may be no more following CMS' release of its latest proposed rule for the hospital inpatient prospective payment system (IPPS). When it was first put in place for fiscal year 2014, the 2-midnight rule established a benchmark for inpatient admissions where a Medicare Part A payment would be considered reasonable and necessary for patient stays that lasted at least two midnights. Stays that didn't reach that benchmark would be billed as outpatient services, which are covered by Medicare Part B and tend to result in lower hospital reimbursements.

  • Five simple tips to help healthcare organizations prevent fraud

    It's impossible to calculate the amount of healthcare fraud that exists, as much of it slips under the radar. However, healthcare fraud poses a serious problem, putting the health and welfare of beneficiaries at risk while costing taxpayers billions of dollars.

Credentialing & Privileging Blog

Medical services professionals, credentialers, and medical staff leaders hear from Credentialing Resource Center experts in the trenches on credentialing and privileging.

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Spotlight

  • The Future of the Medical Staff

    In a 90-minute webcast titled The Future of the Medical Staff: Implementing Change in a Challenging Environment, expert Richard A. Sheff, MD, will address specific actions medical staff leaders and MSPs must take to manage unavoidable change in an increasingly challenging environment. Sheff will focus on common problems, such as improving quality healthcare while reducing costs and looking to the future, by discussing the evolution of new medical staff models. This will be followed by a live Q&A.

    Join us for this webcast on Wednesday, April 15, 2015 at 1 PM ET. At the conclusion of the program, participants will be able to:

    • Make the case that their medical staff needs to change to remain relevant
    • Identify opportunities and develop strategies for helping physicians change clinical practice patterns to improve quality and reduce costs
    • Design an approach to strengthening medical staff leaders’ knowledge, skills, and performance in leading the medical staff through change
    • Describe the evolving role of MSPs in the medical staff of the future

    For more information about this webcast or to register, click here.