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| Credentialing and Peer Review Legal Insider |
| April 2008 |
| Be prepared to scrutinize all privilege requests during reappointment process to comply with regulations |
| New Joint Commission standards surrounding focused professional practice evaluation (FPPE) that took effect January 1-as well as other physician quality data-related pressures brought to bear by CMS and third-party payers' pay-for-performance systems-force hospitals to collect and evaluate physician performance data to a greater extent than in the past. Although many hospitals are only beginning to come to grips with the fact that their credentialing and reappointment decisions must be based on quantifiable evidence and standards, there are options to consider when the existing data on a physician are insufficient to continue to grant him or her one or more existing privileges. |
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