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Credentialing and Peer Review Legal Insider Credentialing Resource Center

The Credentialing and Peer Review Legal Insider provides the latest 'how-to' techniques, and practical 'working tools' to help you credential and conduct peer review more easily and more effectively - while avoiding legal pitfalls!

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Credentialing and Peer Review Legal Insider

Issue 12, December 1, 2005 - VIEW THE FULL ISSUE

• Case highlights need for better communication and investigation

  Editor’s note: In the November CPRLI, we discussed the use of an outside recruiting agency in...

• Hurricane Katrina focuses attention on need for centralized database

  In the aftermath of Hurricane Katrina, state medical boards continue working together to streamline...

• Navigate health questions on physician applications

  The American with Disabilities Act (ADA) protects physicians from being forced to disclose certain...

Issue 11, November 1, 2005 - VIEW THE FULL ISSUE

• Credentialing volunteer, displaced physicians after Hurricane Katrina

  As some healthcare providers flooded into the hurricane-ravaged Gulf Coast region to help care for...

• Fair hearings and appeals: Save money and time

  Fair hearings are an unavoidable reality in today’s healthcare environment. Although the...

• Gordon v. Lewiston: Court issues long-awaited decision

  Lewiston (PA) Hospital faced a physician suit that all hospitals and medical staff leaders fear...

Issue 10, October 1, 2005 - VIEW THE FULL ISSUE

• Required physicals: Assess, monitor older physicians’ competence

  It’s a delicate issue debated at hospitals across the country: Should hospitals require...

• Anticipate the effects of the PSQIA on medical error reporting

  The Patient Safety and Quality Improvement Act of 2005 (PSQIA) establishes a process for the...

Issue 9, September 1, 2005 - VIEW THE FULL ISSUE

• Protecting against negligent credentialing claims

  There was a time when credentialing professionals quietly went about the business of verifying...

• Tuberculosis testing: Protect providers and patients

  Newspaper headlines in the Boston area told a grim tale this June when it was discovered that a...

• Proctoring: Disciplinary v. nondisciplinary

  Proctoring plays an important role in ensuring medical staff competence. However, some medical...

Issue 8, August 1, 2005 - VIEW THE FULL ISSUE

• Document patterns of disruptive physician behavior

  When a medical staff member is consistently disruptive, news about his or her behavior can spread...

• Strategies for responding to medical staff’s concerns

  Rising malpractice insurance premiums continue to give rise to physicians’ thoughts of early...

Issue 7, July 1, 2005 - VIEW THE FULL ISSUE

• Disclosure: Medical staff leaders should identify potential conflicts

  Hospital board members routinely complete conflict of interest disclosure forms. These forms aim to...

• Avoid Stark violations: Track noncash items

  Most hospitals and physicians are fully aware that the Stark anti-self-referral law prohibits...

Issue 6, June 1, 2005 - VIEW THE FULL ISSUE

• How maintenance of certification programs can help evaluate physician competence

  A study published in the Annals of Internal Medicine February 15 brought concerns about...

• Battle brews in California over proposed peer review reform

  Peer review is again under a microscope, this time in California where associations representing...

Issue 5, May 1, 2005 - VIEW THE FULL ISSUE

• New study raises questions about the challenge of maintaining competence

  A provocative new study is calling attention to the importance and benefits of requiring physicians...

• Protect the peer review privilege: Use it wisely to avoid potential disclosure

  To stay out of trouble, medical services professionals must understand which peer review documents...

• Learn how to demonstrate the competence of low-volume providers

  In hospitals across the country, medical services professionals, department chairs, credentials...

Issue 4, April 1, 2005 - VIEW THE FULL ISSUE - VIEW THE FULL ISSUE

• Beware of kickbacks in exclusive contracts with staff physicians

  Organizations must use caution regarding arrangements in which hospital-based physicians with...

Issue 3, March 1, 2005 - VIEW THE FULL ISSUE

• Survey your privileging system for compliance before CMS does

  The Centers for Medicare & Medicaid Services (CMS) may have left many hospitals worried about...

• Get HR to help comply with revised JCAHO standard

  Starting in July, if your hospital or state requires clinical staff to have a license...

Issue 2, February 1, 2005 - VIEW THE FULL ISSUE

• Three options for privileging PAs and NPs for critical care

  Nonphysician clinicians-such as physician assistants (PA) and nurse practitioners (NP)-are becoming...

• How to notify patients about medical errors

  Now that many healthcare organizations embrace a patient-centered philosophy, it is becoming more...

Issue 1, January 1, 2005 - VIEW THE FULL ISSUE

• Consult your attorney before denying an impaired physician's medical leave

  Physicians may be unable to work for weeks or months at a time because, for example, they are ill...