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Credentialing and Peer Review Legal Insider Credentialing Resource Center Medical Staff Briefing

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, 2009 - VIEW THE FULL ISSUE

• Brush up bylaws to ensure a fair and streamlined appeals process

  Physicians who are unsatisfied with the results of a fair hearing have the right to appeal their...

• Several paths, one goal: Developing oversight for OR device representatives

  There are several credentialing pathways medical device representatives can take as they seek a...

Issue 11, November 1, 2009 - VIEW THE FULL ISSUE

• How to navigate National Practitioner Data Bank reports effectively: Legal experts offer tips for medical staffs and practitioners

  Nothing grabs a credentials committee’s attention like a National Practitioner Data Bank...

• Streamline fair hearings for APPs, but don’t cut corners

  The fair hearing process for medical staff members outlined in the Health Care Quality Improvement...

Issue 10, October 1, 2009 - VIEW THE FULL ISSUE

• Economic credentialing policies today: How courts and culture drive the policies

  Economic credentialing, the practice of evaluating practitioners through a monetary lens, has had...

• Peer Review Best Practices: Case Studies and Lessons Learned

  Many peer review committee members may find themselves reviewing cases that fall within a vast gray...

Issue 9, September 1, 2009 - VIEW THE FULL ISSUE

• MSPs’ role in fair hearings can prevent further lawsuits

  MSPs are often the first line of defense, ensuring that the medical staff follows its processes to...

• Medical staffs can discipline for crimes even when law enforcement hasn’t pressed charges

  The question on the minds of medical staff leaders is whether they can also take disciplinary...

• Georgia Supreme Court redefines discoverability

  “Unless the credentialing information involves the evaluation of the quality and efficiency...

• Good Samaritan Act upheld for anesthesiologist

  An appellant objected to the use of Good Samaritan Act protection for an anesthesiologist whose...

Issue 8, August 1, 2009 - VIEW THE FULL ISSUE

• Lack of NPDB reporting brings peer review practices into question

  As of December 2007, nearly 50% of U.S. hospitals had never reported a physician to the National...

• Before credentialing J-1 visa waiver practitioners, make sure all external qualifications are met

  Practitioners working under a J-1 visa waiver may seem like the perfect candidates to fill your...

Issue 7, July 1, 2009 - VIEW THE FULL ISSUE

• Get to know today’s social media Web sites

  MSPs may be asking themselves whether practitioners need special privileges to broadcast their...

• Are apparent agency disclaimers fair?

  Your facility may be focused on preventing negligent credentialing lawsuits, but don’t...

• Should hospitals be held liable for physicians’ negligence?

  Most states provide confidentiality and legal immunity to those who participate in peer review...

Issue 6, June 1, 2009 - VIEW THE FULL ISSUE

• Don’t be scared into silence: Affiliation letter safeguards allow you to disclose more

  If you’re not in contact with your internal legal counsel on a regular basis, pick up the...

• Medical staff relationship counseling: Build trust with legal counsel to boost risk management efforts

  If you would be frustrated receiving an affiliation response with only dates of medical staff...

Issue 5, May 1, 2009 - VIEW THE FULL ISSUE

• Avoid negligence lawsuits involving low-volume practitioners

  The growing low- and no-volume practitioner trend presents challenges for credentialing...

• Credentialing application questions need careful wording to avoid appearance of discrimination: New ?conscience rule? is a controversial take on employee ethics

  Hospitals and medical staffs must perform a delicate balancing act to protect the rights of...

Issue 4, April 1, 2009 - VIEW THE FULL ISSUE

• Collecting and cleaning out a practitioner's credentials file: Minimal legal statutes mean hospitals have more flexibility when setting timelines

  Make it. Share it. Keep it. Shred it. Toss it. Does that sound like the life cycle of your...

• Double knockout: Fundamental peer review information for new committee members and their trainers

  A panel of peer review experts tackle common questions and legal concerns that face modern peer...

Issue 3, March 1, 2009 - VIEW THE FULL ISSUE

• Mergers can also mean opportunities for MSPs

  Mergers can be a frightening experience for facility employees and medical staff members alike. But...

• Keep your office litigation-ready

  The medical staff services office is a repository of a great deal of sensitive peer review and...

Issue 2, February 1, 2009 - VIEW THE FULL ISSUE

• Needed: Compliance training for medical staff leaders

  Medical staff structures and training are not keeping pace with growth, and physicians still often...

• Will your credentialing policies work in a disaster?

  Hurricanes, heat waves, floods, blizzards, traffic accidents with multiple injuries, explosions...

Issue 1, January 1, 2009 - VIEW THE FULL ISSUE

• What changing Medicare requirements will mean for your facility

  CMS issued new Interpretive Guidance October 17, 2008. The guidance makes substantial revisions to...

• Solve confidentiality challenges in physician peer review and credentialing data

  Like all of us, physicians worry about their privacy and reputations. And no one has access to as...

• How effective is your facility’s peer review model?

  Peer review is a critical tool for advancing healthcare quality in modern hospitals, but too many...

• Recent court rulings

  A Georgia appeals court has overturned a lower court’s grant of access to some materials in...