Corporate Compliance

Tip: Medical staff credentialing

Compliance Monitor, March 19, 2008

Certain medical staff credentialing practices may implicate the anti-kickback statute.

Look for arrangements that:

  • Condition privileges on a particular number of referrals
  • Require the performance of a particular number of procedures beyond volumes necessary to ensure clinical proficiency

If your credentialing policy specifically refuses credentials to physicians with significant conflicts of interest, it would not implicate the statute in most situations.

This tip was adapted from the Compliance Program Effectiveness Handbook. For more information about the book or to order your copy, click here.


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