Delegated Credentialing in the Medical Staff Services Department

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There are several reasons why a commercial payer, such as a managed care organization or health plan, may consider delegating all or part of its credentialing activities to qualified business partners such as IPAs, PHOs, CVOs, medical societies, even other health plans. However, a growing trend observed by The Greeley Company is for hospitals and… [Read More]

New Solutions for Physician-Hospital Integration

The imperative in healthcare today is to rapidly and significantly improve quality and reduce costs. While this goal is easy to articulate, it is incredibly challenging to execute—but the viability of your organization depends on it. We know you’ve squeezed supply costs. You’ve optimized revenue cycle. You’ve “leaned” everything you can. What’s left? The doctors…. [Read More]

Outsourcing As A Solution to Your Credentialing Woes

Historically, the medical staff services department (MSSD) has operated behind the scenes in healthcare organizations, with few hospital workers outside the department fully understanding the extent of its responsibilities. However, the MSSD is truly the nucleus of the hospital, as it is responsible for everything from credentialing and privileging practitioners and meeting pertinent accreditation requirements… [Read More]

Seven Tips on Avoiding, Resolving Hospital-Physician Conflicts

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Hospitals and physicians are grappling with major changes to their industry, as both parties strive to improve quality and outcomes and reduce costs while dealing with changing payment structures. This goal of achieving the triple aim will be impossible to attain without achieving alignment and collaboration between physicians and hospitals, according to Rick Sheff, MD,… [Read More]

High-Risk Credentialing: Best Practices for Temporary Privileges and Locum Tenens

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In today’s challenging healthcare environment, certain influencers intensify the need for the routine use of temporary privileges and/or the ongoing use of locum tenens. A challenging recruitment and retention environment, as well as patient, community, and hospital needs, produce understandable pressure to quickly get certain practitioners and specialties credentialed and privileged. Overuse or abuse of… [Read More]

Who Moved My Medical Staff? Considerations for how to manage change

The purpose of the credentialing and privileging function and the responsibilities of the medical staff services department within a healthcare delivery enterprise are fairly straightforward. Change is in the wind, however. I am sure many of you are familiar with or have read the change management book, Who Moved My Cheese?, published in 1998 by… [Read More]

Three Key Benefits of Outsourcing Your Medical Staff Services Functions

The medical staff services department (MSSD) is truly the hub of a hospital. This is where everything from credentialing and accreditation to information management and interactions between key stakeholders like medical staff, administrators, physician leaders, and board members happens. Now step back and think about the significant responsibility your MSSD has and, more importantly, how… [Read More]

Data, Data, It’s All About the Data!

Data integrity is critical for the credentialing department to appropriately manage the initial application process, timeliness of verifications, recredentialing compliance, and other accreditation requirements. Data also ensures that the customers of the data can trust it for their needs. If the data is not accurate, consistent, valid, and reliable, it will not be trusted. There… [Read More]

Five Key Considerations for Physician Credentialing and Privileging Success

At leading hospitals all across the country, where quality patient care is of the utmost concern, administrators often struggle with the task of effectively credentialing prospective physicians. There are two main reasons for this: Medical board rules and requirements vary from state to state, making it extremely difficult to hold physician applicants from different parts… [Read More]