Can you connect these dots to suboptimal financial performance in your organization? Many hospitals, through merger/acquisition/integration, have a confusing governance structure where accountability and expectations are unclear. There are new and hold-over sets of overlapping bylaws and policies that are overly complex, duplicative, contradictory, or some combination thereof. And then there’s the org chart… This… [Read More]
ATTENTION In-House Counsel and MSPs: Do these negligent credentialing scenarios sound familiar? Adverse Outcome Sheds Light on Checkered Past: A family sits by the bedside waiting for their loved one to wake up in the hospital after undergoing surgery. They need to figure out how to tell the patient that the surgery did not go well…. [Read More]
Interested in exploring whether outsourcing medical staff operations is an option for one, some, or all of your medical staff operations challenges? Here’s a one-pager on common challenges and Greeley’s Credence solutions.
A well-structured, adaptable medical staff services department (MSSD) can make a real difference in today’s changing healthcare landscape. Mergers and acquisitions continue at a rapid pace, regulatory challenges are increasing, and payment models are evolving, all of which make the credentialing, privileging, and enrollment functions of the MSSD crucial. Increasingly, MSSDs are being tasked with… [Read More]
In this new article published in Becker’s Hospital Review, Amy Niehaus presents three areas CFOs and Revenue Cycle professionals need to explore. By reading “Reclaiming Revenue: A Found-Money Trifecta in Credentialing, Privileging and Enrollment,” you will see that, yes, there is revenue rattling around in the medical staff services department (MSSD). It’s time to reclaim it! … [Read More]
11/16/2017 – This webinar will discuss how credentialing, privileging, and enrollment practices affect financial performance, and will identify three ways hospitals and systems can positively impact their revenue cycles by optimizing their medical staff services department. CFOs and revenue cycle managers will take away a checklist of areas to make improvements, plus models for determining revenue impacts in their own organization. Watch Now!
Age catches up with all of us, but in medicine, it’s catching up with some more than others. In 2015, the number of practicing physicians older than 55 (a.k.a. Aging Physicians) topped 30 percent. In some specialties, aging is even more prevalent. In 2013, more than half of neurologists, orthopedic surgeons, cardiologists, psychiatrists, oncologists, pulmonologists,… [Read More]
9/21/2017 – A timely look at the compliance and risk side of credentialing. What is negligent credentialing and where/when is it most commonly found? Attendees will take away a checklist of areas to look for issues in their own organizations. Watch Now!
According to a 2016 survey, as many as 58 percent of physicians in the United States are employed by a hospital or physician group. According to another national study, the three year period from July 2012 to July 2015 showed the number of hospital-employed physicians increased by almost 50 percent. And those numbers show no sign… [Read More]
As someone who manages or oversees provider credentialing and payer enrollment for your hospital or healthcare organization, you understand the value of maintaining efficient processes across departments to save time, reduce costs and ensure providers are granted privileges as quickly as possible. Health plans (also known as managed care organizations) strive for similar goals. Understanding the payers’ specific accreditation and regulatory requirements can help you and your team of medical services professionals further ensure timely processing of provider applications. This white paper will explore: the processes payers conduct to evaluate and enroll healthcare providers; common challenges in provider enrollment and how to solve them; and tips and techniques to achieve delegated credentialing.