Credentialing Compliance

Maintaing compliance in credentialing is a very important function for healthcare organizations and providers. The process needs to be hardwired to ensure that all regulatory requirements are met. These resources provide compliance techniques in the credentialing process for healthcare organizations.

  • Webinar


    Credentialing Compliance: Documenting Practitioner Credentials and Competency Webinar

    One of the biggest challenges of any medical staff is evaluating and documenting the competency of providers. In order to support this need, having an effective and efficient credentialing and privileging system is vital.

    This webinar dives into the importance of credentialing. Topics include:

    • Appropriate mechanisms for documenting credentials
    • Forms and processes for documentation of competency
    • The concept of negligence in credentialing

    TAGS: credentials, Competency, licensure, malpractice, Hospital, government

  • Checklists


    6 Common Areas of Liability Exposure During Credentialing

    During the credentialing process, a medical facility may open itself to unwanted positions of liability if certain factors are overlooked. This downloadable resource discusses six common areas of liability exposure during the credentialing process to help prepare your team.

    In addition to areas of exposure, the document also provides insights that explain how a plaintiff attorney uses this information and what administrators can do to protect their facility.

    TAGS: Processes, exposure, six, Resources, plaintiff, attorney

  • Guidelines/Recommendations


    Dealing with Disruptive Physicians

    Disruptive physician behavior negatively impacts patient safety, staff satisfaction and increases the likelihood of medical malpractice claims. Disruptive behavior poses a challenge for leaders in healthcare to address and it is important for leaders to have a plan in place to handle them when they arise. This article from MGMA addresses how to confront physicians with behavioral issues and how to develop an organizational plan of handling disruptive behavior that will promote a change in culture.

    TAGS: Medical, malpractice, Claims, MGMA, organizational, Behavioral

  • Guidelines/Recommendations


    2019 Joint Commission Medical Staff Update PowerPoint

    This 2019 Joint Commission resource provides a description of regulatory requirements as related to Medical Staff processes and compliance strategies, discusses new standards impacting the Medical Staff, describes common survey findings and provides a description of a successful OPPE/FPPE program.

    TAGS: Processes, compliance, Strategies, Survey, OPPE, FPPE, Programs

  • Webinar


    Negligent Credentialing Webinar

    Healthcare entities are responsible for developing credentialing processes for physicians and physician extenders who practice in the hospital and managed care settings. These processes are developed to protect patients from harm. But when physicians are engaged in a medical malpractice lawsuit, the healthcare entity may also be included under the pretense of negligent credentialing.

    This webinar provides an overview of a pre-application, initial application/credentialing and reappointment/re-credentialing processes along with the integration of FPPE and OPPE quality criteria. The processes include aspects of primary source verifications, applicant responsibility and how to identify potential risk management issues for review by various Committees and Board approval entities.

    TAGS: pre-application, primary, FPPE, OPPE, Quality, criteria, committees, board

  • Webinar Slides

    Webinar Slides

    Negligent Credentialing Presentation

    Click to view the presentation slides used in the Negligent Credentialing webinar.

    TAGS: credentialing, Processes, Physicians, pre-application, verification, committee