Many hospitals and health care systems are turning to out-of-state practitioners to quickly ramp up staffing to the levels necessary to respond to the COVID-19 pandemic. Utilization of health care ...

Built on the theory that some things just don’t fit, the square-peg-in-a-round-hole analogy can easily be used to describe the process in which insurance payers manage provider credentialing. Most ...

Credentialing is an essential process for hospitals employing physicians. While tedious, hospitals that prioritize credentialing achieve greater return on investment than their counterparts that do ...

As more hospitals employ and contract with physicians, lawsuits holding hospitals liable for medical negligence have become more prevalent. While each hospital has its own credentialing process, ...

Inefficient credentialing processes are draining rural hospitals of critical revenue and delaying care, says this hospital leader. Editor's note: Martha Henley is the COO of Java Medical Group and CEO ...

As the coronavirus pandemic has reached the phase where non-pharmaceutical interventions are being implemented daily (social distancing, school and work closures, travel restrictions, etc.), hospitals ...

If you’ve been wondering how healthcare reform will affect your hospital’s credentialing process, part of the answer may lie in new CMS regulations about terminated providers. Specifically, the ...

The Joint Commission has announced revised credentialing and quality assurance requirements for critical access hospitals that are members of a rural health network. The §485.616(b) Standard: ...

Failure to enforce a robust physician credentialing program could have significant financial consequences for one Georgia hospital. The federal government has joined a False Claims Act lawsuit ...