Recorded Webinars
Move to a Three-Year Reappointment Cycle: To Change or Not to Change? That is the Question
Presented by Janet Wilson, BS, FMSP, CPMSM, CPCS and Todd Sagin, MD, JD
The Joint Commission recently revised its medical staff standards and published an FAQ that states “Reappointment/re-privileging is due no later than three years from the same date from the previous appointment or reappointment, or for a period required by law or regulation if shorter.” While many in the industry review this change as favorable, a multitude of decisions must be made before this change should occur within an organization. This Webinar will discuss the pros and cons of transitioning to a reappointment period of three years as well as the industry standards and governance documents that will need to be evaluated and considered.
This webinar does not offer a certificate for continuing education. For those associations that may accept alternative forms of continuing education, please consider saving a copy of your webinar registration email as proof of your attendance.
Today's Red Flags: Identifying and Responding to Credentialing Complexities
Presented by Kathy Matzka, CPMSM, CPCS, FMSP
One of the most important aspects of the credentialing process is the evaluation of information received when verifying physician and clinician credentials. Identifying information that indicates a problem may exist and need to be addressed—also known as red flags—adds complexity to the process. Some red flags are easily identified while others are more subtle. The trend toward employment of practitioners has made some of these issues harder to evaluate. This Webinar will discuss how to identify potential red flags, follow up on the issues, and document appropriately the follow-up work.
This webinar does not offer a certificate for continuing education. For those associations that may accept alternative forms of continuing education, please consider saving a copy of your webinar registration email as proof of your attendance.
Medical Group Peer Review: Legal Issues and Possible Protections
October 5, 2022
Presented by Elizabeth A. (Libby) Snelson, Esq., President, Legal Counsel for the Medical Staff, PLLC
Peer review is a key aspect of professionalism in medicine, promoting quality improvement through analysis and discussion of clinical problems. Hospital medical staffs have long been the primary organ for the peer review process. But as medical groups increasingly provide more complicated care in greater volume, as more physicians practice exclusively outpatient medicine, and as third-party payers demand quality improvement processes, medical groups need to conduct peer review in-house. Legal concerns about antitrust liability, liability for negative reviews and disciplining physicians, with fairness for all involved, can be mitigated by processes that maximize federal and state legal protections.
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This webinar does not offer a certificate for continuing education. For those associations that may accept alternative forms of continuing education, please consider saving a copy of your webinar registration email as proof of your attendance.
The information shared in this webinar does not, and is not intended to, constitute legal advice; instead, the information, content, and materials presented are for general informational purposes only. Webinar participants should contact their attorney to obtain advice with respect to any particular legal matter. No one should act or refrain from acting on the basis of information presented without first seeking legal advice from counsel in the relevant jurisdiction. Only your individual attorney can provide assurances that the information contained herein – and your interpretation of it – is applicable or appropriate to your particular situation. Your participation in this webinar does not create an attorney-client relationship between the webinar participant and the presenter.
NCQA Credentialing Standards and Associated 2022 Updates
June 23, 2022
Presented by Amy Niehaus, MBA, CPMSM, CPCS, President and Consultant, AMN Consulting, LLC
Using leading practices and real-life applications in the workplace, attendees will learn key concepts applicable to NCQA standards, including policies and procedures, initial credentialing and recredentialing requirements, acceptable verification sources and timelines, ongoing monitoring, and delegation, as well as address new credentialing system control standards going into effect in July 2022.
Download the slide handout from this presentation
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Medical Staff Bylaws Updates 2022
March 2022
Presented by Elizabeth Snelson, Esq., President, Legal Counsel to the Medical Staff, PLLC
The American Medical Association (AMA) Physicians’ Guide to Medical Staff Organization Bylaws has been updated again to address changes in the Joint Commission accreditation, legal developments and new AMA policy affecting hospital medical staffs.
In this webinar, you will learn about:
- The AMA Physicians' Guide to Medical Staff Organization Bylaws
- The most recent changes to the Guide
- Potential solutions for current problems experienced by physicians and medical staff organizations
Meeting and Exceeding Industry Credentialing Standards with the AMA Physician Profile
November 4, 2021
Presented by Amy Niehaus, MBA, CPMSM, CPCS, President and Consultant, AMN Consulting, LLC
You have probably seen an AMA Physician Profile. But have you ever wondered how the information complies with industry credentialing standards, such as CMS, The Joint Commission, NCQA and AAAHC? In many areas, the Profile exceeds regulatory and accreditation requirements allowing your organization to enhance its credentialing process and further reduce risk to your patients.
During this session, attendees will learn the background behind the AMA Standards Table that guides the data published in the Physician Profile. In addition, key credentialing elements will be reviewed to demonstrate the level of compliance with CMS regulations and accreditation standards.
Courses
Available through the AMA Ed Hub
- Addressing Disruptive Physician Behavior
- Duties to Report Unprofessional Conduct: Physician Wellness and Professional Conduct
Documents
Preparation Guide for the Physician Credentialing Process (PDF)
How Credentialing Staff Can Better Prepare for Emergency Situations (PDF)
Infographics
COVID-19 Physician Mortality Report
U.S. Physicians and Students Workforce Statistics
Videos
Physician Credentialing Demystified