Touching a touchy subject: Age

On a regular basis, we are asked about the advisability of developing a policy requiring a physician to pass a medical examination once he or she reaches a certain age (62, 65, 68, etc.) in order to be able to continue to maintain clinical privileges at a hospital. And our first response is always, “Absolutely, […]

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Ballard’s “contingency planning” article featured in Credentialing Resource Center Journal

Health care partner and QMCG Executive Director Catherine Ballard’s article, “Contingency planning: Comply with privileging requirements for provider-base locations,” was recently featured in the Credentialing Resource Center Journal. According to Ballard, today’s hospitals must promote compliance CMS’ regulations with provider-based designations. However, this process can be challenging for a number of reasons. “Promoting ongoing regulatory […]

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Understanding the Hearing Officer/Presiding Officer Role

As Medical Staff Service Professionals, the peer review process is well understood. The majority of the time, upon completion of a peer review, performance improvement measures/actions are determined and acted upon with no additional steps needed. There are times, however, when the peer review process is extended and additional procedural due process is provided in […]

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Colliding Worlds, Peer Review and Medical Necessity

QMCG Executive Director Catherine Ballard and Bricker & Eckler attorney Steve Kleinman presented the “Colliding Worlds, Peer Review and Medical Necessity” webinar on April 27, 2016. The live webinar, hosted by NAMSS, provided insightful information related to physician peer review, explanation of medical necessity review, and the similarities and benefits of both. The webinar also […]

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Sharing Quality Information Within a System

It used to be that we all knew that a medical staff credentials file, or quality file, contained peer review-protected information, and that it would only be used as part of the medical staff process. But that was yesterday. Today, more and more demands are being made on medical staff services to share their information […]

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Change to Ohio’s Nursing Home Bed Tax Law

State budget bill changes the definition of “bed surrender,” eliminates ability to reduce bed tax on January 1 for delicensed beds being relocated The new definition of “bed surrender” in the State of Ohio budget bill includes vital information that health care professionals need to know when putting together purchase agreements for nursing home bed […]

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