Credentialing and privileging employed physicians

The answer is maybe. One possible exception is this three-part consideration: (1) the physician is 100% in an ambulatory setting, (2) the practice site is a hospital/health system corporation with its own unique (non-hospital) CMS billing number, and (3) the physician does not require any hospital-based privileges. Strictly speaking, such a physician does not require either medical staff membership or privileges.

As part of our initiative to highlight the efforts of MSPs everywhere, the Credentialing Resource Center Team is recognizing stellar MSPs in the community by featuring them in Credentialing Resource Center Digest. In our latest feature, we would like to recognize Beverly Napper CPCS. Napper is the medical staff services coordinator at Medical City North Hills in North Richland Hills, Texas and has more than 25 years of experience in medical staff services. She began her career providing data services in a health plan credentialing department and has spent nearly 20 years working in hospital medical staff services departments.

Health plans will have to start covering COVID-19 vaccines shortly after their approval, regardless of whether they are delivered by an in-network provider, under regulations finalized by three federal agencies.

The United States Court of Appeals for the Fifth Circuit (the “Court”) affirmed a Texas District Court’s decision granting summary judgment, finding that the plaintiff waived his right to arbitration after engaging in substantial litigation spanning 16 months.