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E-books

10 Credentialing Guiding Principles

Hugh Greeley outlines the guiding principles for credentialing systems.

Transparency is Power E-book

Hugh Greeley outlines the guiding principles for credentialing systems.

Gibson Dunn 2016 Year-End Health Care Compliance Summary

Addressing the regulatory and enforcement developments that affected health care providers during 2016.

Closing the Five Critical Gaps in Health Care Screening, Verification and Monitoring for Credentialing

Learn about the five critical gaps in health care screening, verification, and monitoring for credentialing and how to close these gaps to protect your organization.

WORK HISTORY DATA FOR CREDENTIALING

This e-book is about the two types of work history data that are included in an application for employment in health care. Objective data doesn’t require evaluation or assessment. It either is included with the application, or it is not. If any one of the required objective data is missing or in the case of an exclusion, the application process is simply terminated. The type of data requiring assessment is subjective in nature and in the case of work history, is sometimes selectively edited by the applicant. Relying on attestation alone can leave a health care organization exposed to liability, loss of reputation, fines and civil monetary penalties. Adding additional data sets to screen and monitor against will fill those data gaps. If a provider omits a stint at a hospital where he was fired for sexual abuse, checking that provider’s name against a national abuse registry may reveal the information that was intentionally withheld. Any subjective data hiring and cause for dismissal decisions are best backed by the rules, regulations, and bylaws of the organization.

Credentialing Documentation Checklist

The provider credentialing checklist by Hugh Greeley gives solid checks and balances from a provider credentialing documentation standpoint. Dot all the i’s and cross all the t’s. However, good documentation is only valuable when it is recording actions that follow bylaws based on best practice credentialing that exceed the minimum compliance requirements, and first and foremost, put the patient first.