credentialing – MD Update

&FRONT Accounting

Revenue Cycle Management (RCM) in Healthcare: Part 2

June 1, 2022June 22, 2022 Adam Shewmaker, FHFMA ■ analytics, ■ claim management, ■ claim submission, ■ patient statement, ■ start, ■ start of claim, â– , analytics, balance of the claim, bill, charge entry, claim denial, claim management, claim submission stage, claim submission stage of the process, clinical function, collection of patient service revenue, collection stage, credentialing, determine insurance eligibility, eligible payment, facet of care, full scope of patient care, healthcare, healthcare professional, healthcare revenue cycle, HIPAA, insurance, insurance eligibility, insurer, itemized list, itemized list of charge, MD-Update #139, opportunity, overview of the revenue cycle process, patient 's visit, patient care, patient collection stage, patient schedule, patient service revenue, patient-centered, patient-centered approach, patient-focused, payment, provider, RCM, RCM process, RCM strategy, RCM team, reduce claim denial, resubmission, revenue, revenue cycle, revenue cycle management, revenue cycle of claim, revenue cycle process, significant point of friction, silo, statement of financial obligation, strategy, uncertainty of expense, vital demographic information

Editor’s Note: Part 1 of Revenue Cycle Management was published in MD-Update #139, April 2022. It is available online at

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Kentucky Declines to Adopt Negligent Credentialing

January 1, 2018March 23, 2018 Jamie Wilhite Dittert, ESQ 2016-SC-00181, analysis of the hospital 's behavior, applicable standard of care, bifurcation, bylaw, competent medical staff, contractor physician, court 's rationale, credentialing, credentialing claim, crux of a negligent credentialing claim, Cumberland regional hospital, employed physician, exist avenue, exist avenue of recovery, harm, hospital 's behavior, hospital claim, hospital negligence claim, independent contractor physician, Kentucky, Kentucky 's high court, Kentucky supreme court, Kentucky supreme court justice, Lexington Kentucky, Lexington Kentucky 's appellate court, LLC v., negligence, negligent credentialing, negligent credentialing claim, new cause of action, non-employee, omission of the hospital, opinion, physician, physician claim, plaintiff, privilege, standard of care, tort, unqualified physician, v., viable cause, viable cause of action

LEXINGTON Kentucky’s appellate courts have debated for years on whether Kentucky allows hospitals to be sued for “negligent credentialing.” Generally,

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SB18: Peer Review Privilege & Medical Malpractice Actions

July 1, 2017 Andrew Desimone accepted standard of care, amendment, candid peer review, candor, charity, Charity health system v., credentialing, credentialing process, defend physician 's case, discovery, free expert opinion, future of peer review privilege, future treatment error, general assembly, invaluable source of information, Kentucky, Kentucky general assembly, Kentucky supreme court, Ky., lawsuit, legislative session, malpractice, malpractice action, malpractice lawsuit, malpractice litigation, medical malpractice action, medical malpractice lawsuit, medical malpractice litigation, medical peer review, medical peer reviewer, merit of proposed malpractice suit, passage of SB4, peer, peer review, peer review committee, peer review privilege, peer review product, physician, physician 's case, physician note area, preamble, privilege, proposed malpractice suit, Raikes, recent legislative session, recent legislative session of the Kentucky general assembly, Reg, review physician note area, review physician note area of criticism, S.B. 18, SB 18, SB18, SB4, Sess, session, sister of Charity health system v., statue give vary degree, statue give vary degree of protection, statute, treatment error, v.

Great publicity surrounded the passage of SB4 during the recent legislative session of the Kentucky General Assembly—the bill that established

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Dean Dorton Acquires Metro Medical Solutions, LLC

April 1, 2017 Jenny Patterson acquire metro, addition of metro, bill, client, credentialing, credentialing company, credentialing service, current client, current president, current president of metro, David Bundy, Dean Dorton, Dean Dorton 's exist healthcare, Dean Dorton Healthcare, Dean Dorton Healthcare solution, expertise metro, financial outsourcing, grow healthcare practice, healthcare, healthcare practice, healthcare service, http://deandortonhealthcaresolutions.com/), LLC, long-standing physician bill, Louisville Dean Dorton Allen Ford, medical bill, medical solution, metro, new physician bill, outsourcing, physician, physician bill, physician practice, PLLC

LOUISVILLE Dean Dorton Allen Ford, PLLC, has expanded its healthcare services in Kentucky by acquiring Metro Medical Solutions, LLC, a

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The State of Negligent Credentialing in Kentucky

May 1, 2016 Jamie Wilhite Dittert adoption of the tort, app, applicable standard, applicable standard of care, brown case, Brown v., cause of action, claimant, competent hospital, contradictory decision, credentialing, credentialing claim, defendant, doctor 's negligent act, effective privilege process, final Kentucky court opinion, healthcare, hospital 's negligence, hospital privilege, increased sense of accountability, judge, jurisdiction, Kentucky, Kentucky court, Kentucky court of appeal panel, Kentucky court opinion, Kentucky law, Kentucky supreme court, key feature of a negligent credentialing claim, Ky., Ky. app, LLC, negligence, negligent credentialing, negligent credentialing claim, new cause of action, omission of the hospital, opposite conclusion, panel, panel of the Kentucky court of appeal, patient expectation, physician, policy-based argument, question of negligent credentialing, renewed hospital privilege, Spalding, Spalding decision, Spalding v., state of negligent credentialing, tort, tort of negligent credentialing, Trover, two-to-one decision, v., viability of negligent credentialing, viable claim, view hospital

Recently, Kentucky courts have considered whether to recognize a new cause of action called “negligent credentialing.” Generally, a negligent credentialing

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Top 10 Health Law Issues for Physicians, Health Systems, and Providers in 2014

October 1, 2013 Lisa English Hinkle ACA, ACOs, associate agreement, attestation, attestation report, audit, audit claim, audit letter, audit request letter, auditor, beneficiary, big data, bill practice, bill standard, claim act liability, clinical quality measure, CMS, CMS check, compliance, compliant business, contracted auditor, controlled substance, cost report, credentialing, denominator value, EHR, EHR vendor, EHR vendor agreement, enforcement, enforcement activity, evaluation, evidence of meaningful use of incentive monies, false claim act liability, health care transaction, health system, HIPAA, HITECH, identify business associate, implement security standard, incentive, incentive monies, incentive payment, increase review, increased audit, increased enforcement activity, insurance, insurance plan, Kentucky, Kentucky 's attorney, law application, Law issue, liability, meaningful use, meaningful use attestation, meaningful use audit, measure compliance, Medicaid, Medicaid beneficiary, Medicaid claim, Medicaid integrity contractor audit, Medicaid patient, Medicaid referral, Medicaid review auditor, Medicare, Medicare claim, myriad regulation, overpayment, payment, payor, physician, preventive benefit, private pay, provider, provider audit, provider face, quality measure, repayment, report breach, required evidence, review of the big data, stage 1 compliance, stark law, stark law application, use attestation, use audit, violation, violation of the stark law

Change is the one constant that physicians, health systems, and other providers face in 2014 as the ACA and its

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