The many faces of economic credentialing
Article Abstract:
Economic credentialing, the practice of examining issues more related to physicians' finances than their skills, has resulted in a increasing number of lawsuits. In 1989, a survey prepared by the American Hospital Assn (AHA) found that only 4.7% of 3,800 hospitals surveyed used economic criteria when deciding a credentialing issue. A similar survey done in 1991 by the AHA's Hospitals magazine found that 41.7% of 500 surveyed hospital CEOs believed they would use such criteria within the next five years. Discussions of four recent court cases concerning economic credentialing are presented.
Publication Name: American Medical News
Subject: Health
ISSN: 0001-1843
Year: 1992
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Is economic credentialing really thriving?
Article Abstract:
The majority of hospitals consider economic factors when granting credentials to physicians, according to analysis of a survey by Loyola University of Chicago's Institute of Health Law. Financial data considered include the physician's previous practice profile, potential for generating admissions and malpractice claims. Reappointment decisions involve patient outcomes and compliance with hospital standards in addition to admission numbers.
Publication Name: American Medical News
Subject: Health
ISSN: 0001-1843
Year: 1992
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Billing violators beware: Medicare to get tough with repeat offenders
Article Abstract:
The Justice Department has begun to prosecute physicians for exceeding Medicare charge limits. Federal limits, enacted in 1991, restrict charges to 115% of Medicare's approved charge for a service. In addition, the Health Care Financing Administration notified 180,000 physicians in 1992 of $45 million in overcharges and plans to impose penalties on repeat offenders.
Publication Name: American Medical News
Subject: Health
ISSN: 0001-1843
Year: 1993
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- Abstracts: Stamp out economic credentialing. Cost-effective bundling: Medicare saves millions on heart bypass pay. Premium war: who pays? Quality may suffer as firms slice physician fees, protect profits
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- Abstracts: Providers mull impact of abortion ruling. Outlawing abortion method: veto-proof majority in House votes to prohibit late-term procedure
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