PIAA Corporate Counsel Workshop October 22 23, 2015

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "PIAA Corporate Counsel Workshop October 22 23, 2015"

Transcription

1 PIAA Corporate Counsel Workshop October 22 23, 2015 Ernia Hughes, MBA Director, Division of Practitioner Data Bank Bureau of Health Workforce Health Resources and Services Administration U.S. Department of Health and Human Services Agenda NPDB History and Purpose Medical Malpractice Reports Other NPDB Considerations New NPDB Guidebook New NPDB Website Recent Activities Expanding Compliance Efforts Resources Questions 2 1

2 NPDB History And Purpose NPDB History and Purpose History Created in 1990 We re 25 this year! Initial statute: Title IV of Public Law Section 1921 of the Social Security Act and Section 1128E of the Social Security Act were added Section 1128E created the Healthcare Protection and Integrity Data Bank 4 2

3 NPDB History and Purpose Purpose Flagging system for effective credential review Protection against unfit practitioners Deter fraud and abuse in the health care system 5 NPDB History and Purpose 2013 Merger 6 HIPDB merged into NPDB all HIPDB data now available in NPDB Three substantive statutes remain Single query results in information previously found in two locations A single data bank with a single set of regulations Mandated by the Patient Protection and Affordable Care Act 3

4 How the Data Bank Works NPDB History and Purpose Report Reporting Entity CA NPDB TX Query Reports Queries Subject of Report Practitioner in CA Data Banks 7 Flag NPDB History and Purpose Information Collected Medical malpractice judgments, settlements Adverse licensing and certification actions Clinical privileges actions Health plan contract terminations Professional society membership actions Negative actions/findings from private accreditation organizations and peer review organizations Government administrative actions, e.g., exclusions from programs Civil and criminal health care related judgments 8 4

5 NPDB History and Purpose Data Bank Facts 1.21 million reports 79,000 new reports annually (including ~10,350 Medical Malpractice Payment Reports) Almost 5.5 million queries annually 18,000 registered organizations 48,000 users 9 Medical Malpractice Reports 5

6 Medical Malpractice Reports The Law Each entity (including an insurance company) which makes payment under a policy of insurance, selfinsurance, or otherwise in settlement (or partial settlement) of, or in satisfaction of a judgment in, a medical malpractice action or claim shall report... information respecting the payment and circumstances thereof. Title IV of Public Law Medical Malpractice Reports What This Means All malpractice payments in any amount made for the benefit of a health care practitioner must be reported to the NPDB Both settlements and judgments No dollar threshold for reporting Both Title IV and NPDB regulations recognize: A report does not mean that malpractice occurred, only that a payment was made 12 6

7 Medical Malpractice Reports To Be Specific... For a medical malpractice payment to be reportable to the NPDB, there must be: A payment made; For the benefit of a health care practitioner; Against whom a written medical malpractice claim or judgment was made; By a third party. 13 Medical Malpractice Reports A Written Claim The writing can take the form of a pre litigation written communication NPDB policy determines whether a written communication has occurred 14 7

8 Medical Malpractice Reports Reportable Payments Payments made for the benefit of a named practitioner by a professional corporation or other business entity comprised of a sole practitioner Payments made for deceased practitioners Payments made for licensed residents or interns, including those insured by their employers Any indemnity payment made for the benefit of a practitioner 15 Medical Malpractice Reports Non Reportable Payments 16 Medical malpractice payments made solely for the benefit of a corporation such as a clinic, group practice, or hospital A person, rather than a professional corporation or business entity, makes a payment out of personal funds Defendant health care practitioner is dismissed from the lawsuit before settlement or judgment and not as a condition in the settlement or release Practitioner named in the written claim, subsequently dismissed from lawsuit and not named in settlement release Practitioners not named or described in written demand or lawsuit 8

9 Medical Malpractice Reports Claims in Alternate Settings Claims raised in other adjudicative bodies, such as alternative dispute resolution or disclosure, apology and offer models are considered claims for the purposes of reporting, when they include a written demand from the patient for compensation. Standard of Care determinations are irrelevant for determining reporting requirements. 17 Medical Malpractice Reports Settlements in Other Adjudicated Actions 18 Settlements in which no findings or admissions of liability have been made are not reportable Actions that occur in conjunction with settlements in which no findings or admissions of liability have been made but that meet other NPDB reporting requirements must be reported 9

10 Medical Malpractice Reports Sanctions for Failing to Report Under Title IV of Public Law , any malpractice payer that fails to report medical malpractice payments is subject to a civil money penalty of up to $11,000 for each payment involved. 19 Medical Malpractice Reports No Querying Note that medical malpractice payers are not authorized to query the NPDB

11 Medical Malpractice Scenarios Medical Malpractice Scenarios Question 1: True or False: Medical Malpractice payments are limited to exchanges of money and must have resulted from a written complaint or claim demanding monetary payment for damages

12 Medical Malpractice Scenarios Answer 1: True. 23 Medical Malpractice Scenarios Question 2: True or False: Medical malpractice payers are eligible to receive information from the NPDB

13 Medical Malpractice Scenarios Answer 2: False. 25 Medical Malpractice Scenarios Question 3: True or False: A written claim can include the filing of a cause of action based on the law of tort in any state or federal court or other adjudicative body

14 Medical Malpractice Scenarios Answer 3: True. 27 Medical Malpractice Scenarios Question 4: To be reportable, a written complaint must be based on what? 28 14

15 Medical Malpractice Scenarios Answer 4: A practitioner s provision of or failure to provide healthcare services. 29 Medical Malpractice Scenarios Question 5: Who determines whether a written claim has occurred for purposes of filing a report? 30 15

16 Medical Malpractice Scenarios Answer 5: The NPDB 31 Medical Malpractice Scenarios Question 6: True or False: Subrogation type payments made by one insurer to another must always be reported to the NPDB

17 Medical Malpractice Scenarios Answer 6: False. 33 Medical Malpractice Scenarios Question 7: These expenses are those not related to the compensation of injuries, such as attorney fees, billable hours, copying costs, expert witness fees, and deposition and transcript costs

18 Medical Malpractice Scenarios Answer 7: Loss Adjustment Expenses. 35 Medical Malpractice Scenarios Question 8: True or False: If a defendant health care practitioner is dismissed from a lawsuit prior to settlement or judgment, for reasons independent of the settlement or release, a payment made to settle a medical malpractice claim or action should not be reported to the NPDB for that defendant health care practitioner

19 Medical Malpractice Scenarios Answer 8: True. 37 Medical Malpractice Scenarios Question 9: This kind of agreement is a contractual agreement between a plaintiff and a defendant s insurer that defines the parameters of a payment that the plaintiff may receive after a trial or arbitration proceeding

20 Medical Malpractice Scenarios Answer 9: High Low Agreement. 39 Medical Malpractice Scenarios Question 10: True or False: When a defendant practitioner has been found liable by a fact finder, any payment made for the practitioner s benefit must be reported, irrespective of any high low agreement

21 Medical Malpractice Scenarios Answer 10: True. 41 PIAA Contributions to Guidebook 21

22 PIAA Contributions to Guidebook Examples of Terminology Differences Asked for examples of when activities are reportable even though reporter uses different terminology that the Data Bank. Our Response We added examples of administrative fines and the suspension or restriction of clinical privileges. 43 PIAA Contributions to Guidebook Can a certifying official be an administrator? Asked for clarification of whether a Data Bank certifying official can be the same person as the Data Bank administrator. Our Response We clarified that the two positions can be filled by a single individual

23 PIAA Contributions to Guidebook Definition of Initial Report Asked that the definition of an Initial Report be clarified and simplified. Our Response We made the definition more straightforward: The first report of a medical malpractice payment, adverse action, or judgment or conviction submitted to and processed by the NPDB is considered the Initial Report. 45 PIAA Contributions to Guidebook How can health plans use NPDB info? Asked whether health plans can use NPDB information in civil actions against practitioners, providers, or suppliers. Our Response We reorganized the chapter on NPDB queries and, in doing so, clarified when health plans can query the NPDB and the type of information they receive

24 PIAA Contributions to Guidebook When should practitioners named in a release be reported to the Data Bank? Suggested this language: Practitioners identified in the release but not in the written demand or as defendants in the lawsuit should not be reported to the NPDB. Our Response We accepted the language suggestion. 47 PIAA Contributions to Guidebook When is an unnamed practitioner sufficiently described to be reportable? Asked for definition and examples of what sufficiently described... So as to be identifiable means for reporting purposes. Our Response We added examples of when a practitioner is sufficiently identified without being specifically named

25 PIAA Contributions to Guidebook When must practitioner, dismissed from a lawsuit, be reported to the NPDB? Suggested that draft language left too much room for interpretation. Our Response We added language saying that a defendant dismissed for reasons independent of the settlement or release should not be reported to the Data Bank. 49 Other NPDB Considerations 25

26 Other NPDB Considerations Types of Transactions Reporting (no charge) Querying (by health care organizations, state and federal agencies, professional organizations) $3 for 1 year continuous query subscription $3 for a one time query Fees lowered October 1, 2014 Self query (by an individual or organization $5 51 Fee lowered October 1, 2014 Other NPDB Considerations Continuous Query 52 Subscription service notifies subscribers of new information on any enrolled practitioner Designed and developed to help meet new accreditation standards that require ongoing monitoring of practitioners Since 2007, providers have enrolled more than 1.85 million practitioners 26

27 Other NPDB Considerations Comparing One Time & Continuous Query One Time Query Average of 320 days between receipt of a report and disclosure of the report (in response to a query) Re credentialing means requerying practitioners and reviewing all results to identify new information Continuous Query Service notifies subscribers of a report on enrolled practitioners within 1 day of receipt Subscriber organizations always up to date Subscribers can deal only with events that need attention, immediately resolving issues 53 Other NPDB Considerations Using Continuous Query 54 Requires same practitioner information Subscribers continue using their subject databases Fee: $3.00 per enrollee per year No separate query fee Upon enrollment, receive the same report information as a one time query response Notifies subscribers of any new reports No need to re query for reappointments or temporary privileges extensions 27

28 Other NPDB Considerations Using Continuous Query, continued Notification sent via ; subscriber must log in to retrieve information Subscription period for each enrollee is 12 months Subscription expires on the last day of the same month the following year Subscription started in December 2014 will expire on December 31, Other NPDB Considerations Continuous Query Endorsements The Joint Commission National Committee for Quality Assurance (NCQA) Commission on Accreditation of Rehabilitation Facilities (CARF) Utilization Review Accreditation Commission (URAC) Centers for Medicare and Medicaid Services (CMS) Using Continuous Query helps meet obligations imposed by the Health Care Quality Improvement Act of 1986 (HCQIA) 56 28

29 Other NPDB Considerations General Provisions Recovering costs NPDB must recover the full cost of operations Confidentiality Information reported to the NPDB: Confidential Not available to the general public May only be disclosed as provided by law Penalty of up to $11,000 per violation 57 Other NPDB Considerations Civil Liability Protection 58 Immunity provisions in Title IV, Section 1921 and Section 1128E protect individuals, entities, and their authorized agents from being held liable in civil actions for reports made to the NPDB unless they have actual knowledge that the information in the report is false Health care entity professional review bodies, their members, and their agents are immune from civil liability in most cases 29

30 Other NPDB Considerations Querying and Reporting Different types of entities have different querying and reporting obligations For example, hospitals are the only entities required by NPDB law to query the NPDB Here s a look at the requirements Who Reports and Queries?

31 Total NPDB Reports, ,000 40,000 35,000 30,000 25,000 20,000 Adverse Action Reports Medical Malpractice Payment Reports 15,000 10,000 5, Report Subjects by Profession,

32 Entity Perceptions Hospital All Other Entities Non Negative Negative Very Negative N/A How entities perceive health care practitioners with Medical Malpractice Payment Reports Source: 2014 NPDB Users Survey Practitioner Perceptions Doctor Types Other HCP Non Negative Negative Very Negative N/A How practitioners think entities view practitioners with MMPRs Source: 2014 NPDB Users Survey 32

33 New NPDB Guidebook New NPDB Guidebook Revision Process Revised a policy manual last updated in 2001 Released draft NPDB Guidebook for comment in November 2013 Received 360 comments Final version released April 6, 2015 Available formats: Printable and searchable PDF Web based version, with search 66 33

34 New NPDB Guidebook 67 New NPDB Guidebook 68 34

35 New NPDB Guidebook The More Things Change... What the new Guidebook does Blends Healthcare Integrity and Protection Data Bank and NPDB to reflect new combined regulations Adds Section 1921 Provides policy clarification What the new Guidebook does NOT do Make revisions that require legislative or regulatory changes Accept or address every recommendation made by commenters 69 New NPDB Guidebook Key Changes Eligible Entities Definition of Other Health Care Entity Registration requirements (use of DBIDs, User IDs) Subjects of Reports Definitions of health care practitioners, providers, and suppliers 70 35

36 New NPDB Guidebook Key Changes, continued Queries Centralized vs. decentralized credentialing Delegated credentialing vs. using an agent Clinical vs. non clinical privileges Reports Submitting reports Corrections vs. revisions Appeals 71 New NPDB Guidebook Key Changes, continued Reporting Medical Malpractice Payments Oral vs. written claims Identifying practitioners Reporting Adverse Clinical Privileges Actions Summary suspensions Proctors 72 36

37 New NPDB Guidebook Key Changes, continued Investigations Definition of term is not controlled by entity s bylaws Routine review of a practitioner is not an investigation Focus on a particular practitioner Precursor to professional review action Ongoing until decisionmaking authority takes final action 73 New NPDB Guidebook Key Changes, continued Reporting Licensure and Certification Actions Administrative fines Summary/emergency suspensions Stayed actions Denials Withdrawals and failure to renew while under investigation Voluntary surrenders 74 37

38 New NPDB Website New NPDB Website Launched June 1 Easier to navigate home page New look and feel Content organized in three main categories: For Health Care Professionals For Organizations NPDB Resources Reaction so far: positive 76 38

39 New NPDB Website More Changes Coming 77 Adding carousel of photos to home page Each entity type will have own page, with all needed information in one spot Revising pulldown menus for clarity Incorporating standalone content (such as Administrator s Handbook) as web pages Expanding and revising content throughout the site We re open to suggestions! Recent Activities 39

40 Recent Activities Active Speaking Schedule Participated in more than 15 webinars and inperson talks this year Many were general education sessions, getting word out about the NPDB Some were specific to the NPDB Guidebook lawyers and NPDB users had questions about the publication 79 Recent Activities Education Forum Held in Gaithersburg, MD, in April A multimedia event associated with release of customer support videos Offered technical training on Reporting Querying Research applications NPDB Guidebook System updates 80 40

41 Expanding Compliance Efforts Expanding Compliance Efforts 82 On the Menu Until now, focused primarily on licensing boards Licensing boards process updated in July 2015 Shifting attention to other areas Community health centers Hospitals Health plans Medical malpractice payers Focus on improving NPDB registration data and overall data integrity 41

42 Expanding Compliance Efforts Steps Involved Identify universe of entities Are entities registered? Reporting? Querying? Contact entities Explain NPDB obligations Work on issues that arise Set up periodic verification process 83 Expanding Compliance Efforts Looking for Advice How do we best reach malpractice payers? Our tasks: Identify universe of payers See if payers are registered, reporting Explain NPDB obligations Work on issues that arise Set up periodic verification process 84 42

43 Resources Resources Website FAQs, brochures, and fact sheets NPDB Guidebook Recorded webinars Instructions for reporting and querying Regulations Statistical data Research tools NPDB News 86 43

44 Resources Customer Service Center Call Questions? 88 44

45 Contact Information Ernia Hughes, MBA Director, Division of Practitioner Data Bank Bureau of Health Workforce Health Resources and Services Administration U.S. Department of Health and Human Services Telephone:

Data Bank Education Forum October 10-11, 2012 Denver, CO

Data Bank Education Forum October 10-11, 2012 Denver, CO Data Bank Education Forum October 10-11, 2012 Denver, CO Judy Rodgers, M.H.A., Senior Advisor Elizabeth Rezaizadeh, M.P.H., J.D., Policy Analyst U.S. Department of Health and Human Services Health Resources

More information

TABLE OF CONTENTS CHAPTER A:

TABLE OF CONTENTS CHAPTER A: This publication links to non-federal resources in order to provide additional information to consumers. The views and content in these resources have not been formally approved by the U.S. Department

More information

Brief Overview of MMPR Requirements What are the elements of the elements of a reportable medical malpractice payment

Brief Overview of MMPR Requirements What are the elements of the elements of a reportable medical malpractice payment NPDB Spring 2015 Education Forum Medical Malpractice Breakout Session In this session, we will review the requirements for medical malpractice payment reporting. We will discuss new and relevant topics

More information

The National Practitioner Data Bank

The National Practitioner Data Bank The National Practitioner Data Bank (Data Bank) was created by the Health Care Quality Improvement Act of 1986 and began operation Sept. 1, 1990. Congress intended to encourage professional peer review

More information

Policies of the University of North Texas Health Science Center. Chapter 14 UNT Health. 14.340 Credentialing and Privileging Licensed Practitioners

Policies of the University of North Texas Health Science Center. Chapter 14 UNT Health. 14.340 Credentialing and Privileging Licensed Practitioners Policies of the University of North Texas Health Science Center 14.340 Credentialing and Privileging Licensed Practitioners Chapter 14 UNT Health Policy Statement. UNT Health shall credential and grant

More information

NATIONAL PRACTITIONER DATA BANK CHANGES AFFECT PODIATRISTS. Kern Augustine Conroy & Schoppmann, P.C.

NATIONAL PRACTITIONER DATA BANK CHANGES AFFECT PODIATRISTS. Kern Augustine Conroy & Schoppmann, P.C. NATIONAL PRACTITIONER DATA BANK CHANGES AFFECT PODIATRISTS Kern Augustine Conroy & Schoppmann, P.C. Effective March 1, 2010, new regulations governing the National Practitioner Data Bank (NPDB) became

More information

REHAB PROVIDER NETWORK Professional Staff Credentialing Form

REHAB PROVIDER NETWORK Professional Staff Credentialing Form REHAB PROVIDER NETWORK Professional Staff Credentialing Form ***** THERAPIST LICENSE MUST BE ATTACHED TO THIS FORM ***** The information requested on this form is required to certify your status as a licensed

More information

HOUSTON LAWYER REFERRAL SERVICE, INC. RULES OF MEMBERSHIP

HOUSTON LAWYER REFERRAL SERVICE, INC. RULES OF MEMBERSHIP HOUSTON LAWYER REFERRAL SERVICE, INC. RULES OF MEMBERSHIP The Houston Lawyer Referral Service, Inc. (HLRS) is a non-profit corporation sponsored by the Houston Bar Association, Houston Young Lawyers Association,

More information

Department of Health and Human Services

Department of Health and Human Services Thursday, January 28, 2010 Part III Department of Health and Human Services Health Resources and Services Administration 45 CFR Part 60 National Practitioner Data Bank for Adverse Information on Physicians

More information

New Jersey Physician Recredentialing Application (Please type or print)

New Jersey Physician Recredentialing Application (Please type or print) New Jersey Physician Recredentialing Application (Please type or print) All sections must be completed fully or clearly marked as not applicable. No area should be left blank. SECTION 1 Personal Information

More information

National Practitioner Data Bank Update: Required Reports and Lessons from Litigation

National Practitioner Data Bank Update: Required Reports and Lessons from Litigation National Practitioner Data Bank Update: Required Reports and Lessons from Litigation Kimberly W. Daniel, Esquire Hancock, Daniel, Johnson & Nagle, P.C. I. NATIONAL PRACTITIONER DATA BANK OVERVIEW a. The

More information

Your Hearing Network Application and Credentialing Agreement.

Your Hearing Network Application and Credentialing Agreement. Your Hearing Network Application and Credentialing Agreement. Use this checklist to ensure the application you are submitting is complete. Credentialing application: 1. Fully completed application (one

More information

Defending Your License

Defending Your License Defending Your License The How-To for Michigan Health Care Professionals www.fb-firm.com About the Author: Tariq S. Hafeez Mr. Hafeez practices in the areas of business/corporate law, healthcare law, and

More information

UPDATED. Special Advisory Bulletin on the Effect of Exclusion from Participation in Federal Health Care Programs

UPDATED. Special Advisory Bulletin on the Effect of Exclusion from Participation in Federal Health Care Programs UPDATED Special Advisory Bulletin on the Effect of Exclusion from Participation in Federal Health Care Programs Issued May 8, 2013 Updated Special Advisory Bulletin on the Effect of Exclusion from Participation

More information

COLORADO DEPARTMENT OF REGULATORY AGENCIES. Division of Professions and Occupations Office of Speech-Language Pathology Certification

COLORADO DEPARTMENT OF REGULATORY AGENCIES. Division of Professions and Occupations Office of Speech-Language Pathology Certification COLORADO DEPARTMENT OF REGULATORY AGENCIES Division of Professions and Occupations Office of Speech-Language Pathology Certification 4 CODE OF COLORADO REGULATIONS (CCR) 748-1 RULES REGULATING SPEECH-LANGUAGE

More information

HOUSTON LAWYER REFERRAL SERVICE, INC. APPLICATION FOR MEMBERSHIP

HOUSTON LAWYER REFERRAL SERVICE, INC. APPLICATION FOR MEMBERSHIP HOUSTON LAWYER REFERRAL SERVICE, INC. APPLICATION FOR MEMBERSHIP The Houston Lawyer Referral Service, Inc. (HLRS) is a non-profit corporation sponsored by the Houston Bar Association, Houston Young Lawyers

More information

Medical Malpractice Reform

Medical Malpractice Reform Medical Malpractice Reform 49 This Act to contains a clause wherein the state legislature asks the state Supreme Court to require a plaintiff filing a medical liability claim to include a certificate of

More information

GENESEE COUNTY Date Issued: 01-1999 COMMUNITY MENTAL HEALTH Date Revised: 08-2011 PIHP POLICY MANUAL SUBJECT:

GENESEE COUNTY Date Issued: 01-1999 COMMUNITY MENTAL HEALTH Date Revised: 08-2011 PIHP POLICY MANUAL SUBJECT: GENESEE COUNTY Date Issued: 01-1999 COMMUNITY MENTAL HEALTH Date Revised: 08-2011 PIHP POLICY MANUAL SUBJECT: Page 1 of 7 WRITTEN BY: T. Deeghan, COO TECHNICAL REVIEW BY: T. Deeghan, S. Mason AUTHORIZED

More information

individual's clinical privileges including, but not limited to, the following: a. Letters of warning, reprimand, or admonition;

individual's clinical privileges including, but not limited to, the following: a. Letters of warning, reprimand, or admonition; ST. ANTHONY COMMUNITY HOSPITAL AND SCHERVIER PAVILION FAIR HEARING AND APPELLATE REVIEW PLAN ARTICLE I 1.1. Purposes: This Fair Hearing and Appellate Review Plan sets forth procedures to be followed in

More information

LOCUM TENENS APPLICATION Page 1 of 4

LOCUM TENENS APPLICATION Page 1 of 4 Page 1 of 4 This form is only valid for Locum Tenens providing coverage for up to 60 days. SECTION I PROVIDER INFORMATION This section to be completed by the PacificSource participating practitioner. Please

More information

Los Angeles County Department of Mental Health Credentialing Application for Prescribing Practitioners Delivering Services to DCFS Children

Los Angeles County Department of Mental Health Credentialing Application for Prescribing Practitioners Delivering Services to DCFS Children Los Angeles County Department of Mental Health Credentialing Application for Prescribing Practitioners Delivering Services to DCFS Children This application is exclusively for prescribing practitioners

More information

Arizona Department of Health Services Division of Behavioral Health Services PROVIDER MANUAL

Arizona Department of Health Services Division of Behavioral Health Services PROVIDER MANUAL Section 3.20 Credentialing and Recredentialing 3.20.1 Introduction 3.20.2 References 3.20.3 Scope 3.20.4 Did you know? 3.20.5 Definitions 3.20.6 Objectives 3.20.7 Procedures 3.20.7-A. General process for

More information

Resident Credentialing Policy Wayne State University

Resident Credentialing Policy Wayne State University Resident Credentialing Policy Wayne State University REQUIREMENTS FOR INITIAL RESIDENT APPOINTMENT Residency Office Responsibilities: 1. Resident Initial Appointment Recommendation Letter: Initial applications

More information

Federal Tort Claims Act (FTCA) Free Clinics Program Overview

Federal Tort Claims Act (FTCA) Free Clinics Program Overview Federal Tort Claims Act (FTCA) Free Clinics Program Overview April Fields Mike Chellis Department of Health and Human Services Health Resources and Services Administration Bureau of Primary Health Care

More information

Pacific Medical Centers HIPAA Training for Residents, Fellows and Others

Pacific Medical Centers HIPAA Training for Residents, Fellows and Others Pacific Medical Centers HIPAA Training for Residents, Fellows and Others Summary of Critical Pacific Medical Centers (PMC) HIPAA Policies and Procedures For additional information or questions, please

More information

CHAPTER 267. BE IT ENACTED by the Senate and General Assembly of the State of New Jersey:

CHAPTER 267. BE IT ENACTED by the Senate and General Assembly of the State of New Jersey: CHAPTER 267 AN ACT concerning third party administrators of health benefits plans and third party billing services and supplementing Title 17B of the New Jersey Statutes. BE IT ENACTED by the Senate and

More information

POLICY No. 20-049. Prepared by: Judith Kell Effective: December 20, 2002 Compliance Review Supervisor Revised: January 23, 2009

POLICY No. 20-049. Prepared by: Judith Kell Effective: December 20, 2002 Compliance Review Supervisor Revised: January 23, 2009 LAKESHORE BEHAVIORAL HEALTH ALLIANCE Community Mental Health Services of Muskegon County Community Mental Health of Ottawa County Lakeshore Coordinating Council for Substance Abuse Services POLICY Prepared

More information

CHAPTER 2011-233. Committee Substitute for Committee Substitute for Committee Substitute for Committee Substitute for House Bill No.

CHAPTER 2011-233. Committee Substitute for Committee Substitute for Committee Substitute for Committee Substitute for House Bill No. CHAPTER 2011-233 Committee Substitute for Committee Substitute for Committee Substitute for Committee Substitute for House Bill No. 479 An act relating to medical malpractice; creating ss. 458.3175, 459.0066,

More information

The Ideal Credentialing Standards: Best Practice Criteria and Protocol for Hospitals

The Ideal Credentialing Standards: Best Practice Criteria and Protocol for Hospitals The Ideal Credentialing Standards: Best Practice Criteria and Protocol for Hospitals Credentialing best practices include an evidence-based evaluation that verifies 13 specific criteria from primary sources.

More information

Texas Security Freeze Law

Texas Security Freeze Law Texas Security Freeze Law BUSINESS & COMMERCE CODE CHAPTER 20. REGULATION OF CONSUMER CREDIT REPORTING AGENCIES 20.01. DEFINITIONS. In this chapter: (1) "Adverse action" includes: (A) the denial of, increase

More information

CREDENTIALING PROCEDURES MANUAL

CREDENTIALING PROCEDURES MANUAL CREDENTIALING PROCEDURES MANUAL Page PART I Appointment Procedures 1 PART II Reappointment Procedures 5 PART III Delineation of Clinical Privileges Procedures 7 PART IV Leave of Absence, Reinstatement,

More information

Education News. The National Practitioner Data Bank: What CRNAs Need to Know

Education News. The National Practitioner Data Bank: What CRNAs Need to Know Education News Lorraine M. Jordan, CRNA, PhD, FAAN Jihan A. Quraishi, RN, MS Jason Liao, PhD The National Practitioner Data Bank: What CRNAs Need to Know As a nationwide flagging system, the National Practitioner

More information

FLORIDA DEPARTMENT OF HEALTH BOARD OF DENTISTRY

FLORIDA DEPARTMENT OF HEALTH BOARD OF DENTISTRY FLORIDA DEPARTMENT OF HEALTH BOARD OF DENTISTRY APPLICATION FOR TEACHING PERMIT Chapter 466.002, Florida Statutes Rule 64B5-7.005, Florida Administrative Code Applications will be accepted only if completed

More information

INSTRUCTIONS FOR APPLICANTS WHO HOLD NBRC CERTIFICATION

INSTRUCTIONS FOR APPLICANTS WHO HOLD NBRC CERTIFICATION Email: st-medicine@pa.gov st-osteopahtic@pa.gov Medicine 717-783-1400/717-787-2381 Osteopathic 717-783-4858 APPLICATION FOR LICENSURE AS A RESPIRATORY THERAPIST This application can be used for licensure

More information

Policy No.: CR006_07. Title: Delegated Credentialing and Recredentialing Policy QM CR 04 02, CR 07 08

Policy No.: CR006_07. Title: Delegated Credentialing and Recredentialing Policy QM CR 04 02, CR 07 08 Title: Delegated Credentialing and Recredentialing Policy Previous Title (if applicable): Department Applicability: Credentialing Lines of Business: Medi Cal, Healthy Families, Healthy Kids, Agnews Originating

More information

PATHWAYS CMH. CATEGORY: Personnel Employee Guidelines BOARD APPROVAL DATE: June 4, 2014 REVISION(S) TO POLICY OTHER REVISION(S):

PATHWAYS CMH. CATEGORY: Personnel Employee Guidelines BOARD APPROVAL DATE: June 4, 2014 REVISION(S) TO POLICY OTHER REVISION(S): PATHWAYS CMH POLICY TITLE: Credentialing Credentialing & Oversight EFFECTIVE DATE: June 4, 2014 REVIEWED DATE: June 30, 2015 RESPONSIBLE PARTY: COO/Human Resources Director CATEGORY: Personnel Employee

More information

Lakeshore RE AFP POLICY # 4.4. APPROVED BY: Board of Directors

Lakeshore RE AFP POLICY # 4.4. APPROVED BY: Board of Directors Lakeshore PIHP POLICY TITLE: CREDENTIALING, RECREDENTIALING, STAFF QUALIFICATIONS, AND BACKGROUND CHECKS Topic Area: Provider Network Management POLICY # 4.4 Page: 1 of ISSUED BY: Chief Executive Officer

More information

RIPCPC BEHAVIORAL HEALTH AFFILIATE MEMBERSHIP AGREEMENT

RIPCPC BEHAVIORAL HEALTH AFFILIATE MEMBERSHIP AGREEMENT Rhode Island Primary Care Physicians Corporation 1150 New London Avenue Cranston, RI 02920 Phone: 401-654-4000 Fax: 401-654-4001 Online: www.ripcpc.com RIPCPC BEHAVIORAL HEALTH AFFILIATE MEMBERSHIP AGREEMENT

More information

ANCILLARY PROVIDER APPLICATION FOR PARTICIPATION PHYSICIANS HEALTH PLAN PO Box 30377, Lansing, MI 48909-7877 517.364.8312

ANCILLARY PROVIDER APPLICATION FOR PARTICIPATION PHYSICIANS HEALTH PLAN PO Box 30377, Lansing, MI 48909-7877 517.364.8312 ANCILLARY PROVIDER APPLICATION FOR PARTICIPATION PHYSICIANS HEALTH PLAN PO Box 30377, Lansing, MI 48909-7877 517.364.8312 INSTRUCTIONS: Please provide answers to all questions. If the answer is none, or

More information

Licensed Counselors (LPCC)

Licensed Counselors (LPCC) CREDENTIALING Molina Healthcare of Ohio s credentialing process is designed to meet the standards of the National Committee for Quality Assurance (NCQA). In accordance with those standards, Molina Healthcare

More information

The dental profession s peer review program is a process to resolve disputes between a

The dental profession s peer review program is a process to resolve disputes between a HOW THE DENTAL PEER REVIEW SYSTEM WORKS AND WHAT YOU EXPECT FROM IT Introduction The dental profession s peer review program is a process to resolve disputes between a patient and a dentist or a third

More information

Federal Register / Vol. 63, No. 210 / Friday, October 30, 1998 / Proposed Rules 58341

Federal Register / Vol. 63, No. 210 / Friday, October 30, 1998 / Proposed Rules 58341 Federal Register / Vol. 63, No. 210 / Friday, October 30, 1998 / Proposed Rules 58341 State City/town/county Source of flooding Location Depth in feet above ground. *Elevation in feet. (NGVD) Existing

More information

REQUIREMENTS FOR LICENSURE:

REQUIREMENTS FOR LICENSURE: Email: st-medicine@pa.gov INITIAL APPLICATION FOR A NURSE-MIDWIFE LICENSE 1. This license class does not include prescriptive authority. If you wish to hold a certificate for prescriptive authority, you

More information

DEPARTMENT OF HEALTH. APPLICATION FOR LIMITED LICENSURE and Instructions

DEPARTMENT OF HEALTH. APPLICATION FOR LIMITED LICENSURE and Instructions DEPARTMENT OF HEALTH BOARD OF CLINICAL SOCIAL WORK, MARRIAGE AND FAMILY THERAPY AND MENTAL HEALTH COUNSELING APPLICATION FOR LIMITED LICENSURE and Instructions APPLICATION FOR LIMITED LICENSURE INSTRUCTIONS

More information

Health Professional Licensing in Michigan

Health Professional Licensing in Michigan Health Professional Licensing in Michigan Prepared by: Smith Haughey Rice & Roegge 877.833.SHRR www.shrr.com Health Professional Licensing in Michigan At common law, actions for malpractice could only

More information

CHECK THE CIRCUMSTANCE UNDER WHICH YOU ARE SEEKING A TEMPORARY LICENSE: REQUIRED DOCUMENTS

CHECK THE CIRCUMSTANCE UNDER WHICH YOU ARE SEEKING A TEMPORARY LICENSE: REQUIRED DOCUMENTS Regular Mailing Address P.O. BOX 2649 HARRISBURG, PA 17105-2649 717-783-1400/717-787-2381 Email: st-medicine@pa.gov Courier Delivery Address 2601 NORTH THIRD STREET HARRISBURG, PA 17110 APPLICATION FOR

More information

Community Health Group Allied Health Professional Application

Community Health Group Allied Health Professional Application Community Health Group Allied Health Professional Application Nurse Practitioner Certified Nurse Midwife LCSW Clinical Psychologist MFCC Other I. INSTRUCTIONS This form should be typed or legibly printed

More information

LIBERTY DENTAL PLAN Provider Credentialing Application

LIBERTY DENTAL PLAN Provider Credentialing Application (Complete one application per Provider) (* Required Fields) Credentialing Information: Owner: Associate: *PROVIDER NAME: DDS DMD Other (specify) *DATE OF BIRTH: / / Gender: Male Female Owning Dentist Name:

More information

HIPAA POLICIES & PROCEDURES AND ADMINISTRATIVE FORMS TABLE OF CONTENTS

HIPAA POLICIES & PROCEDURES AND ADMINISTRATIVE FORMS TABLE OF CONTENTS HIPAA POLICIES & PROCEDURES AND ADMINISTRATIVE FORMS TABLE OF CONTENTS 1. HIPAA Privacy Policies & Procedures Overview (Policy & Procedure) 2. HIPAA Privacy Officer (Policy & Procedure) 3. Notice of Privacy

More information

EFFECTIVE DATE: 10/04. SUBJECT: Primary Care Nurse Practitioners SECTION: CREDENTIALING POLICY NUMBER: CR-31

EFFECTIVE DATE: 10/04. SUBJECT: Primary Care Nurse Practitioners SECTION: CREDENTIALING POLICY NUMBER: CR-31 SUBJECT: Primary Care Nurse Practitioners SECTION: CREDENTIALING POLICY NUMBER: CR-31 EFFECTIVE DATE: 10/04 Applies to all products administered by the plan except when changed by contract Policy Statement:

More information

6325 Hospital Parkway Johns Creek, Georgia 30097 Phone 678-474-7000 emoryjohnscreek.com Dear Provider,

6325 Hospital Parkway Johns Creek, Georgia 30097 Phone 678-474-7000 emoryjohnscreek.com Dear Provider, Dear Provider, Thank you for your recent inquiry in credentialing at Emory Johns Creek Hospital. Through our affiliation with Emory Healthcare, we are pleased to announce that our application process is

More information

OREGON LAWS 2013 Chap. 5

OREGON LAWS 2013 Chap. 5 CHAPTER 5 AN ACT SB 483 Relating to resolution of matters related to health care; creating new provisions; amending ORS 30.278, 31.250 and 743.056; and declaring an emergency. Be It Enacted by the People

More information

Medical Malpractice Litigation. What to Expect as a Defendant

Medical Malpractice Litigation. What to Expect as a Defendant Medical Malpractice Litigation What to Expect as a Defendant Being named as a defendant in a malpractice suit may be your first exposure to civil litigation. You will probably wish it would just go away.

More information

Making Sure The Left Hand Knows What The Right Hand Is Doing Representing Health Care Providers In Medical Negligence Cases by: Troy J. Crotts, Esq.

Making Sure The Left Hand Knows What The Right Hand Is Doing Representing Health Care Providers In Medical Negligence Cases by: Troy J. Crotts, Esq. Making Sure The Left Hand Knows What The Right Hand Is Doing Representing Health Care Providers In Medical Negligence Cases by: Troy J. Crotts, Esq. Florida Continues as National Leader in Disciplinary

More information

KATHLEEN L. DEBRUHL & ASSOCIATES, L.L.C. 614 TCHOUPITOULAS STREET NEW ORLEANS, LOUISIANA 70130 504.522.4054 (OFFICE) 504.522.9049 (FAX) WWW.MD-LAW.

KATHLEEN L. DEBRUHL & ASSOCIATES, L.L.C. 614 TCHOUPITOULAS STREET NEW ORLEANS, LOUISIANA 70130 504.522.4054 (OFFICE) 504.522.9049 (FAX) WWW.MD-LAW. CMS RELEASES PROPOSED ACCOUNTABLE CARE ORGANIZATION REGULATIONS By: Kathleen L. DeBruhl, Esq. and Lindsey E. Surratt, Esq. On March 31, 2011, the Centers for Medicare and Medicaid Services ( CMS ) issued

More information

DISCLOSURE OF ACCREDITING DOCUMENTS AND ACTIONS OF THE SOUTHERN ASSOCIATION OF COLLEGES AND SCHOOLS COMMISSION ON COLLEGES (SACSCOC)

DISCLOSURE OF ACCREDITING DOCUMENTS AND ACTIONS OF THE SOUTHERN ASSOCIATION OF COLLEGES AND SCHOOLS COMMISSION ON COLLEGES (SACSCOC) Southern Association of Colleges and Schools Commission on Colleges 1866 Southern Lane Decatur, Georgia 30033-4097 DISCLOSURE OF ACCREDITING DOCUMENTS AND ACTIONS OF THE SOUTHERN ASSOCIATION OF COLLEGES

More information

Practitioner Profile General Information License Number:

Practitioner Profile General Information License Number: Practitioner Profile General Information Primary Practice Address: (456.039 (1) (a) 3., F.S.) Medicaid: (456.039 (1) (b) (5) d., F.S.) Select Medicaid Statement: This practitioner does participate in the

More information

TITLE: Locum Tenens (LT) Policy

TITLE: Locum Tenens (LT) Policy TITLE: Locum Tenens (LT) Policy Effective Date: 2/2014 Locum Tenens (LT) practitioners are defined as those who temporarily fulfill the duties of another. Requests for LT must come from a group whose practitioners

More information

Protecting Your Clients Healthcare Licenses in Several States After a Medical Malpractice Case:

Protecting Your Clients Healthcare Licenses in Several States After a Medical Malpractice Case: Protecting Your Clients Healthcare Licenses in Several States After a Medical Malpractice Case: Your Failure to Watch Out for Their Licenses Could Cost You Yours Michael V. Favia Quintarios, Prieto, Wood

More information

FRAUD AND ABUSE (SECTION-BY-SECTION ANALYSIS)

FRAUD AND ABUSE (SECTION-BY-SECTION ANALYSIS) FRAUD AND ABUSE (SECTION-BY-SECTION ANALYSIS) (Information compiled from the Democratic Policy Committee (DPC) Report on The Patient Protection and Affordable Care Act and the Health Care and Education

More information

CHAPTER 14 DOH INVESTIGATIONS AND THE 27 BIGGEST MISTAKES NURSES MAKE IN DOH INVESTIGATIONS

CHAPTER 14 DOH INVESTIGATIONS AND THE 27 BIGGEST MISTAKES NURSES MAKE IN DOH INVESTIGATIONS CHAPTER 14 DOH INVESTIGATIONS AND THE 27 BIGGEST MISTAKES NURSES MAKE IN DOH INVESTIGATIONS I. INTRODUCTION If you receive a letter, a telephone call or a visit from an investigator from the Department

More information

LEGAL DEFENSE ASSISTANCE PLAN

LEGAL DEFENSE ASSISTANCE PLAN DASA DADE ASSOCIATION OF SCHOOL ADMINISTRATORS LEGAL DEFENSE ASSISTANCE PLAN I. PURPOSE The purpose of the DASA Legal Defense Assistance Plan is to provide support to school administrators or supervisors

More information

WCHO PIHP POLICY for the COMMUNITY MENTAL HEALTH PARTNERSHIP OF SOUTHEASTERN MICHIGAN Department: Business Finance Administration Author: S.

WCHO PIHP POLICY for the COMMUNITY MENTAL HEALTH PARTNERSHIP OF SOUTHEASTERN MICHIGAN Department: Business Finance Administration Author: S. WCHO PIHP POLICY for the COMMUNITY MENTAL HEALTH PARTNERSHIP OF SOUTHEASTERN MICHIGAN Department: Business Finance Administration Author: S. Reitmeier Date: Reason: Revision Date 03/07, 10/09 Policy and

More information

ALL APPLICANTS MUST COMPLETE THE FOLLOWING:

ALL APPLICANTS MUST COMPLETE THE FOLLOWING: APPLICATION FOR ATHLETIC TRAINER LICENSE (This application may also be used for a temporary license) 1. An applicant for licensure shall meet one of the following requirements: a. Be a graduate of an approved

More information

INDEPENDENT CONTRACTOR AGREEMENT FOR HEALTH CARE PROVIDERS

INDEPENDENT CONTRACTOR AGREEMENT FOR HEALTH CARE PROVIDERS INDEPENDENT CONTRACTOR AGREEMENT FOR HEALTH CARE PROVIDERS This Independent Contractor Agreement ( Agreement ) is made this day of, 20, between Purdue University, its employees, officers, trustees, affiliates,

More information

APPLICANTS MUST COMPLETE THE FOLLOWING: MEDICAL EDUCATION AND TRAINING

APPLICANTS MUST COMPLETE THE FOLLOWING: MEDICAL EDUCATION AND TRAINING Regular Mailing Address P.O. BOX 2649 HARRISBURG, PA 17105-2649 717-783-1400/717-787-2381 Email: st-medicine@pa.gov Courier Delivery Address 2601 NORTH THIRD STREET HARRISBURG, PA 17110 APPLICATION FOR

More information

APPLICATION FOR ALLIED PROFESSIONAL STAFF

APPLICATION FOR ALLIED PROFESSIONAL STAFF Office of Medical Affairs 736 Irving Ave Syracuse NY 13210 Phone: 315-470-7646 APPLICATION FOR ALLIED PROFESSIONAL STAFF Circle appropriate category CRNA Medical Physicist Research Assistant CST/Dntal

More information

Rehab Net of Arkansas. Provider Application

Rehab Net of Arkansas. Provider Application Rehab Net of Arkansas Provider Application Discipline P.T. O.T. S.L.P. (1) Business Name Physical Address FACILITY DATA Phone Fax (2) Billing Address Phone Fax (3) Mailing Address (4) Owner/Contact Person

More information

Cenpatico Facility/Agency Credentialing Application INSTRUCTIONS

Cenpatico Facility/Agency Credentialing Application INSTRUCTIONS Cenpatico Facility/Agency Credentialing Application INSTRUCTIONS Please complete the application thoroughly in its entirety. The checklist below may not be exhaustive of all materials, but is provided

More information

Board of Speech-Language Pathology and Audiology

Board of Speech-Language Pathology and Audiology Board of Speech-Language Pathology and Audiology Application for Speech-Language Pathology or Audiology Provisional Licensure With Instructions Attached Board of Speech-Language Pathology and Audiology

More information

Commodity Futures Trading Commission Commodity Whistleblower Incentives and Protection

Commodity Futures Trading Commission Commodity Whistleblower Incentives and Protection Commodity Futures Trading Commission Commodity Whistleblower Incentives and Protection (7 U.S.C. 26) i 26. Commodity whistleblower incentives and protection (a) Definitions. In this section: (1) Covered

More information

Delta Dental of North Carolina PARTICIPATING DENTIST UNIFORM REQUIREMENTS

Delta Dental of North Carolina PARTICIPATING DENTIST UNIFORM REQUIREMENTS Delta Dental of North Carolina PARTICIPATING DENTIST UNIFORM REQUIREMENTS DDNC_ParProviderURs prrl 9/2011 DELTA DENTAL OF NORTH CAROLINA Participating Dental Provider Uniform Requirements Scope: Purpose:

More information

AN ACT IN THE COUNCIL OF THE DISTRICT OF COLUMBIA

AN ACT IN THE COUNCIL OF THE DISTRICT OF COLUMBIA AN ACT IN THE COUNCIL OF THE DISTRICT OF COLUMBIA To amend the District of Columbia Procurement Practices Act of 1985 to make the District s false claims act consistent with federal law and thereby qualify

More information

DEFENSE RESEARCH INSTITUTE RECOMMENDED CASE HANDLING GUIDELINES FOR INSURERS

DEFENSE RESEARCH INSTITUTE RECOMMENDED CASE HANDLING GUIDELINES FOR INSURERS DEFENSE RESEARCH INSTITUTE RECOMMENDED CASE HANDLING GUIDELINES FOR INSURERS I. PREFACE Philosophy [Insurer] expects to work with the Firm and the insured to achieve the best result for the insured in

More information

State of Utah Department of Commerce Division of Occupational and Professional Licensing

State of Utah Department of Commerce Division of Occupational and Professional Licensing State of Utah Department of Commerce Division of Occupational and Professional Licensing Official Use Only Number: Date Approved/Denied: Approved/Denied By: Psychologist APPLICANT INFORMATION Full Legal

More information

Comprehensive Geriatric Medicine d/b/a Doctors on Call Provider Employment Application

Comprehensive Geriatric Medicine d/b/a Doctors on Call Provider Employment Application Comprehensive Geriatric Medicine d/b/a Doctors on Call Provider Employment Application Thank you for your interest in employment at Comprehensive Geriatric Medicine d/b/a Doctors on Call. As a leader in

More information

CREDENTIALING POLICY AND PROCEDURES MANUAL OF THE MEDICAL STAFF OF ADVENTIST HINSDALE HOSPITAL AND ADVENTIST LA GRANGE MEMORIAL HOSPITAL

CREDENTIALING POLICY AND PROCEDURES MANUAL OF THE MEDICAL STAFF OF ADVENTIST HINSDALE HOSPITAL AND ADVENTIST LA GRANGE MEMORIAL HOSPITAL CREDENTIALING POLICY AND PROCEDURES MANUAL OF THE MEDICAL STAFF OF ADVENTIST HINSDALE HOSPITAL AND ADVENTIST LA GRANGE MEMORIAL HOSPITAL Approval: Medical Executive Committees: Hinsdale Hospital July 28,

More information

UAB MY HEALTH REWARDS BIOMETRIC SCREENING PROGRAM NOTICE OF HEALTH INFORMATION PRACTICES

UAB MY HEALTH REWARDS BIOMETRIC SCREENING PROGRAM NOTICE OF HEALTH INFORMATION PRACTICES UAB MY HEALTH REWARDS BIOMETRIC SCREENING PROGRAM NOTICE OF HEALTH INFORMATION PRACTICES 1 Effective Date: January 26, 2015 THIS NOTICE APPLIES TO THE UAB MY HEALTH REWARDS BIOMETRIC SCREENING PROGRAM

More information

FLORIDA DEPARTMENT OF HEALTH BOARD OF DENTISTRY NON-PROFIT CORPORATION PERMIT APPLICATION

FLORIDA DEPARTMENT OF HEALTH BOARD OF DENTISTRY NON-PROFIT CORPORATION PERMIT APPLICATION FLORIDA DEPARTMENT OF HEALTH BOARD OF DENTISTRY N-PROFIT CORPORATION PERMIT APPLICATION Applications will be accepted only if completed by an officer of the non-profit organization. Any questions not applicable

More information

Fraud, Waste, and Abuse Training. Welcome to the South Florida Community Care Network Fraud, Waste, and Abuse (FWA) & Compliance Training

Fraud, Waste, and Abuse Training. Welcome to the South Florida Community Care Network Fraud, Waste, and Abuse (FWA) & Compliance Training Fraud, Waste, and Abuse Training Welcome to the South Florida Community Care Network Fraud, Waste, and Abuse (FWA) & Compliance Training Training Objectives Meet the regulatory requirement for training

More information

MEDICAL LICENSURE IN THE STATE OF NEW JERSEY

MEDICAL LICENSURE IN THE STATE OF NEW JERSEY MEDICAL LICENSURE IN THE STATE OF NEW JERSEY UMDNJ-SOM Stratford, New Jersey Presented by: William V. Roeder, J.D. Executive Director New Jersey State Board of Medical Examiners What is the Board s Responsibility?

More information

Landlord/Tenant Frequently Asked Questions

Landlord/Tenant Frequently Asked Questions Landlord/Tenant Frequently Asked Questions What Types of Claims Are Filed? Where Do I File a Landlord/Tenant Complaint? How Do I Go About Filing a Landlord/Tenant Complaint? What Are the Filing Fees? How

More information

THE IMPACT OF HIPAA ON PERSONAL INJURY PRACTICE

THE IMPACT OF HIPAA ON PERSONAL INJURY PRACTICE THE IMPACT OF HIPAA ON PERSONAL INJURY PRACTICE JEFFREY B. McCLURE Andrews & Kurth L.L.P. Copyright 2003 by Jeffrey B. McClure; Andrews & Kurth State Bar of Texas 19 TH ANNUAL ADVANCED PERSONAL INJURY

More information

NEW JERSEY JUDICIARY SMALL CLAIMS. Superior Court of New Jersey Law Division Special Civil Part Small Claims Section

NEW JERSEY JUDICIARY SMALL CLAIMS. Superior Court of New Jersey Law Division Special Civil Part Small Claims Section NEW JERSEY JUDICIARY SMALL CLAIMS Superior Court of New Jersey Law Division Special Civil Part Small Claims Section Small Claims page 1 The small claims section is a court in which you can sue a person

More information

ARKANSAS BOARD OF PODIATRIC MEDICINE

ARKANSAS BOARD OF PODIATRIC MEDICINE ARKANSAS BOARD OF PODIATRIC MEDICINE APPLICATION FOR LICENSE TO PRACTICE PODIATRIC MEDICINE 1. Name: Social Security Number: (As to appear on License) 2. Address: 3. Address you wish License to be mailed:

More information

NOTICE OF HEALTH INFORMATION PRACTICES

NOTICE OF HEALTH INFORMATION PRACTICES NOTICE OF HEALTH INFORMATION PRACTICES Effective Date: April 14, 2003 Date Amended: 9/5/13 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO

More information

HIPAA Omnibus Notice of Privacy Practices Effective Date: March 03, 2012 Revised on: July 1, 2015

HIPAA Omnibus Notice of Privacy Practices Effective Date: March 03, 2012 Revised on: July 1, 2015 HIPAA Omnibus Notice of Privacy Practices Effective Date: March 03, 2012 Revised on: July 1, 2015 Mobile Physician Group PC 231 High Street Suite 1, Mount Holly, NJ 08060 1-855-MPG-DOCS THIS NOTICE DESCRIBES

More information

HENDRICK MEDICAL CENTER INITIAL APPOINTMENT ADDENDUM

HENDRICK MEDICAL CENTER INITIAL APPOINTMENT ADDENDUM Attachment H HENDRICK MEDICAL CENTER INITIAL APPOINTMENT ADDENDUM TO THE TEXAS DEPARTMENT OF INSURANCE (TDI) STANDARDIZED CREDENTIALING APPLICATION SECTION ONE - PERSONAL INFORMATION Last Name: First Name:

More information

IX. Network Management

IX. Network Management A. ValueOptions' Network Department As part of the efforts to develop a state-of-the-art behavioral health system in Texas, ValueOptions recognizes and acknowledges the provider network is not only crucial

More information

Management liability - Employment practices liability Policy wording

Management liability - Employment practices liability Policy wording Special definitions for this section Benefits Claim Defence costs The General terms and conditions and the following terms and conditions all apply to this section. Any compensation awarded to an employee

More information

HMSA BEHAVIORAL HEALTH FACILITY/PROGRAM CREDENTIALING DOCUMENT CHECKLIST

HMSA BEHAVIORAL HEALTH FACILITY/PROGRAM CREDENTIALING DOCUMENT CHECKLIST HMSA BEHAVIORAL HEALTH FACILITY/PROGRAM CREDENTIALING DOCUMENT CHECKLIST Enclosed you will find: A. HMSA Facility/Program Application form Please complete the application and include the requested documentation.

More information

Senate Bill No. 1665 CHAPTER 864

Senate Bill No. 1665 CHAPTER 864 Senate Bill No. 1665 CHAPTER 864 An act to amend Section 2060 of, and to add Section 2290.5 to, the Business and Professions Code, to amend Sections 1367 and 1375.1 of, and to add Sections 1374.13 and

More information

APPENDIX E. Summary of the Texas Physician Assistant Licensing Act. University of Texas Southwestern Medical Center June 2001

APPENDIX E. Summary of the Texas Physician Assistant Licensing Act. University of Texas Southwestern Medical Center June 2001 APPENDIX E Summary of the Texas Physician Assistant Licensing Act * Roderick S. Hooker, PhD University of Texas Southwestern Medical Center June 2001 Prepared for: The University of Texas Health Sciences

More information

SD MEDICAID PROVIDER AGREEMENT

SD MEDICAID PROVIDER AGREEMENT SD MEDICAID PROVIDER AGREEMENT The SD Medicaid Provider Agreement, hereinafter called Agreement, is executed by an eligible provider who desires to be a participating provider in the South Dakota Medicaid

More information

Appendix B-1 Acceptance/continued participation criteria Primary care nurse practitioner

Appendix B-1 Acceptance/continued participation criteria Primary care nurse practitioner Appendix B-1 Acceptance/continued participation criteria Primary care nurse practitioner Amendments to this Appendix B-1 shall be effective as of August 1, 2012 (the Amendment Date ). To be initially admitted

More information

MAGELLAN HEALTH SERVICES ORGANIZATION SITE - SITE REVIEW PACKET 2011. Behavioral Health Intervention Services (BHIS) ONLY

MAGELLAN HEALTH SERVICES ORGANIZATION SITE - SITE REVIEW PACKET 2011. Behavioral Health Intervention Services (BHIS) ONLY MAGELLAN HEALTH SERVICES ORGANIZATION SITE - SITE REVIEW PACKET 2011 Behavioral Health Intervention Services (BHIS) ONLY Proprietary: Magellan Health Services policies apply to all subsidiaries,including

More information

Lakeshore Regional Entity

Lakeshore Regional Entity Policy 4.2 POLICY TITLE: Contract Management POLICY #: 4.2 Adapted from SMA Topic Area: Applies to: Provider Network Management LRE and all member CMHSPs Page 1 of 5 ISSUED BY: Chief Executive Officer

More information

PLEASE ALLOW AT LEAST 60 DAYS FOR PROCESSING INSTRUCTIONS FOR APPLICANTS WHO HOLD NCCPA CERTIFICATION

PLEASE ALLOW AT LEAST 60 DAYS FOR PROCESSING INSTRUCTIONS FOR APPLICANTS WHO HOLD NCCPA CERTIFICATION Regular Mailing Address P.O. BOX 2649 HARRISBURG, PA 17105-2649 Email: st-medicine@pa.gov Courier Delivery Address 2601 NORTH THIRD STREET HARRISBURG, PA 17110 717-783-1400/717-787-2381 APPLICATION FOR

More information

HOSPITAL-ANCILLARY-CLINIC PROVIDER CREDENTIALING APPLICATION

HOSPITAL-ANCILLARY-CLINIC PROVIDER CREDENTIALING APPLICATION HOSPITAL-ANCILLARY-CLINIC PROVIDER CREDENTIALING APPLICATION INSTRUCTIONS: In order to be considered complete: 1. All information must be legible. Please print or type all information 2. Application must

More information

Credentialing CREDENTIALING

Credentialing CREDENTIALING CREDENTIALING Based on standards set forth by the National Committee for Quality Assurance (NCQA) all Providers listed in literature for Molina Healthcare will be credentialed. All designated practitioners,

More information