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Physician Medical Staff Privileges – Suspension Hearings

Physician Medical Staff Privileges – Suspension Hearings Physicians typically have medical staff privileges at a hospital or other healthcare facility where the doctor can treat patients.  Hospitals operate under certain accrediting agencies, most commonly The Joint Commission, which, along with state laws, require the hospital to adopt medical staff bylaws...

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HEALTHCARE CORPORATE COMPLIANCE

HEALTHCARE CORPORATE COMPLIANCE Healthcare Companies should conduct a self-audit each year of their organizational structure and operations.  The audit should include ensuring that all organizational documents (historical and any updates) are updated and that the documents are available when needed.  As with normal non-medical companies, besides organization corporate documentation, all...

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Healthcare:  District courts lack jurisdiction to award a Medicare Provider (Doctor) injunctive relief until administrative remedies are exhausted

Healthcare:  District courts lack jurisdiction to award a Medicare Provider (Doctor) injunctive relief until administrative remedies are exhausted   Providers of medical services to Medicare recipients often must navigate claim denials in order to get paid.  Medicare contractors determine provider reimbursement eligibility based on several sources, including local coverage determinations...

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