Tag: Credentialing

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Health Law Highlights

Blockchain-Based Healthcare Credentialing: A Solution to High Costs and Administrative Burdens

Summary of article from Cureus, by Ebenezer Chinedu-Eneh, Priya Ramaswamy, Patrick E. Farmer:

The healthcare sector faces significant inefficiencies in its credentialing system, leading to staff shortages, delayed patient care, and financial waste. The COVID-19 pandemic highlighted these issues, prompting temporary suspensions of credentialing processes. Blockchain technology offers a promising solution by automating and securing credential verification, potentially saving time and costs, increasing trustworthiness, and enhancing workforce resilience. Successful implementations in other countries demonstrate blockchain’s potential to revolutionize healthcare administration. Adopting blockchain for credentialing could transform the system, making it more efficient, reliable, and secure.

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Health Law Highlights

Credentialing Is Burdening Small Hospitals—and Underserved Communities Pay the Price

Summary of article from HealthExec, by Chad Van Alstin:

The credentialing process in healthcare, which verifies a provider’s education, training, licenses, and professional experience, is a time-consuming manual task, especially burdensome for small hospitals and independent practices. The lack of a centralized data repository and varying state regulations complicate the process, with no current way to automate it due to the need for data from hundreds of disparate sources. This process can delay the hiring of healthcare providers, impacting patient care, especially in underserved communities. Solutions like blockchain have been explored but are met with skepticism due to issues of data reliability and technical limitations. Until a more efficient system is found, the credentialing process remains largely manual, leading to increased time and labor costs, particularly affecting rural and underserved areas.

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Health Law Highlights

Navigating the National Practitioner Data Bank: A Guide for Healthcare Professionals

Summary of article from Ward and Smith, P.A., by Amy G. Fitzhugh, James A. Wilson:

The National Practitioner Data Bank (NPDB) is a repository of reports on actions taken against healthcare practitioners, providers, and suppliers, aiming to prevent practitioners from moving locations without disclosing adverse events. Entities such as hospitals, health plans, and state licensing boards submit reports to the NPDB, which include Adverse Action Reports, Medical Malpractice Payment Reports, and Judgment or Conviction Reports. The NPDB, analogous to credit reports, contains information that could negatively impact a healthcare professional’s credentialing decision, and like a credit report, it is not publicly accessible but available to authorized users. To manage their NPDB profile, healthcare professionals should occasionally self-query their records, add their own side of the story if something is reported, and dispute inaccuracies with the reporting entity. If the reporting entity denies a correction, the NPDB has a process to dispute a report and, if in agreement, can request the reporting entity to correct or void the report.