Nurse Triage After-Hours Coverage
We contract with a nurse triage service to provide after-hours access to care for our patients. Is it necessary to also have a provider on-call as a back-up?
We contract with a nurse triage service to provide after-hours access to care for our patients. Is it necessary to also have a provider on-call as a back-up?
Do we need to credential and privilege contracted providers like we do our employed providers?
The CMS rule of the Good Faith Estimate has been difficult to implement. Do you have any workflows and suggestions to help health centers?
A select number of providers do maintain admitting privileges, although they do not admit and round on health center patients. Can you please tell me if this meets the compliance standards for continuity of care?
We would like to start using Consent Agendas, but don’t know much about them. Could you let us know how they are used most effectively?
How do we evaluate whether our fee schedule is current and up to date?
We are having an Operational Site Visit and are in the process of revising our policies. Can you please tell us what is required to be included in the After-Hours Policy and Procedure?
We are in the initial phases of developing our Quality Improvement Program. Can you please tell me what resources are available?
Are there any clear expectations on what is involved in the Conflict of Interest Policy?
How do we evaluate the sliding fee discount program or is it just the nominal fee?
Regulators are no longer satisfied with documentation alone; they want evidence that your compliance program actively prevents, detects, and corrects risk. Investigators expect to see how issues are identified early, investigated thoroughly, corrected effectively, and monitored over time. Boards demand measurable insight, and leadership needs confidence that exposure is managed before it becomes a liability. The standard has shifted from activity to impact.