Privileging 101 - Navigating the Regulatory and Legal Aspects of Privileging

This third session of the 5-part series will review the basic aspects of credentialing and privileging processes to include an comprehensive overview of the applicable Centers for Medicare & Medicaid Services (CMS) – Conditions of Participation (CoPs) requirements, the various accrediting body standards (TJC, DNV, HFAP, HRSA, AAAHC) related to privileging, an in–depth discussion on how to appropriately determine which providers in your organization require to be credentialed and privileged through the medical staff process, and introduce legal aspects that have an impact on privileging.

At the end of the session, attendees will be able to:

• Describe the differences between credentialing and privileging Privilege 101 Series

• Identify and distinguish between providers within their organization that require granting of privileges and those who do not

• Discuss the specific Centers for Medicare & Medicaid Services (CMS) – Conditions of Participation (CoPs) related to privileging

• Explain the meaning of Deemed Status by CMS for Accredited Organizations

• Identify the CoPs and CfCs applicable to Health Care Organizations

• Summarize the various facility types and applicable accreditation standards related to privileging

• Identify potential legal implications involved in privileging