CMS Hospital CoP and TJC Telemedicine Standards, Credentialing and Privileging

Event Information
Product Format
Prerecorded Event
Sue Dill Calloway, RN, MSN, JD
90 minutes
Product Description

Insights on Regulations and CMS Interpretive Guidelines for Hospital CoPs on Telemedicine Credentialing

The federal regulation on telemedicine and the CMS interpretive guidelines is complex and confusing, and it’s imperative for the hospitals to be compliant with the recent regulatory standards. CMS has been issuing quarterly reports of the number of hospital deficiencies and this program will shed light on the problematic standards in the telemedicine interpretive guidelines.

The CMS have CoP interpretive guidelines for all hospitals regarding their telemedicine standards, and these standards were based on the federal regulations. The regulation and interpretive guidelines also impacts hospitals accredited by The Joint Commission (TJC). Moreover, TJC made changes to crosswalk with the final CMS standards—these impact both large hospitals, small and rural hospitals and critical access hospitals.

The regulations cover the credentialing and privileging process for physicians and practitioners providing telemedicine services. This revised process is less burdensome which means it is now a less financial burden for hospitals. CMS allows hospitals to credentialing by proxy and hospitals are required to have a written agreement that meets certain criteria.

Join expert speaker Sue Dill Calloway, RN, MSN, JD to comprehend the regulations, interpretive guidelines and the responsibilities of the board, medical staff and hospitals to ensure compliance with the regulations.

Session Highlights:

  • Insights on regulations and CMS interpretive guidelines which are now part of the hospital CoPs on telemedicine credentialing.
  • Discussion on CMS mechanism for all hospitals to use proxy credentialing with Medicare-certified hospitals or other telemedicine entities.
  • Find out why hospitals need to have a written agreement that specifies the responsibilities of the distant-site hospital to meet the required credentialing requirements.
  • Insights on standards, Joint Commission has on telemedicine in the leadership chapter.

Session Agenda:

  • Introduction
  • Insights on 16 page federal law
  • Overview of 27 page interpretive guidelines by CMS for CoPs
  • What are the CMS deficiencies in telemedicine?
  • Learn about the definitions of distant site telemedicine entity (DTSE)
  • Insights on CoP board changes
  • Why written agreement is required, and insights on the requirements in the written agreement
  • Discussion on privileges based on medical staff recommendations
  • Credentialing by proxy—what you need to know
  • Agreements with Medicare certified hospitals and DTSE
  • How to ensure compliance with the CoPs
  • Find out the effect on Joint Commission hospitals
  • Basic hospital functions
  • Insights on reliance on the C&P decisions of the distant site
  • Peer review issues—what you need to know about
  • Adverse events and notification
  • Periodic appraisals
  • Complaints received about the distant site physician
  • Discussion on third party verification organizations
  • Where CoP tag numbers are changed

Who Should Attend?

  • Chief Medical Officer
  • Medical Staff leader
  • Credentialing and Privileging Professionals
  • Tele-radiology Professionals
  • Chief Nursing Officer
  • Chief Operating Officer
  • Director of Radiology
  • Hospital legal counsel
  • Medical Staff Office  personnel
  • Risk manager
  • Compliance officer
  • Patient safety officer
  • Legal counsel
  • Nurse educator
  • Joint Commission director
  • Accreditation Director
  • Director of Regulatory Affairs
  • Anyone involved in telemedicine services


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About Our Speaker

Sue Dill Calloway - Hospital Coding Expert

Sue Dill Calloway, RN, MSN, JD, is the president of Patient Safety and Healthcare Consulting and Education company with a focus on medical-legal education especially Joint Commission and the CMS hospital CoPs regulatory compliance. She also lectures on legal, risk management and patient safety issues. She was a director for risk management and patient safety for five years for the Doctors Company. She was the...   More Info
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