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One Datran Center, Suite 1607
9100 South Dadeland Blvd.
Miami, FL 33156
305.671.7771 Phone
305.671.7770 Fax
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 Medical Staff Credentialing and Privileges
Often appropriate credentialing and access to medical facilities are the keys to a successful practice. For this reason, the information included in the credentialing application, particularly relating to prior or current allegations or claims, must be worded with the utmost precision.
When potentially negative information exists which must be reported, our experience in this process allows us to support our clients in providing information which is both legally and factually correct, while maximizing the potential for the granting of credentials.
We also represent practitioners who have been denied privileges or whose privileges are in jeopardy.
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Licensure
At CBHLAW, we provide assistance in the application process and, when necessary, appear with our clients before the Credentials Committee to explain or defend information provided in the application. Because any denial of licensure must be reported in all future licensure and credentialing applications, as well as to any current facility where privileges have been granted, we strongly urge our clients to seek our counsel prior to and during the application process, to prevent potential damage which can threaten all licensure and privileges and destroy entire careers.
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Financial Responsibility
Florida healthcare practitioners are required to provide the Board of Medicine with information regarding their financial responsibility when applying for an initial license, upon license renewal or when there is a change in their financial responsibility status. Many hospitals also require proof of financial responsibility before issuing staff privileges or entering into contractual agreements with physicians and their affiliates.
We help our clients select the appropriate option to fulfill their financial responsibility and provide guidance when a client elects to "go bare". We also represent physicians who are audited by the Licensing and Auditing Services Unit and defend those who are alleged to have violated financial responsibility requirements.
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Reporting Requirements
There are numerous reporting requirements under state and federal law, some of which include:
- Adverse Medical Incident Reporting; and
- National Practitioner Data Bank Reporting
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Practitioner Profiling
Florida's legislature has mandated easy access to the public of certain licensure and disciplinary information of all licensed medical physicians and many other health practitioners who practice in the state. To carry out that mandate, DOH requires these physicians and practitioners to self-report information which ranges from basic biographical and educational background to legal and disciplinary action taken against the practitioners and certain settlements and judgments against them. Failure to self-report and/or timely update profile information may result in fines up to $100 per day from the date the information was required to be filed and constitutes grounds for disciplinary action.
We assist our clients in determining what information must be reported and craft the wording of the information to ensure that it is accurate, current, timely and consistent with other reported data. We also defend physicians and healthcare practioners who are being investigated or prosecuted for allegations of failure to report or inaccurate or untimely reporting.
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Adverse Medical Incident Reporting
We aid physicians and other medical licensees determine whether an event is required to be reported to DOH as an adverse medical incident and help draft or edit reports to ensure proper compliance. Because there is a time limitation on reporting adverse incidents, we recommend that our clients involve us as soon as there is a suspicion that a medical intervention has resulted in an adverse incident.
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National Practitioner Data Bank Reporting
We routinely complete the forms for insuring entities who have a duty to report certain settlements and judgments against medical practitioners, hospitals and companies, so that we can ensure that the allegations against our clients, as well as the settlements and judgments which trigger reporting, are portrayed both accurately and in context with all claims, allegations and/or recoveries against all healthcare providers involved in the claim. We also assist our clients in providing beneficial clarification to the NPDB when unflattering or inaccurate reports involving them have been prepared by others.
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