Telemedicine Credentialing and Privileging Standards Flashcards
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Read the first 7 Telemedicine Credentialing and Privileging Standards flashcards as text
Under CMS Conditions of Participation, a distant-site hospital providing telemedicine services must have a written agreement with the originating-site hospital that addresses which key element?
Answer: The distant-site medical staff's credentialing and privileging process
CMS requires the written telemedicine agreement to specify how the distant-site hospital's credentialing and privileging of practitioners will be relied upon by the originating site.
When a telemedicine provider's privileges at a distant site are revoked for cause, what action must the originating-site hospital take?
Answer: Immediately suspend or revoke the provider's telemedicine privileges at the originating site
The originating site must immediately act on adverse credentialing actions taken by the distant site to protect patient safety.
What does the term 'privileging by proxy' mean in telemedicine credentialing?
Answer: An originating site relying on a distant site's credentialing decisions to grant telemedicine privileges
Privileging by proxy allows the originating site to grant privileges based on the distant site's credentialing process rather than conducting a separate full review.
Which accreditation standard specifically addresses telemedicine credentialing and privileging for hospitals?
Answer: The Joint Commission's MS.13.01.01
The Joint Commission's MS.13.01.01 outlines the standards for credentialing and privileging practitioners who provide services via telemedicine.
A hospital wants to credential a telestroke neurologist using the proxy credentialing option. What is the minimum requirement for the distant site to qualify?
Answer: The distant site must be a Medicare-participating hospital with an approved medical staff process
CMS requires that for proxy credentialing, the distant-site organization must be a Medicare-participating hospital or a Medicare-approved telemedicine entity.
How frequently must a telemedicine provider's performance be evaluated at the originating site when using the proxy credentialing option?
Answer: Annually, consistent with the medical staff bylaws reappointment cycle
Performance must be evaluated at least every two years at reappointment, consistent with the originating site's medical staff bylaws and ongoing professional practice evaluation.
Which scenario would DISQUALIFY a telemedicine arrangement from using CMS's streamlined proxy credentialing option?
Answer: The distant-site organization is a physician group practice, not a hospital
The CMS proxy credentialing option is only available when the distant site is a Medicare-participating hospital or telemedicine entity, not a physician group practice.