Governance - Medical Staff
Strengthen Your Governance Framework
A strong governance structure is essential for maintaining provider quality, regulatory compliance, and peer review integrity. At Cred2Bill, we help healthcare organizations establish and maintain robust medical staff governance, ensuring alignment with CMS, NCQA, Joint Commission, DNV, HFAP, state regulations and other accrediting bodies.
How We Help
Medical Staff Bylaws & Regulations
- Ensure bylaws, rules, and credentialing policies align with CMS, NCQA, Joint Commission, DNV, and HFAP standards.
- Identify policy gaps and implement regulatory crosswalks to maintain compliance.
- Prepare clients in maintaining compliance with new standards from NCQA, Joint Commission and CMS
Peer Review & Performance Audits
- Support Focused Professional Practice Evaluations (FPPE) and Ongoing Professional Practice Evaluations (OPPE) to ensure provider quality assurance.
- Establish a standardized review process across multi-facility healthcare systems, medical schools, and rural hospitals.
Survey Readiness & Compliance Support
- Prepare for payer audits, Joint Commission surveys, and hospital accreditation assessments.
- Conduct documentation audits, policy reviews, and staff training to ensure compliance.
Why Strong Governance Matters
- Maintain Compliance – Stay ahead of evolving regulations and accreditation requirements.
- Standardize Credentialing – Ensure uniform governance across all facilities.
- Reduce Legal Risk – Minimize compliance violations and protect against liability
Get Expert Governance Support Today
Ensure your medical staff governance is compliant, structured, and scalable. Contact Cred2Bill today for a consultation.