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CMS Hospital CoP and TJC Telemedicine Standards: Credentialing and Privileging

June 9, 2020 @ 8:00 am - 10:00 am MDT


Due to COVID-19, the registration is per hospital and not per connection for this webinar. Please only select a qty. of “1” under Registration and indicate the number of connections requested (not to exceed 5) when completing the Attendee information.

Not sure if you’ll be able to make the live session? Everyone who registers will receive a link to the recording of the webinar that you will have 120 days to view at your convenience at no additional charge.

With the recent heightened activity in the area of telemedicine, are you sure your hospital is compliant with the regulatory standards? The Centers for Medicare and Medicaid Services (CMS) have conditions of participation (CoP) interpretive guidelines for all hospitals regarding their telemedicine standards. The regulations cover the revised credentialing and privileging process for practitioners who provide telemedicine services. The new process is less burdensome and allows hospitals to provide credentialing by proxy.

CMS has been issuing quarterly reports on the number of hospital deficiencies. This webinar will discuss the most problematic standards in the telemedicine interpretive guidelines, including what provisions should be in the telemedicine contract and the new tag numbers for critical access hospitals in 2020. Come learn about regulations, interpretive guidelines and the responsibilities of the board, medical staff and hospital administration to ensure compliance.

By the end of this presentation, learners should be able to:

  • Discuss that there are both regulations and CMS interpretive guidelines that are not part of the hospital CoPs on telemedicine credentialing. 
  • Recall that CMS includes a mechanism for all hospitals to use proxy credentialing with Medicare-certified hospitals or other telemedicine entities.
  • Describe that the hospital must have a written agreement that specifies the responsibilities of the distant-site hospital to meet the required credentialing requirements.
  • Recall that the Joint Commission has standard on telemedicine in the leadership chapter.

Sue Dill Calloway is president of Patient Safety and Healthcare Consulting and Education company, where she focuses 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. Previously, Sue was a director for risk management and patient safety for the Doctors Company. She was the VP of legal services at a community hospital and served as the privacy officer and the compliance officer. She was also a medical malpractice defense attorney for 10 years and has three nursing degrees in addition to a law degree.

She is a well-known lecturer and the first in the country to be a certified professional in CMS. She has written 102 books and thousands of articles.

The speaker has no real or perceived conflicts of interest that relate to this presentation.

Chief Medical Officers, Medical Staff Leaders, Credentialing and Privileging Professionals, Chief Nursing Officers, Chief Operating Officers, Legal Counsel, Compliance Officers, and anyone with responsibility for accreditation or contracting for telemedicine services.

Tuesday, June 2; 5:00 p.m. MDT

Access instructions and materials will be emailed to the person completing the order prior to the program date. If you do not receive the instructions at least 24 hours in advance, please contact IHA. 


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June 9, 2020
8:00 am - 10:00 am MDT
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