Telemedicine: Performing Effective Credentialing, Privileging, and Peer Review for Remote Practitioners - On-Demand

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Telemedicine: Performing Effective Credentialing, Privileging, & Peer Review for Remote Practitioners - On-Demand

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Telemedicine: Performing Effective Credentialing, Privileging, and Peer Review for Remote Practitioners - On-Demand

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Available ON-DEMAND

Presented on:
March 14, 2017

Presented by:
Catherine M. Ballard, Esq.

Level of Program:

As physician shortages grow even faster and patients’ care needs intensify, more and more healthcare institutions will fortify their ranks with telemedicine practitioners. While distance doesn’t diminish a hospital’s responsibility to thoroughly vet and assess affiliated practitioners, it can throw a wrench in conventional approaches.

In this 90-minute webinar, expert speaker Catherine M. Ballard, Esq., will provide practical, compliance-minded guidance on performing effective credentialing, privileging, and peer review for remote practitioners.

Drawing on her expansive industry expertise, Ballard will demystify the relationship between federal, state, and accreditation requirements—which are not always consistent—and delineate must-have credentialing clauses in telemedicine contracts.

Participants will learn how and why to consider enlisting a credentialing proxy, and what to do when that’s not an option. They’ll also gain clarity on the shadowy topic of peer review, learning methods for sharing performance data in the face of state-specific protections and numerous practitioner affiliations.

At the conclusion of this program, you will be able to: 

  • Describe the effects of federal regulations, state laws, and private accreditation standards on telemedicine credentialing, privileging, and peer review
  • Process applications for practitioners seeking telemedicine privileges in an efficient, effective, and compliant manner
  • Understand the pros and cons of entering into contracts for credentialing by proxy
  • Identify key credentialing, privileging, and peer review provisions in successful telemedicine arrangements
  • Implement measures to deter telemedicine peer review issues and related information sharing hot spots

Who Should Listen? 

  • Medical staff services directors
  • Medical staff services managers
  • Medical staff professionals
  • Credentialing professionals
  • Chief medical officers
  • Vice presidents of medical affairs
  • Credentials committee members/chairs
  • Medical executive committee members/chairs
  • Quality directors


  • Nuts and bolts: Defining key terms and stakeholders
    • Distant site vs. originating site
    • Telemedicine entity vs. healthcare institution that dispatches telemedicine practitioners
  • In-house or by proxy: Choosing the best credentialing route
    • Pros and cons of each approach
    • State- and accreditor-specific considerations for credentialing by proxy
    • Strategies for executing the chosen approach
  • Ground rules: Navigating federal, state, and accreditation requirements
    • Telemedicine-specific CMS Conditions of Participation (CoP) for hospitals and critical access hospitals
    • Additional requirements imposed by The Joint Commission
    • Disparate protections that may impact the sharing of peer review information between entities in different states
  • The nitty gritty: Best practices for telemedicine credentialing, privileging, and peer review
    • Understanding the roles of key contributors (e.g., MSPs and medical staff leaders at distant and originating sites)
    • Developing an airtight telemedicine agreement (e.g., including an indemnification clause and essential credentialing, privileging, and peer review provisions)
    • Weighing affiliation options for telemedicine practitioners (e.g., appointment vs. privileges only)
  • Establishing appropriate privilege sets and appointment/grant periods
    • Sharing and using performance data
    • Reducing legal risks (e.g., negligent credentialing)
  • Real-world application: Questions and situations that arise in the field
    • FAQs
    • Telemedicine credentialing, privileging, and peer review scenarios
  • Live Q&A


  • Checklist of credentialing, privileging, and peer review points that must be covered in a telemedicine contract with a distant site
  • Sample bylaws for credentialing by proxy
  • Complimentary HCPro white paper on telemedicine credentialing

Meet the Speaker

Catherine BallardCatherine M. Ballard, Esq., is a partner at the law firm of Bricker & Eckler and vice chair of its healthcare industry group. She works with clients in the areas of hospital/medical staff integration, medical staff and hospital-employed physician integration, quality assessment and performance improvement, and related peer review matters. She develops medical staff/advanced practice provider governing documents, and she provides advice on Medicare Conditions of Participation and private accreditation, provider scope of practice, physician recruitment/employment, and general patient care. She also provides mediation and arbitration services. Ballard is the executive director for Bricker’s affiliated consulting company, The Quality Management Consulting Group, Ltd., which provides services in the areas of performance improvement, external peer review, community health needs assessments, and HIPAA compliance. From 1985 to 1987, she served as a law clerk to Judge John D. Holschuh of the Federal District Court for the Southern District of Ohio. Ballard is a regular speaker at national forums, where she speaks on a variety of healthcare issues such as healthcare quality management, credentialing and peer review, medical staff governance, fair hearings, and ethics.

Webinar system requirements and program materials: 

To fully benefit from the webinar experience, please note you will need a computer equipped with the following: 

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: 56K or faster Internet connection (high-speed connection recommended) 
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices 

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location. 

No problem. The On-Demand version is now available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $199 value! 

Participation in the webinar is just $199 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 800-650-6787 or email if you have questions.