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Employer cooperation for credentialing.................

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I am changing jobs.

My new family practice is small and private (no corporate machines) and I am having to do a lot of legwork for my credentialing as they have only ever done this for a PA once.

 

The State Dept of Health is requiring an application and one of the requirements is a letter from a prior supervising physician stating I am medically sound.

 

My current job has bounced me between supervising docs and not one of them really "knows" me - so, I went to an older job and asked my supervising doc there to help out since he knows me.

 

Instead of the letter from him to the DOH, I get an email from the Head of HR/Head of IT/Administrator - she wears many hats in a rural 503C clinic and is definitely rural and not particularly worldly about the entire world of medicine...........

 

She says they have a policy of "not providing letters of recommendation or credentialing to former employees".

 

WELL, how about that?

 

I called the DOH and they almost snickered on the phone. They would like a copy of her email and are willing to excuse me from the letter altogether.

 

A. Makes me look dumb

B. Makes the 503C clinic look SUPER dumb and unprofessional

C. Does NOT help my credentialing process whatsoever

D. Makes me love medicine sooooo much more than I did yesterday - dripping with sarcasm............

 

Does anyone actually KNOW how to run a clinic business anymore?

Can't anyone play nice and get along?

Is there a legal precedent here for not cooperating with a state licensed individual?

 

How many lottery tickets do I have to buy?.....................................

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Geez, this brings back awful memories for me. I resigned from a single physician practice on what I thought was great terms. Three NPs had recently left the practice, so I gave plenty of notice & offered to work contingent & on days off from my new job &/or continue beyond my expected last day, should the "credentialing process" be delayed at my new job. New position was in an academic setting; part of the credentialing included a form to be filled out from a PHYSICIAN who worked with me in the LAST 12 months.

 

Ultimately I was notified from new job administrator that the MD marked "unable to answer" on everything. Apparently the credentialing board voted not to hire me, but the chairman of the department intervened (he knew me, as did the 2 physicians I was going to be working with). Thankfully, the board allowed me to obtain references from one of the NPs that I had worked with.

 

The physician at the former office (& his wife/manager) were "surprised" everything was clear on my credentialing.

 

 

Sent from my iPad using Tapatalk

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This particular practice lost 4 non-physician providers in 5 months and my old job is STILL open and advertised 18 months later.

They tend to alienate everyone that works there and intimidate the remainder.

 

This group actual bothered a friend of mine who lives by one of their clinics to "inquire" with me if I would return and what would it take. I mentioned snowballs in hell...............

 

I have specialists who would vouch for me in a heartbeat but they aren't FPs and they weren't my legal supervisor. Huge deep sigh...................

 

Your post hit my absolute number 1 NEVER in my book - I made the mistake ONCE and will never repeat it.

 

NEVER EVER EVER EVER EVER WORK IN A CLINIC WHERE THE PHYSICIAN'S SPOUSE - MALE OR FEMALE - WORKS THERE OR "MANAGES". IT IS A DEATH SENTENCE.

 

Maybe I should go back and get that MBA or admin masters and --- RULE THE WORLD.................... nah, not even.

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I actually resent that your DOH requires a letter at all!  You said they want a letter "stating you are medically sound."  Do they require a letter before credentialing an MD?  How about a NP?  You are a well-trained professional.  Grad of an approved program and NCCPA-certified (presumably.)  Those are your references.  Not a letter.

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I really think this credentialing has gotten way out of hand.  There should be one licensing board to prove you are qualified. It would be great if it was national,. but that is not realistic. So it should be the state. Then no one else, not hospital, not insurance company, not malpractice company or anyone else would have the responsibility to prove you are qualified if the state licensing board says you are.  This is a very frustrating and expensive process.  We,. as a clinic, have spent well over $10,000 in credentialing cost over the past four years.  

 

I really think there is a class action lawsuit sitting here for the creative and courageous lawyer.  I know hospitals, systems, insurance companies all feel that they have the requirement to make sure you are okay so that they won't be sued if you kill (or God forbid) molest a patient.  But that threat of suit must go away and the state be the only one with the state constitutional right to declare you fit for practice.

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The part that nags is that I have been in the same freaking state for 15 YEARS. I have no other license. I am on CAQH.

I am NCCPA certified.

I am 25 yrs in as a PA.

I have a paper trail 15 years long in one state.

I am fingerprinted in 2 states and have umpteen background checks and am boring as hell.

I am not hard to find.....

 

But changing to a new practice and going on the license of a DO vs MD is evidently earth shattering and requires a new blueprint for the wheel.

The delegation portion of the DOH (which is no longer part of the MQAC) requires a letter from a previous supervising physician but doesn't say what the letter has to say - no directions whatsoever.

Most letters I inquired about stated length professional relationship, knowledge as medical practitioner and no reservations about working with said provider - ie. I am not a psychopath...

 

So, an NP colleague with whom I have worked for many years says he will write a letter as a professional peer stating I am above board and shower regularly, etc - yes, sarcasm abounds.

 

This process needs a revamp....

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NEVER EVER EVER EVER EVER WORK IN A CLINIC WHERE THE PHYSICIAN'S SPOUSE - MALE OR FEMALE - WORKS THERE OR "MANAGES". IT IS A DEATH SENTENCE.

 

 

 

I second and third that motion.  Having worked for single physician practices, I hated it.  When I resigned, I was offered a job in FM in a single physician clinic with wife as manager.  My experience told me I would be asinine to accept that position.  So, I didn't.  Will never do it.  

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I am changing jobs.

My new family practice is small and private (no corporate machines) and I am having to do a lot of legwork for my credentialing as they have only ever done this for a PA once.

 

The State Dept of Health is requiring an application and one of the requirements is a letter from a prior supervising physician stating I am medically sound.

 

My current job has bounced me between supervising docs and not one of them really "knows" me - so, I went to an older job and asked my supervising doc there to help out since he knows me.

 

Instead of the letter from him to the DOH, I get an email from the Head of HR/Head of IT/Administrator - she wears many hats in a rural 503C clinic and is definitely rural and not particularly worldly about the entire world of medicine...........

 

She says they have a policy of "not providing letters of recommendation or credentialing to former employees".

 

WELL, how about that?

 

I called the DOH and they almost snickered on the phone. They would like a copy of her email and are willing to excuse me from the letter altogether.

 

A. Makes me look dumb

B. Makes the 503C clinic look SUPER dumb and unprofessional

C. Does NOT help my credentialing process whatsoever

D. Makes me love medicine sooooo much more than I did yesterday - dripping with sarcasm............

 

Does anyone actually KNOW how to run a clinic business anymore?

Can't anyone play nice and get along?

Is there a legal precedent here for not cooperating with a state licensed individual?

 

How many lottery tickets do I have to buy?.....................................

A lot of this kind of behavior comes from fear of being sued for giving a negative reference. Most employers will only give out the dates of employment and some will give an answer to "eligible for re-hire."

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I second and third that motion.  Having worked for single physician practices, I hated it.  When I resigned, I was offered a job in FM in a single physician clinic with wife as manager.  My experience told me I would be asinine to accept that position.  So, I didn't.  Will never do it.  

Fourth... I have worked with students off and on for many years and I tell them all to avoid (like the plague) any clinic where the spouse is either the nurse or the office manager. Anything that goes wrong...any disagreement and you will get beat bloody.

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I'm getting HCE in an office where the office manager is the doctor's sister....... horrible, horrible, horrible. At least I've learned my lesson early.

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My former employer's HR admin relented and is "allowing" the physician to write a letter to DOH.

The guy has been a doc for nearly 40 years and works for a community health center.

He doesn't need a babysitter or admin to "allow" him to do anything in my opinion.

He is writing the letter himself and sending me the original and will not allow admin to edit or preface it. Yay to him.

 

They still stink and again, why I don't work there anymore.

I am so done with being micromanaged and scrutinized for every damn little thing.

 

Now, if we can just get the DOH to update and revise their application process.....................................

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