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Medical Staff Credentialing, Peer Review and Licensure

As industry consolidation continues, hospitals and surgery centers face significant pressures to evaluate the credentials of health care professionals and conduct the staff privilege and peer review processes more effectively and efficiently than ever before.

Medical staff responsibilities can be complicated – by employed physicians, low-level or mid-level provider applicants, and new technology requests.  At the same time, the demands on individual physicians are greater than ever, with electronic medical records, required computer provider order entry and lower reimbursement.  Ice Miller assist clients with these and other physician-hospital issues.

Representative Experience

  • Professional conduct, competency, and quality issues
  • Disruptive behavior and impairment concerns
  • Scribes, advanced nurse practitioners, and physician assistants usage
  • New technology, telemedicine and telehealth usage
  • Electronic medical records, documentation, remote access issues and physician HIPAA privacy and security breach concerns
  • Developing, reviewing, and revising policies affecting the medical staff
  • Developing, reviewing, and revising medical staff bylaws
  • Legal advice on peer review investigations
  • Representation in fair hearings and appeals
  • Hearing officer services
  • Peer review program design and structure
  • Defend peer review determinations and activities in state and federal court
  • State and federal reporting obligations


Name Position Phone Email
Kris M. Dawley Partner 614-462-2290
Margaret R. Emmert Of Counsel 317-236-2169
Sherry A. Fabina-Abney Partner 317-236-2446
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