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PHYSICIAN
SCREENING AND SELECTION
Many
questions are asked about cosmetic surgery. But the number one question,
far exceeding all others, is "How do I find a qualified surgeon?"
A credentialing
or screening process is an equitable method of determining a physicians
qualifications. The cosmetic surgery industry is growing quickly,
and doctors are attracted to it in large numbers, partly because
of managed care and its fee arrangements with physicians. Currently,
no formal guidelines exist for evaluating the quality and credentials
of cosmetic surgeons.
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versus a health care entity, you will find some areas in which access
to information is blocked. Unfortunately, it will probably be some
time before the general public will be able to gain access to more
information about a physician. However, the good news is that you
can take some actions on your own. The following is an outline of
the information you would want to know about your chosen physician.
We have also shown you the levels of access you may have regarding
certain criteria. The rules in your state may vary, but use this
chart as a guide. It is imperative that you gather and evaluate
all the information that is available to you.
ACCESSIBILITY
OF DATA TO INDIVIDUALS
The
levels of access listed here are based on the availability of
verification from the primary source of information
|
Criteria
|
Access
|
No Access
|
Access
with Fee
|
|
Provider
information - Social security numbers, tax ID, other demographic
information
|
|
X
|
|
|
Malpractice
information Name of company, levels of coverage
|
|
X
|
|
|
Malpractice
history past or pending claims
|
|
X
|
|
|
Professional
status** - Degree, specialty board, certification status
|
X
|
|
$
|
|
Education
Schooling, graduation dates, internship
|
|
|
$
|
|
Hospital
affiliation Type of affiliation and standing
|
|
|
$
|
|
Licensing
and registrations** - State license, DEA, Medicaid/Medicare
|
X
maybe
|
|
$
|
|
Provider
questionnaire questions about license sanctions and limitations;
criminal, mental health, substance abuse record, physical
impairments or limitations
|
|
X
|
|
|
Provider
attestation of truthfulness Signature guaranteeing truthfulness
|
|
X
|
|
|
National
Practitioner Data Bank (NPDB) Inquiry about disciplinary
actions
|
|
X
|
|
|
Frequency
of procedures How often are procedures performed
|
X
|
|
|
|
Patient
services "On call" arrangements, patient advocacy,
etc.
|
X
|
|
|
|
Surgical
location--Accreditation* - Accreditation status
|
X
|
|
|
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Professional
affiliations Membership in societies and organizations
|
X
|
|
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Fee Schedule
Pricing on procedures
|
|
X
|
|
|
Patient
references Interviewing of former patients
|
X
|
|
|
|
Professional
references** - Interviewing of other colleagues
|
X
maybe
|
|
|
|
Site visits***
- Evaluating cleanliness, patient confidentiality, physical
environment, etc.
|
X
|
|
$
|
|
Observing
surgery How surgeons conducts themselves in their environment
in
|
|
X
|
|
|
Before
and after pictures Evidence of work
|
X
|
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* The physician
may or may not provide access voluntarily. An accreditation entity
may reveal the status but could charge an administration fee.
** It is
possible that this information will be released to you. Some organizations
may only release this data with an authorization form from the
physician and may charge an administration fee.
*** The doctor
may offer prospective patients the opportunity to view the offices
and surgical. In most instances, an in-depth evaluation of office
procedures that relate to OSHA compliance or medical/ surgical
regulations will not be allowed.
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