Description
January 13th, 2026
Tangled Web
Navigating Delegated Credentialing Agreements
Delegated credentialing arrangements can expose organizations to significant legal and compliance risks if roles, oversight, and accountability are unclear. Join TMG for an exploration of delegated credentialing across payers, hospitals, CVOs, MSSDs, and vendor partners to understand the legal frameworks that govern these agreements. Learn how PLPs can align day-to-day processes with contractual requirements, ensure compliance during audits, and reduce organizational liability.
Objectives:
Explain the requirements and standards that apply to delegated credentialing agreements.
Identify common risks, pitfalls, and red flags in payer, provider, and vendor delegation arrangements.
Describe strategies to align operational workflows with contract obligations.
March 10th, 2026
Courtroom Crossroads
Provider Lifecycle Decisions on Trial
From credentialing and privileging to enrollment, licensing, and quality oversight, decisions made across the provider lifecycle can escalate into lawsuits, exposing organizations to costly litigation and reputational harm. Join TMG for an exploration of real-world legal cases where PLP processes were challenged in court, uncovering what went wrong and why. Learn how PLPs can reduce organizational risk by strengthening documentation, aligning processes with regulatory standards, and ensuring decisions are defensible under legal scrutiny.
Objectives:
Explain how disputes in credentialing, enrollment, licensing, or quality can escalate into legal action.
Identify key lessons from case law that reveal risks in provider lifecycle practices and documentation.
Describe proactive strategies PLPs can implement to reduce litigation exposure.
May 12th, 2026
Blurred Lines
Employment Law in Credentialing & Privileging
When employment law issues intersect with credentialing and privileging, PLPs can find themselves navigating high-stakes situations. Join TMG for a discussion of how disciplinary actions, discrimination claims, and termination disputes overlap with provider lifecycle responsibilities. Learn how PLPs can safeguard their work by recognizing where employment law applies, ensuring consistent processes, and maintaining defensible documentation.
Objectives:
Explain the legal intersections between employment law and credentialing/privileging processes.
Identify scenarios where PLPs must be alert to employment law implications.
Describe best practices PLPs can follow to maintain consistency, support fairness, and reduce organizational risk.
July 15th, 2026
Balancing Act
Due Process in Fair Hearings
Fair hearings are legally required to protect providers’ rights, but they can also create pitfalls for organizations if procedures aren’t followed. Join TMG for a review of the laws and regulations governing provider fair hearings, due process, and appeal rights, with a focus on how PLPs ensure processes are consistent, compliant, and well-documented. Learn how PLPs can contribute to defensible hearings by maintaining clear records, reinforcing procedural integrity, and upholding defined legal and organizational standards.
Objectives:
Explain the legal principles that shape provider fair hearings.
Identify common pitfalls organizations face when due process is not upheld.
Describe how PLPs can strengthen fair hearing processes.
September 9th, 2026
Signal Flare
Legal Implications of Quality Review
Quality of care issues can quickly escalate into legal challenges when performance concerns, malpractice implications, or regulatory gaps are left unaddressed. Join TMG for an examination of how legal accountability connects to quality review and performance monitoring processes. Learn how to reduce organizational liability by strengthening documentation, escalating concerns appropriately, and aligning quality oversight with regulatory expectations.
Objectives:
Explain the legal consequences of inadequate quality review and monitoring processes.
Identify red flags that increase organizational liability.
Describe how PLPs can support defensible quality oversight.
November 10th, 2026
Bylaw Crossroads
Adapting to Emerging Care Models
Evolving care models like telehealth, hospital-at-home, and expanded APP roles are forcing organizations to rethink and revise their medical staff bylaws. Join TMG for a discussion of the legal implications these changes bring and how they reshape provider lifecycle responsibilities. Learn how PLPs can prepare by recognizing bylaw gaps, supporting compliant updates, and ensuring organizational practices stay aligned with the law.
Objectives:
Explain the legal drivers that require updates to medical staff bylaws and policies.
Identify areas where emerging care models create risk if bylaws are not revised.
Describe how PLPs can help organizations adapt bylaws and policies to remain compliant and effective.
