# Medical staff services software that keeps every appointment, privilege and query on one practitioner file

> Medical staff services is the office that appoints, credentials, privileges and reappoints the practitioners who practise in a hospital. The duties are set by regulation. Under 42 CFR 482.22 the medical staff examines the credentials of every candidate and periodically appraises its members, the governing body appoints them on 5 stated criteria under 482.12, and 42 U.S.C. 11135 requires the hospital to query the National Practitioner Data Bank at application and once every 2 years after that. Neurobird holds that file.

- URL: https://neurobird.com/medicalstaff/
- Product: Neurobird Medical Staff Services Document Automation Platform
- Niche: medical staff services
- Buyer: hospitals, health systems and credentials verification offices
- Status: in development, open for early access
- Updated: 2026-08-22

## What Neurobird Medical Staff Services does

- Run the expirable list for licence, DEA, insurance and board status against real dates, not memory
- Track a query at application and every 2 years thereafter, with the response stored on the file
- Carry the privilege list as a delineated set rather than as an attachment nobody opens
- Keep the committee action, the date and the governing body approval on the same record as the file

## How it works

1. **Open the file** Application, primary source verifications, the privileges requested and the criteria that apply to them, all captured against one practitioner rather than across four folders.
2. **Work the cycle** Expirables, queries and reappointment dates run on their own clocks, so the office is chasing a list the week before rather than the week after.
3. **Close the loop** Committee recommendation, governing body appointment and the term it starts are recorded as dated actions, which is exactly the sequence a surveyor asks you to walk through.

## From the source material

> Residents and Interns Whether a hospital is required to query on an intern or resident depends upon whether the intern or resident is a member of the medical staff.

Source: NPDB Guidebook, queries, https://www.npdb.hrsa.gov/guidebook/DOverview.jsp

## Industry context

- **2 years** Interval at which a hospital must request Data Bank information on any practitioner already on the medical staff or holding clinical privileges, in addition to the query required at the time of application. (source: 42 U.S.C. 11135, https://www.law.cornell.edu/uscode/text/42/11135)
- **30 days** Length of an adverse clinical privileges action beyond which a health care entity must report it, along with any surrender of privileges while under investigation or in return for avoiding one. (source: 42 U.S.C. 11133, https://www.law.cornell.edu/uscode/text/42/11133)
- **60.5** The section setting the reporting clock: malpractice payments, licensure actions, negative findings and adverse actions all go to the Data Bank within 30 days of the action, with a copy to the relevant state authority. (source: 45 CFR 60.5, https://www.law.cornell.edu/cfr/text/45/60.5)
- **5 criteria** What the governing body must select medical staff members on: individual character, competence, training, experience and judgment, and membership may never rest solely on certification or society fellowship. (source: 42 CFR 482.12, https://www.law.cornell.edu/cfr/text/42/482.12)
- **24 hours** Time after admission or registration within which an updated examination must be documented when the history and physical was completed in the 30 days before, and always before surgery or a procedure requiring anesthesia. (source: 42 CFR 482.22, https://www.law.cornell.edu/cfr/text/42/482.22)
- **482.22** The condition of participation requiring an organized medical staff under bylaws approved by the governing body, periodic appraisal of its members, and an executive committee that is majority doctors of medicine or osteopathy. (source: 42 CFR 482.22, https://www.law.cornell.edu/cfr/text/42/482.22)

## Pricing

- Single hospital: $229 per month
- Health system: $695 per month
- Verification office: $1,540 per month

## Questions

### What is medical staff services?

It is the hospital office that runs appointment, credentialing, privileging and reappointment for the practitioners who work there. The work sits under 42 CFR 482.22, which makes the medical staff responsible for examining credentials and periodically appraising its members, and under 482.12, which makes the governing body the appointing authority.

### What are the Data Bank query requirements?

Under 42 U.S.C. 11135 a hospital must query when a physician or licensed practitioner applies for medical staff membership or clinical privileges, and once every 2 years for anyone already on staff. A hospital that does not query is presumed to know whatever was reported.

### When does an action against a practitioner become reportable?

When a professional review action adversely affects clinical privileges for longer than 30 days, or when privileges are surrendered while an investigation is underway or in exchange for avoiding one. The report goes to the Data Bank within 30 days of the action under 45 CFR 60.5.

### Does this handle payer enrollment as well?

No, and that is deliberate. Enrollment is a roster problem with a different owner. This is the hospital file: privileges, committee actions, expirables and queries, which is the record a surveyor asks to walk through.

### Can it work across several hospitals in a system?

Yes. One practitioner file with privileges held per site, which is how 482.22 treats a unified and integrated medical staff, and how a system avoids four copies of the same credentials drifting apart.

## Sources

- [42 CFR 482.22, condition of participation: medical staff](https://www.law.cornell.edu/cfr/text/42/482.22)
- [42 CFR 482.12, condition of participation: governing body](https://www.law.cornell.edu/cfr/text/42/482.12)
- [42 U.S. Code 11135, duty of hospitals to obtain information](https://www.law.cornell.edu/uscode/text/42/11135)
- [42 U.S. Code 11133, reporting by health care entities](https://www.law.cornell.edu/uscode/text/42/11133)
- [45 CFR 60.5, when information must be reported](https://www.law.cornell.edu/cfr/text/45/60.5)
- [NPDB Guidebook, queries](https://www.npdb.hrsa.gov/guidebook/DOverview.jsp)

## Contact

- office@neurobird.com
- https://neurobird.com/
