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My entire career has been in the OR until the past year and a half, and I'm now selling healthcare IT/EMR.  The only people I'm talking to are hospital execs, and yet I am still required to adhere to the same BS vendor credentialing policies.  I'm going nowhere near the OR, patients, exam rooms, etc.  And just like always, there is no standardization across accounts regarding what credentialing company they use.  So I pay a couple hundred bucks to get into this account each year, a few hundred more for this account, etc.  I have long speculated that accounts must get some kind of kickback from the credentialing companies for forcing vendors to sign up; I wouldn't doubt if Materials and Purchasing people have their bonuses tied to compliance too.  Does anyone know if the kickbacks idea is true?  That would explain a lot.  If so, that's probably how they compete against each other - by negotiating kickback rates.  And I absolutely hate how RepTrax requires you to add every account to your profile in advance... so, if I show up to a new account a couple of states over for an appointment but haven't added that account to my profile (b/c I didn't know they were a RepTrax facility), then I'm hosed.  The whole thing is such a snow job.  The comment about acknowledging "parking policy" having nothing to do with "patient safety" is so true and so telling about out of control egos and bureaucracy.  What a bunch of crap.