MSPs and provider enrollment professionals who demonstrate humility, authenticity, fairness, tact, and kindness make the best candidates for leadership roles, according to Brianna Foulkrod, CPCS, CPMSM, assistant vice president of clinical onboarding, credentialing, and provider enrollment at...
Credentialing Resource Center Journal - Volume 33, Issue 7
Maggie Palmer, MSA, CPCS, CPMSM, like many MSP leaders, is grappling with proposed changes by the National Committee for Quality Assurance (NCQA) and changes to credentialing in her state of Texas. For MSPs working at NCQA-accredited organizations, it is crucial to be aware that NCQA is...
The medical executive committee (MEC) should thoughtfully consider the leadership identification and training process when looking for new physician leaders. One of the first steps should be defining the criteria for various leadership positions. The following newsletter lists examples of ...
Stacey McCoy, PharmD, MS, BCPS, has a wealth of experience in the field of pharmacy, having worked in various healthcare capacities for more than two decades. Currently, she serves as a clinical program manager at Wolters Kluwer Health, where she focuses on optimizing technology and the delivery...
Credentialing Resource Center Journal - Volume 33, Issue 7
Telehealth has grown tremendously over the past five years, in large part due to COVID-19, but also due to technological advancements. Experts believe that telehealth usage may again reach its earlier peak, but that any uptick will happen more slowly as the technology’s usability increases and...
Credentialing Resource Center Journal - Volume 33, Issue 7
The Supreme Court of Ohio (the “Court”) affirmed a court of appeals judgment that while a negligent credentialing claim is separate and independent from a medical negligence claim, a negligent credentialing claim needs a finding of underlying medical negligence to proceed.
A good provider enrollment professional needs to be able to consistently update their knowledge of the process, says Emily Walker, CPC, founder and CEO of Integrity Medical Credentialing. And the process itself is constantly updating, especially following COVID-19, with...
Credentialing Resource Center Journal - Volume 33, Issue 7
If a physician plans to practice at a hospital, they are required to submit an application for appointment to the medical staff and for the granting of clinical privileges. CMS and accreditation organizations such as The Joint Commission, DNV,...
Credentialing Resource Center Journal - Volume 33, Issue 7
Peer review, as it applies in today’s healthcare landscape, involves the evaluation of an individual practitioner’s professional performance for all relevant competency categories. It draws from multiple sources of data and identifies opportunities to improve care. Given these important aims,...
