Legal cases have significantly affected how health plans operate with regard to their credentialing practices. There are several ways in which managed care organizations can be held liable for their actions or for the actions of their providers related to the care received by members.
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Credentialing Resource Center Journal - Volume 26, Issue 10
Once driven exclusively by insurance carriers, provider enrollment features ever-more prominently in healthcare institutions’ service portfolios and under MSPs’ purviews. Of the nearly 1,000 respondents to the 2017 MSP Salary Survey, 22.3% work in departments that carry out both medical staff...
Credentialing Resource Center Journal - Volume 26, Issue 10
Beyond the functional similarities, provider enrollment and medical staff services also share unlikely career trajectories and challenges, as demonstrated by the write-in responses to the 2017 MSP Salary Survey highlighted in the following sections.
Representatives from The Joint Commission, URAC, DNV-GL, the Healthcare Facilities Accreditation Program (HFAP), and National Committee for Quality Assurance (NCQA) took the stage at the 2017 NAMSS Educational Conference & Exhibition to share what they have learned from the 2017 surveys and...
