When the credentials committee considers an application, that application contains two parts. The first is for membership in the medical staff. Criteria for such membership may include type of licensure, education, training, and experience. The second part is for privileges, which define the...
Credentialing Resource Center Journal - Volume 33, Issue 4
When we caught up with Dawn Anderson, CPCS, CPMSM, director of credentialing, privileging, and licensing at Ob Hospitalist Group in Greenville, South Carolina, last month, she beamed around a discussion about a particularly high-performing employee. They not only celebrated her achievements, but...
Whatever the reason, a large number of physicians who have a low volume or no volume of clinical care will nevertheless want to apply or reapply to your hospital for membership and privileges. They may not meet your criteria for current competency for that set of privileges, and therein lies the...
Credentialing Resource Center Journal - Volume 33, Issue 4
Recruiting has become big business for hospitals and group practices. Typically, these efforts focus on filling a clinical position in a specialty that the hospital needs on an employed, contracted, or community basis. Having said that, the most damaging communication breakdowns often occur...
One of the most important steps in readying internal processes for a new delegated credentialing arrangement is ensuring all employees involved in credentialing and payer enrollment understand the rationale behind the new requirements.
The National Provider Enrollment Forum returns September 16-18 in Charlotte, North Carolina, to delivers engaging education and training to provider enrollment professionals, enrollment managers, and credentialing specialists. Experienced veterans and top industry experts offer best practices...
