In the 1990s, the term "managed care" had a negative connotation, as patients perceived it as payers' way of encouraging physicians to deny needed healthcare services. But managed care has come a long way since then and is making a comeback in light of pressure from payers and...
Credentialing Resource Center Journal - Volume 21, Issue 3
A smooth onboarding process should always be the goal of an organization. However, healthcare organizations are notorious for having departments that work in silos. Most organizations have configured the functions of recruitment, credentialing and health plan enrollment to...
Credentialing Resource Center Digest - Volume 11, Issue 30
Remember, the term credentialing refers to the overall process of gathering and verifying credentials information, reviewing that information, and making a decision to grant or deny medical staff membership. Although appointing physicians to the medical staff and granting them clinical...
Credentialing Resource Center Digest - Volume 10, Issue 13
The National Committee for Quality Assurance (NCQA) released for public comment draft standards for its 2007 accreditation and certification programs. The comment period ends April 7. The NCQA announced it will add "Quality Plus" content areas to its 2007 accreditation requirements, in response...
