With artificial intelligence (AI) in the spotlight, more vendors are branding themselves as “AI-powered”—whether or not that label holds up under scrutiny. As a result, MSPs need to be diligent when evaluating solutions for credentialing and payer enrollment.
MSPs play a critical role in preventing negligent credentialing, and they are the first stop on the tour when a negligent credentialing claim raises its ugly head. Review key steps that these individuals can take to prevent these claims.
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Performing credentialing process audits is similar to conducting patient record audits in that it is usually more productive to audit specific aspects of the process to answer specific questions. This is as opposed to attempting to audit an entire credentials file to address every possible...
Credentialing and privileging regulations for advanced practice professionals (APP) are currently a loose patchwork of federal and state statutes. Given this variability, today’s discussion centers on strategies that MSPs and medical staff leaders can use to identify and apply relevant laws to...
