At its most basic, credentialing is the verification of healthcare practitioners’ education, training, and current competency. Depending on the specific items that need to be verified, this process can be lengthy.
This week’s quick tip comes from a Q&A with Melissa Brenner, medical staff and provider enrollment manager for Adena Health System in Chillicothe, Ohio. About five years ago, the system developed a multidisciplinary provider onboarding team that meets on a biweekly basis to help streamline...
Despite the clear competency crossover in medical staff services and provider enrollment, not everyone is taking advantage of the alignment opportunities. Over half of respondents to the 2017 MSP Salary Survey (55.6%) who work on teams that facilitate medical staff services report that, while...
Let us know which department in your organization performs payer enrollment tasks. You must be signed in with your free or paid CRC account to participate.
There are many factors that contribute to successful delegated credentialing for both the health and delegated entity to consider. Below are tips and recommendations for the health plan:
Review the delegation agreement thoroughly to ensure that credentialing activities can be
Given the high stakes and complexity of provider enrollment, aligning the function with traditional medical staff services work requires a clear strategy, strong approaches, and adept staff. Otherwise, the process may unravel, jeopardizing revenue, care access, and practitioner satisfaction....