As more organizations examine or pursue PCMH for care delivery, MSPs should take a hard look at NCQA's data collection and reporting guidelines, as well as their organization's own internal requirements and accreditation guidelines.
Is delegated credentialing right for your organization? If you are considering this option, the following article presents an overview of some of the many issues you should consider.
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