Align credentialing and enrollment processes

In many organizations, the board’s decision to approve or deny privileges marks the end of the new provider credentialing process for the MSP. However, this endpoint is changing as many hospitals integrate their medical staff services and provider enrollment functions into one department, says Amy Niehaus, CPMSM, CPCS, MBA, president of AMN Consulting. With integrated departments, onboarding of employed practitioners includes credentialing and privileging, but now ends after successfully enrolling practitioners with commercial insurers, Medicare, and Medicaid, Niehaus says.

This is an excerpt from a members-only article. Please log in or become a member to read the complete article.