The operational process of credentialing a practitioner to participate in a health plan’s network has
some similarities to a hospital’s credentialing processes; however, there are also important distinctions.
The following table highlights some of the key differences between health...
A clearly defined and reflective scope of work is just as important for MSPs as for the practitioners they credential. This comprehensive job description, which comes courtesy of University Hospitals in Cleveland, features a summary of essential duties; experience, knowledge, and special skill...
Each year, large numbers of physicians seek to return to practice after an extended voluntary absence from patient care. Others have never left practice but are requesting to expand/change their scope of practice and refresh skill sets they have not used in several years. Returning to practice...
Beyond programs for individuals who are actively engaged in clinical education and training, many healthcare organizations provide observation/shadowing opportunities for high school and college students who are considering a career in the medical field. Relevant policies should address the...
Ensure a comprehensive and consistent red flag file review with a set list of questions, says Linda Waldorf, BS, CPMSM, CPCS, director of the central credentialing office (CCO) at the University of North Carolina Healthcare System in Chapel Hill. Having a uniform and transparent process makes it...
