All accrediting and regulatory bodies require policies and procedures that describe the credentialing program of an MCO or health plan. Policies...Read More »
A growing contingent of MSPs are finding themselves managing provider enrollment duties in addition to their existing medical staff credentialing obligations. However, lengthy enrollment turnaround times with payers can hurt your organization’s bottom line. During this 90-minute on-demand...
Attaining delegation status with commercial payers is the ultimate way to improve enrollment turnaround time and reduce lost revenue and credentialing delays. During this 90-minute webinar, expert speaker Amy Niehaus, CPMSM, CPCS, MBA, helps listeners identify the benefits of attaining...
Although MSPs in any setting may feel underappreciated at times, those in provider enrollment positions and environments are often among the most misunderstood. Typically, there are no specific job eligibility criteria for professionals in these roles other than the ability to type and follow...
At its most basic, credentialing is the verification of healthcare practitioners’ education, training, and current competency. Depending on the...Read More »
This white paper is the second in a series on the MSP’s growing role in provider enrollment. With a high level overview of the enrollment fundamentals, tips on adapting traditional credentialing processes for a broader range of vetting activities, and strategies for optimizing existing...
This white paper is the first in a series on the MSP’s growing role in provider enroll-ment. Chock-full of professional statistics, expert guidance, and tales and tools from the field, this unprecedented look into an emerging facet of the medical staff services field will arm forward-thinking...
When moving enrollment activities in house, meticulous organization is essential. Whether you have credentialing software or use simpler computer applications such as Excel or Access, it is important to have solid workflows that allow you to enroll your providers and follow up on the status of...
Despite the clear competency crossover in medical staff services and provider enrollment, not everyone is taking advantage of the alignment...Read More »
