Verifying board certification during your provider enrollment process

June 26, 2017
Credentialing Resource Center Digest
Credentialing, Provider Enrollment, Quality

Board certification is a voluntary achievement by a practitioner to further demonstrate his or her knowledge and skills in a particular specialty...Read More »

Case study: Is your organization on board with your onboarding process?

June 19, 2017
Medical Staff Briefing - Volume 27 Issue 6
Medical Staff Services Department, Provider Enrollment

How a Lean Six Sigma Green Belt project turned into a complete overhaul of provider onboarding at Johns Hopkins All Children’s Hospital.Read More »

Take our poll: Provider enrollment naming norms

May 1, 2017
Credentialing Resource Center Digest
Medical Staff Leadership and Governance, Medical Staff Services Department, Provider Enrollment

Let us know how your organization refers to the process of enrolling providers with government and commercial health plans.Read More »

Tip: Consider CVO certification status (and other performance gauges)

April 13, 2017
Credentialing Resource Center Digest
Accreditation and Regulatory Requirements, Credentialing, Medical Staff Bylaws, Polices, and Procedures, Medical Staff Leadership and Governance, Medical Staff Services Department, Provider Enrollment

NCQA certification or URAC accreditation can be instrumental in evaluating whether a CVO meets minimum industry standards and will be able to...Read More »

Familiarize yourself with the major health plan accreditors

March 30, 2017
Credentialing Resource Center Digest
Accreditation and Regulatory Requirements, Provider Enrollment

The healthcare industry has long used credentialing processes, especially in the hospital setting, which must follow the requirements of the...Read More »

Provider enrollment: A new competency for MSPs to master

March 27, 2017
Credentialing Resource Center Digest
Medical Staff Services Department, Provider Enrollment

Provider enrollment should be on MSPs’ radars, if not yet on their dockets, according to Carol Cairns CPMSM, CPCS, advisory...Read More »

Q&A: 2017 CRC Symposium Case Study Competition winners

March 9, 2017
Credentialing Resource Center Journal - Volume 26 Issue 3
Accreditation and Regulatory Requirements, Credentialing, Medical Staff Leadership and Governance, Medical Staff Services Department, Privileging, Provider Enrollment

Today’s medical staffs are far more complex than their predecessors. The growing diversity in practitioners’ specialties, affiliations, and...Read More »

Expert Q&A: The medical staff and credentialing outlook for 2017

January 11, 2017
Credentialing Resource Center Journal - Volume 26 Issue 1
Accreditation and Regulatory Requirements, Allied Health Professionals, Ambulatory Care, Credentialing, Legal Considerations, Medical Staff Bylaws, Polices, and Procedures, Medical Staff Leadership and Governance, Medical Staff Services Department, Peer Review, OPPE, and FPPE, Physician Employment, Privileging, Provider Enrollment, Quality

The New Year’s dust (or confetti, as the case may be) has settled, routine is restored, and 2017 stretches ahead. For MSPs, medical staff leaders...Read More »

Verify education and training for health plan credentialing

January 5, 2017
Credentialing Resource Center Digest
Accreditation and Regulatory Requirements, Credentialing, Provider Enrollment

Practitioners undergo different levels of education and training, including medical or professional school, and internship, residency, and...Read More »

NAMSS’ proposed SOC definition for MSPs

November 2, 2016
Sample Forms
Accreditation and Regulatory Requirements, Credentialing, Medical Staff Leadership and Governance, Medical Staff Services Department, Peer Review, OPPE, and FPPE, Privileging, Provider Enrollment

NAMSS submitted comments to the Office of Management and Budget (OMB) requesting the inclusion of a detailed occupational listing for MSPs in the 2018 Standard Occupational Classification...

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