With integrated departments, onboarding of employed practitioners includes credentialing and privileging, but now ends after successfully...Read More »
While CMS survey-and-certification memo 17-44-Hospitals notes that surveyors will start with the average daily census (ADC) and average length of...Read More »
Amy Niehaus, CPMSM, CPCS, MBA, answers the question: At what point in the medical staff credentialing process can an application for enrollment be...Read More »
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...
A health plan must designate a credentialing committee that uses a peer review process to make credentialing and recredentialing decisions. Members of the committee must include participating practitioners who can review and provide input on applicants for initial credentialing and...
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 »
