By Amy M. Niehaus, CPMSM, CPCS, MBA

New to managed care credentialing? Whether you work for a health plan or a hospital medical staff services department, this how-to guide answers all of your health plan credentialing and enrollment questions. Learn the regulatory and...

In long-term care, as in acute care, industry best practices (and, where applicable, accreditation standards) dictate that a credentialing process occur for all practitioners who deliver a medical level of care. This resource provides a rundown of items a nursing home might collect or verify...

Medical staff governing documents must articulate the standards that practitioners must meet to qualify for medical staff membership. In general, the list of qualifications will address the applicant’s background, experience, ability to perform requested privileges, training, and demonstrated...

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