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 »
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 »
