Nicole Keller, MSHM, CPHQ, CPHIT, CSM, is a recognized leader in medical staff services, with a wealth of expertise in credentialing, compliance, and healthcare quality. In a career spanning more than a decade, Nicole has successfully guided hospitals, health systems, and managed care organizations in optimizing their credentialing processes, ensuring accreditation compliance, and enhancing physician
Delegated credentialing is more than an operational efficiency—it’s a strategic approach that benefits healthcare organizations, providers, and payers alike. By shifting responsibility for the credentialing process to trusted organizations, payers streamline workflows while maintaining oversight through rigorous standards. For Provider Lifecycle Professionals (PLPs), delegated credentialing represents an opportunity to demonstrate their expertise while enhancing the
For years, the healthcare industry has relied on dedicated professionals to ensure that providers are properly licensed, credentialed, privileged, enrolled, and aligned with quality standards. These individuals play a critical role in safeguarding patient care, upholding regulatory compliance, and maintaining the operational integrity of healthcare organizations. Yet, despite their expertise and essential contributions, many have
Department culture is the invisible force that shapes the behaviors, attitudes, and interactions of a team. Navigating department culture is critical to the Medical Services Professional (MSP) role. A strong, positive culture fosters collaboration and efficiency, while a stagnant or misaligned culture can hinder progress and create unnecessary friction. Changing department culture is notoriously difficult,
Heidi Thompson, MBA, CPCS®, CPMSM®, FMSP, brings extensive expertise and leadership to her role as TMG’s ProVISIONary Staffing Talent Acquisition Specialist. With more than four decades of experience in medical staff services, Heidi has held senior positions at leading healthcare organizations, including St. Luke’s Health System and the University of Utah Hospitals & Clinics. She
January 21 marked a milestone that is close to my heart—TMG’s 18th anniversary. As I reflect on this journey, I am overwhelmed with gratitude for the incredible people who have been part of this path and for the opportunity to do what I love most: help others. TMG was born in 2007 with a vision
For years, TMG has been a thought leader in the conversation surrounding the integration of provider enrollment and credentialing. Recognizing the inherent overlap between these functions, TMG has consistently highlighted the potential for greater efficiency, improved workflows, and enhanced accuracy through their alignment. While traditionally managed as separate processes, both provider enrollment and credentialing aim
As value-based care (VBC) continues to reshape healthcare, Medical Services Professionals (MSPs) play a pivotal role in ensuring that practitioners are both credentialed and enrolled effectively. These interconnected processes are foundational to participating in alternative payment models (APMs), where reimbursement hinges on delivering high-quality, coordinated, and cost-efficient care. How Credentialing and Enrollment Drive Success in
Workplace pressures in healthcare have reached unprecedented levels, from workforce shortages to increasing regulatory demands. For Medical Services Professionals (MSPs), this environment calls for more than operational efficiency—it demands a commitment to building resilience within their organizations. By optimizing onboarding, maintaining rigorous credentialing standards, and supporting workforce planning efforts, MSPs play a vital role in
In healthcare, quality improvement (QI) is a fundamental pursuit, driving better patient outcomes, streamlined processes, and enhanced operational efficiency. Medical Services Professionals (MSPs) are uniquely positioned to play a strategic role in healthcare quality improvement by leveraging their expertise in licensing, credentialing, compliance, and provider enrollment. As experts in maintaining standards and ensuring that healthcare
Trust forms the foundation of healthcare. When patients enter a medical facility, they’re placing their well-being, and sometimes their lives, in the hands of professionals they may have never met before. They trust that these professionals are skilled, licensed, and competent. In this complex environment, credentialing—verifying and vetting healthcare practitioners’ qualifications—plays a critical role in
In healthcare administration, every smooth interaction, efficient workflow, and clearly defined role contributes to high-quality patient care. As Medical Services Professionals (MSPs), you play a vital role in keeping these administrative gears turning smoothly by reducing potential points of friction. Whether you’re involved in credentialing, licensing, provider enrollment, or compliance, your actions can directly impact
Medicare Advantage (MA) plans continue to grow in popularity, with more beneficiaries enrolling each year. However, as enrollment rises, so does regulatory scrutiny. For Medical Services Professionals (MSPs) tasked with managing practitioner licensing, credentialing, and enrollment, the upcoming 2025 benchmark adjustments bring both challenges and opportunities. Staying ahead of these changes will be critical to
The healthcare industry is at a pivotal moment as organizations prepare for 2025. Credentialing, provider enrollment, and licensing are no longer behind-the-scenes operations—they’re integral to achieving strategic objectives. Healthcare leaders must stay ahead of emerging trends to adapt to this dynamic landscape. This post identifies essential trends influencing credentialing and provider enrollment practices, inspired by
From licensing to credentialing to provider enrollment to quality, MSPs handle high-stakes responsibilities that demand up-to-date knowledge, specialized skills, and a commitment to excellence. To keep pace with industry changes, investing in continuous education and professional development is vital—not only for individual growth but also for creating a high-performance team capable of navigating the complexities
