When I was a newbie, I learned a central lesson about credentialing: that to ensure compliance with the standards, the primary source verification documents I obtained for a practitioner were for my facility only, and peer review information was confidential. That changed when shared services agreements began to take hold. Over the years, four trends
Medical Service Professionals often have Type A personalities. We’re highly organized and proactive – and at times impatient and a bit anxious. It’s understandable that the possibility of losing control over our credentialing process can trigger negative reactions. After all, each hospital and health plan has its own application, its own credentialing process, and its
In August and September, Team Med Global’s Donna Goestenkors, CPMSM, EMSP, and Rachelle Silva, BS, CPCS, CPMSM, joined forces with symplr to present “Off the Hook: Reining in Telemedicine Challenges.” Given that COVID-19 has led to an exponential increase in the use of telemedicine around the U.S., it’s no surprise that the more than 1,000
By Leslie Foltz, BS, CPCS, CPMSM Hospital credentialing policies outline the application and privileging requirements and criteria and procedures. Credentialing processes explain how information is gathered to provide information for review and decision making by department chairs, committees, and the governing body. The five best practices listed below - claims history, professional references, performance evaluations,
By Larry DeHoyos, CPCS, PESC Our nation’s healthcare market has exploded, and it shows no signs of slowing. Over the past decade, we’ve seen a boom in independent practice associations, health plans, larger mergers, and independent medical groups. And the U.S. Bureau of Labor Statistics forecasts four million new healthcare jobs by 2026. That
