TMG Resource Center

Managed Care Magic Season 1 On Demand

MSPs in the managed care environment face unique challenges in credentialing, monitoring, compliance, controls, and delegation. Managed Care Magic provides participants with the key to unlocking basic and advanced skills. Acing the Audit: Avoiding Common Deficiencies Stellar managed care credentialing helps ensure quality care, patient and physician satisfaction, and cost management, but mistakes can happen. Join TMG in examining steps to take before, during and after an audit, recognizing the most common deficiencies in the audit process, and identifying corrective actions. Presented by Rachelle Silva and Andrea Nyman. 1 Hour. Recorded 1/30/24. Diving Deep: The Ins & Outs of Delegated Credentialing Delegated credentialing can feel intimidating to both new and seasoned MSPs in the managed care environment. Join TMG in exploring the foundations of the delegated credentialing process, the elements of the delegation agreement, and the requirements for annual delegation oversight. Presented by Rachelle Silva. 1 Hour. Recorded 11/28/23. Emerging Issues: Ongoing Monitoring & System Controls Ongoing monitoring and credentialing system controls are increasingly important in the managed care environment. Join TMG in exploring requirements for the frequency of monitoring, acceptable sources, and credentialing system controls monitoring and reporting requirements to ensure the accuracy, completeness, and confidentiality of credentialing information. Presented by Donna Goestenkors and Rachelle Silva. 1 Hour. Recorded 10/31/23. Verification Station: Managed Care Compliance Across Accreditors There are subtle and not-so-subtle differences among CMS, NCQA, and URAC verification standards. Join TMG to understand the nuances of the information that needs to be verified, acceptable sources outside of the primary source, required documentation, and verification/attestation time frames. Presented by Rachelle Silva and Andrea Nyman. 1 Hour. Recorded 9/26/23. Building the Guardrails: Managed Care Governance & Policy Regulators and accrediting bodies are prescriptive about managed care committee responsibilities and governance policy language. Join TMG in exploring the necessary governance structure needed to successfully navigate the managed care landscape. Presented by Rachelle Silva and Ivonne Oladunni. 1 Hour. Recorded 8/29/23. Completing the Puzzle: Who’s Who in Managed Care Credentialing It’s crucial to have a solid grasp of the basics before diving into the deeper issues surrounding managed care credentialing. Join TMG in exploring the roles and responsibilities of stakeholders in managed care and how the pieces of managed care fit together. Presented by Donna Goestenkors and Ivonne Oladunni. 1 Hour. Recorded 7/25/23. Registration Fee: $35 each or $175 for series of 6 live or on-demand webinars. Scroll down for dates and objectives.

Increasingly, healthcare organizations are combining payer enrollment and credentialing. This integration is occurring in environments ranging from hospital systems to managed care, often as a result of organizational mergers and acquisitions or departmental consolidations. Team Med Global explores this exciting frontier. What’s the Difference? Explore the unique functions of credentialing and payer enrollment, along with the parallels. Then, identify ways to collaborate. Finally, pinpoint the skills that are transferable from one area of responsibility to the other. Presented by Donna Goestenkors, Larry DeHoyos & Yesenia Servin. 1 Hour. Recorded 5/8/20 Challenges & Opportunities Merging credentialing and payer enrollment presents both challenges and opportunities. Understand potential conflicts and develop actionable strategies that mitigate challenges, then identify advantages to merging functions. Finally, delve into technological solutions that can ease the transition. Presented by Donna Goestenkors, Larry DeHoyos & Yesenia Servin. 1 Hour. Recorded 6/12/20 What’s the Plan? A robust implementation plan is key to merging credentialing, payer enrollment, billing, and contracting. Discover how to integrate Team Med Global’s payer enrollment model into enrollment best practices, as well as benchmarks to include in a transition blueprint. Presented by Donna Goestenkors, Larry DeHoyos & Yesenia Servin. 1 Hour. Recorded on 7/10/20 Temperature Check It’s critical to evaluate the effectiveness of credentialing and payer enrollment integration. Learn the formula for avoiding duplicative effort, ensuring cost reduction, and maximizing reimbursement. Finally, discover key reporting components for internal stakeholders. Presented by Nicole Keller, Larry DeHoyos & Yesenia Servin. 1 Hour. Recorded 8/14/20 Recorded Webinars: $35 each or $120 for 4-part series Within 24 hours after purchase, you will receive an email with a link to the recorded webinar. You will have access to the recorded webinar for 3 months. Scroll down for objectives and additional information.

Legal Bond On Demand

The Fine Print: Operational Contracts Impacting MSS Healthcare organizations may enter into contracts with medical staff members, CVOs, locum tenens agencies, clinical service vendors, telemedicine providers, and credentialing software companies. Join TMG to discover the implications of operational contracts on Medical Staff Services. Presented by Donna Goestenkors and Anne Roberts. 1 Hour. Recorded 11/30/23. Snapshot: Reappointment Time Frames Under State Law In late 2022, TJC changed the appointment time frame accreditation standard so that privileges can be granted for up to 3 years unless state laws and regulations dictate a shorter length of time. Join TMG for the current state legislative landscape as it pertains to appointment time frames. Presented by Donna Goestenkors and Anne Roberts. 1 Hour. Recorded 10/26/23. Integrity & Ethics: Reporting Poor Provider Behavior MSPs play a key role in ensuring that poor provider behavior is handled in accordance with policies, medical staff bylaws, and the law. Join TMG for hypothetical cases and the MSP’s legal and professional responsibilities in each. Presented by Donna Goestenkors. 1 Hour. Recorded 7/27/23. The Leading Edge: Emerging Issues in Medical Staff Bylaws As the foundation of quality patient care, medical staff bylaws and rules and regulations are ever-evolving. It’s crucial that MSPs understand what amendments may arise in their organization’s bylaws and how they may impact the medical staff organization and the Medical Staff Services Department. Join TMG for a discussion of emerging issues and trends in medical staff bylaws. Presented by Libby Snelson. 1 Hour. Recorded 5/25/23. Recorded Webinars: $35 each or $120 for 4-part series Within 24 hours after purchase, you will receive an email with a link to the recorded webinar. You will have access to the recorded webinar for 3 months. Scroll down for objectives and additional information.

Informed by insider knowledge of challenges faced by medical staff services professionals and the psychology of empowerment, Donna Goestenkors, CPMSM®, EMSP, CLE, and Jennifer Froemel, MA, LCPC, CMHIMP, provide actionable information and coaching that will enable you to:

• Increase confidence in your skills and judgment
• Gain access to those with power, authority, and influence
• Interact with others from a place of strength
• Create and maintain healthy boundaries
• Feel connected to your coworkers
• Cultivate your flexibility and creativity
• Communicate clearly and effectively
• Envision and attain your professional goals

Extinguishing the Flame: Journey from Burnout to Balance Professional burnout not only diminishes individual well-being, but also adversely affects organizational productivity and morale. Join TMG and uncover emotional and psychological impacts of burnout. Then, discover tools for re-establishing work-life boundaries, effective stress management techniques, and methods for rekindling passion in your role. Presented by Donna Goestenkors and Jennifer Froemel. 1 Hour. Recorded 4/3/24. Registration: $35 each or $175 for 6-part series Scroll down for topics and objectives.

Boost your leadership skills! The Leadership Catalyst webinar series offers leaders and would-be leaders new skills, best practices, and hot takes on trending topics. Wellness Matters: Leading for Team Well-Being As leaders, our impact on team mental health is profound and multifaceted. Join TMG for practical insights and strategies to cultivate a supportive and healthy work environment. Explore effective leadership techniques that prioritize the mental and emotional wellness of team members, ensuring a thriving and productive workplace. Presented by Donna Goestenkors and Rachelle Silva. 1 Hour. Recorded 3/22/24. Registration Fee: $35 each or $175 for 6-part series. Scroll down for descriptions and objectives.