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Certified Provider Credentialing Specialist
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Book Synopsis Certified Provider Credentialing Specialist by : National Learning Corporation
Download or read book Certified Provider Credentialing Specialist written by National Learning Corporation and published by Passbooks. This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Certified Provider Credentialing Specialist Passbook(R) prepares you by sharpening the skills and abilities necessary to succeed on your upcoming entrance exam.
Book Synopsis Physician Credentialing by : Veronica L. Rosas
Download or read book Physician Credentialing written by Veronica L. Rosas and published by . This book was released on 2015-07-20 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Physician Credentialing: A Guide for Physician Office Staff Veronica L. Rosas, CPCS Credentialing providers in a physician practice is a confusing and time-consuming process that can seem daunting to even the most seasoned professional. Between managing the credentialing of new physicians to the mandatory recredentialing that must be undertaken every few years, it is imperative that practice-based credentialing coordinators are on top of their game. Covering the credentialing process for both hospitals and managed care organizations, Physician Credentialing: A Guide for Physician Office Staff is a must-have, practical, and easy-to-read guide for credentialing coordinators and office managers, whether they are brand-new or experienced. The book walks readers through the required forms, provides suggested timelines, details documentation requirements, and offers tips for multitasking and organizational strategies to maximize efficiency. There is even helpful professional guidance, including information on certification, networking, and education. This resource will help you do the following: Utilize your time efficiently by knowing all the steps in the credentialing process Stay on top of credentialing in the physician practice Plan ahead to manage credentialing for new physicians while maintaining credentials for current providers Table of Contents Preface Part 1: Introduction Chapter 1: Introduction to Credentialing Chapter 2: The Credentialing Application Chapter 3: The Managed Care Credentialing Process Chapter 4: The Hospital Credentialing Process Part 2: Introduction Chapter 5: Credentialing the New Provider Chapter 6: Recredentialing and Reappointment Chapter 7: Managed Care Organization Contracts Chapter 8: Multitasking Chapter 9: Not All Healthcare Organizations Are the Same Chapter 10: On Your Own but Not Alone: Networking, Education, and Certification Conclusion Appendixes Appendix A: Contracting Checklist Appendix B: Acronym List Who should read this book? Credentialing coordinator Credentialing professionals Physician practice manager Physician office manager Physician practice administrator Practice manager Office manager Practice administrator Business manager
Book Synopsis The Clinician's Quick Guide to Credentialing and Privileging by : Kathy Matzka
Download or read book The Clinician's Quick Guide to Credentialing and Privileging written by Kathy Matzka and published by . This book was released on 2017-03-27 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Clinician's Quick Guide to Credentialing and Privileging (Packs of 5) Kathy Matzka, CPMSM, CPCS Clinicians are often unaware of the detailed steps of the credentialing process and are too embarrassed to ask. Now they have a go-to guide for credentialing, privileging, applying for medical licensure, verifications, and other sometimes-confusing topics. This handbook is a quick reference guide for residents, new practitioners, and even seasoned physicians as they go through the credentialing/appointment process with hospitals and health plans. For each topic covered, the guide provides brief, easy-to-understand information to help clinicians understand the process and what is required before applying for a new clinical position. This book will help you: Prepare for applying to a clinical position in a hospital or health plan Understand the typical timeline and process of credentialing Know what documents to retain to simplify the application process Prepare for your duties as a medical staff member Complete the medical licensure, DEA registration, and Medicare enrollment processes Who will benefit: Residency coordinators, administrators, managers, directors Medical staff professionals, coordinators GME directors Credentialing specialists Provider enrollment specialists Medical staff services managers/supervisors Directors of credentials verification organizations
Book Synopsis The Handbook for Credentialing Healthcare Providers by : Ellis Knight
Download or read book The Handbook for Credentialing Healthcare Providers written by Ellis Knight and published by . This book was released on 2016-04 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook enables your organization to systemize the tedious, ongoing, and mandatory process of credentialing your medical staff and to understand why you must! Healthcare organizations must have credentialed medical staffs to deliver their services. The reasons are two-fold: First, educated, licensed, experienced, and proven caregivers ensure that a hospital or medical practice is capable of delivering quality care. Secondly, payers require that the physicians and other licensed healthcare professionals are qualified and licensed to work with their patients. Before receiving payment for services, the provider must have specific credentials for providing that service. Verifying and documenting the credentials of a healthcare provider is tedious, ongoing, and mandatory. An organization with a large medical staff may struggle with keeping the credentialing function current, as many licenses have rolling expirations. Credentialing ensures that clinical practitioners are duly qualified, licensed, and board certified. It reports the history of malpractice claims, state-instituted sanctions, or other undesirable professional circumstances of providers. Credentialing and privileging of healthcare professionals protects patients and hospitals by minimizing the risk of medical errors that may result from the work of incompetent providers. It also undergirds the reputation and credibility of the institution in the eyes of providers and across the healthcare community. Further, credentialing with insurers forms the basis for reimbursement for professional services. Without the acceptance of the professional credentials of a provider, insurers and other third-party payers will not compensate his or her claims. The purpose of this book is to explain the necessity and to provide the process for the official documentation of each practitioner. The information presented in these chapters will serve as a practical resource for strengthening your organization's credentialing function. = Book Features! -Outlines the necessity for credentialing in the delivery of care and in attaining reimbursements for services provided -Explores options for in-house and outsourced credentialing function -Provides systematic process for ongoing credentialing operations
Book Synopsis Credentialing, Privileging, and Medical Staff Governance by : Sheri Patterson
Download or read book Credentialing, Privileging, and Medical Staff Governance written by Sheri Patterson and published by . This book was released on 2018 with total page 269 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Medical Credentialing Specialist - The Comprehensive Guide by : VIRUTI SHIVAN
Download or read book Medical Credentialing Specialist - The Comprehensive Guide written by VIRUTI SHIVAN and published by Viruti Satyan Shivan. This book was released on with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the rapidly evolving world of healthcare, the role of a Medical Credentialing Specialist has never been more critical. "Medical Credentialing Specialist - The Comprehensive Guide" is the quintessential resource for professionals aiming to master the intricate processes of medical credentialing and privileging. This book distills complex regulations and procedures into an accessible format, ensuring readers not only comprehend the foundational principles but also excel in applying them within any healthcare setting. With a focus on practical strategies and real-world scenarios, this guide demystifies the credentialing process, making it an indispensable tool for both novices and seasoned professionals. Understanding the high stakes involved in credentialing for patient safety and organizational integrity, this comprehensive guide emphasizes the importance of accuracy, efficiency, and compliance. It navigates through the myriad of standards and legal requirements with precision, offering up-to-date insights into industry best practices. Note, to respect copyright laws and ensure universal accessibility, this book does not include images or illustrations. Instead, it enriches the reader's understanding through detailed explanations, case studies, and hypothetical scenarios that bring the credentialing world to life. By prioritizing clarity and practicality, this guide stands as an essential read for anyone looking to thrive in the healthcare credentialing field.
Book Synopsis The Credentialing Handbook by : Sheryl Deutsch
Download or read book The Credentialing Handbook written by Sheryl Deutsch and published by Jones & Bartlett Learning. This book was released on 1999 with total page 604 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Credentialing Handbook provides comprehensive, plain-English guida nce to understand and master the provider credentialing process in any health care setting. With sample forms, checklists, flowcharts, and c orrespondence, this practical guide walks you through every aspect of effective credentialing, appointment, and recredentialing. You'll lear n: key steps in the credentialing process; about express credentialin g models; how to credential allied health practitioners; typical time frames and tracking systems; pros and cons of delegating credentialin g, plus more.
Book Synopsis Verify and Comply by : Carol S. Cairns
Download or read book Verify and Comply written by Carol S. Cairns and published by . This book was released on 2009-11 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: Verify and Comply: A Quick Reference Guide to Credentialing Standards, Fifth Edition Carol S. Cairns, CPMSM, CPCS The Joint Commission... NCQA... CMS... DNV... HFAP... Searchable and side-by-side! Verify and Comply, Fifth Edition, is the much anticipated next edition of one of HCPro's most popular credentialing resources. Many satisfied customers have used this resource to study for their NAMSS certification exams and to keep up to date with accreditors' credentialing standards. This newly expanded guide addresses Joint Commission, NCQA, and CMS standards in the book, as well as DNV and HFAP on the companion CD-ROM. That means five sets of accreditors' standards are side-by-side and searchable by topic on CD-ROM. Get the resource thousands of MSPs have come to rely on. It will help you: Easily access, navigate, and compare the requirements of all five organizations at a glance Eliminate wasted time searching through multiple resources to find what you need Stop struggling to interpret the standards on your own Understand the differences between the stages of the credentialing process--appointment, reappointment, and ongoing assessment Get answers to your credentialing questions quickly and easily Study for your CPCS and CPMSM certification exams No other resource for credentialing standards offers you this level of expertise and convenience. All five sets of standards side-by-side, organized by topic, on a searchable CD-ROM The Joint Commission NCQA CMS DNV HFAP Three sets of standards in print in the book (The Joint Commission, NCQA, and CMS) Straightforward, complete summaries of standards Expert interpretation of the standards Distinct sections that clarify the differences between each stage of the credentialing process A tips section that allows for further analysis Special notations to readers who are studying for the CPMSM/CPCS exams Who will benefit? Credentialing specialist/analyst Medical staff services coordinator Director of medical staff services Credentialing coordinator Credentialing manager Medical staff professional Survey coordinator Earn continuing education credits! This program has been approved by the National Association Medical Staff Services for up to 3.0 continuing education unit(s). Accreditation of this educational program in no way implies endorsement or sponsorship by NAMSS. Navigate credentialing standards faster and easier. Order your copy today.
Book Synopsis The Guide to National Professional Certification Programs by : Philip M. Harris
Download or read book The Guide to National Professional Certification Programs written by Philip M. Harris and published by Human Resource Development. This book was released on 2001 with total page 468 pages. Available in PDF, EPUB and Kindle. Book excerpt: The job market continues to change. Highly skilled and specialized workers are in demand. Traditional education cannot meet all the needs to create specialty skill workers. Certification provides up-to-date training and development while promoting individual or professional skills and knowledge in a focused manner. Certification as a way of continuing professional eduction can also be more cost effective.
Book Synopsis Health Professions Education by : Institute of Medicine
Download or read book Health Professions Education written by Institute of Medicine and published by National Academies Press. This book was released on 2003-07-01 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.
Book Synopsis Verify and Comply, Sixth Edition: Credentialing and Medical Staff Standards Crosswalk by : Carol S. Cairns
Download or read book Verify and Comply, Sixth Edition: Credentialing and Medical Staff Standards Crosswalk written by Carol S. Cairns and published by . This book was released on 2014-10-14 with total page 364 pages. Available in PDF, EPUB and Kindle. Book excerpt: Verify and Comply, Sixth Edition, includes both credentialing and medical staff standards and regulations in one easy-to-navigate manual, giving MSPs one book that answers all their accreditation questions. This expanded guide includes CMS, Joint Commission, NCQA, DNV, and HFAP standards side by side in an easy-to-read grid. Use this resource to study for the NAMSS certification exam and to keep up to date with accreditors' credentialing and medical staff standards. This book will help you: -Understand the differences between the stages of the credentialing process: appointment, reappointment, and ongoing assessment -Determine which verifications are necessary to obtain in the credentialing process -Discuss the importance of having an organized medical staff -Define the structure of your medical staff and its responsibilities -Determine the appropriate area in medical staff governance documentation to include specific items required by accreditation standards and regulatory requirements -Explain your medical staff's involvement in organizational leadership functions Free digital copy with purchase of print
Book Synopsis Managed Care Credentialing by : Amy N. Niehaus
Download or read book Managed Care Credentialing written by Amy N. Niehaus and published by . This book was released on 2019 with total page 246 pages. Available in PDF, EPUB and Kindle. Book excerpt: The role of the MSP is expanding to include payer enrollment and delegated credentialing responsibilities for managed care organizations. Traditionally siloed, MSPs are now beginning to take on both responsibilities, which means they must learn the nuances of managed care credentialing as well as the regulatory and accreditation requirements of NCQA, CMS, and URAC. Managed Care Credentialing: Compliance Strategies for Health Plans, CVOs, and Delegated Entities provides the answers to MSPs' inevitable questions as they begin to manage the tasks of payer enrollment and delegated credentialing. Author Amy M. Niehaus guides readers through each payer's requirements, the differences between hospital and managed care credentialing, and how to help their organization establish delegated credentialing agreements and prepare for audits. As new and existing MSP responsibilities begin to collide, this resource also outlines ways MSPs can modify their current processes to reduce duplication of efforts and develop a comprehensive and compliant managed care credentialing program. Whether you are new to managed care credentialing or are taking on delegated credentialing responsibilities, this book will help you: Learn the regulatory and accreditation requirements related to managed care credentialing Streamline the provider enrollment process through delegation Meet your organizational goals of compliance, operational efficiency, cost savings, and practitioner satisfaction Identify the differences between hospital and managed care credentialing
Book Synopsis The Credentialing Coordinator's Handbook by : Anne Roberts
Download or read book The Credentialing Coordinator's Handbook written by Anne Roberts and published by HC Pro, Inc.. This book was released on 2007 with total page 239 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Slee's Health Care Terms by : Debora Slee
Download or read book Slee's Health Care Terms written by Debora Slee and published by Jones & Bartlett Learning. This book was released on 2008 with total page 608 pages. Available in PDF, EPUB and Kindle. Book excerpt: This healthcare dictionary contains more than 8,000 nonmedical words, phrases, and acronyms related to the healthcare industry.
Book Synopsis The ASQ Certified Quality Improvement Associate Handbook by : Grace L. Duffy
Download or read book The ASQ Certified Quality Improvement Associate Handbook written by Grace L. Duffy and published by Quality Press. This book was released on 2020-03-01 with total page 277 pages. Available in PDF, EPUB and Kindle. Book excerpt: The ASQ Certified Quality Improvement Associate (CQIA) certification introduces the basics of quality to organizations and individuals who are new to quality. This book, and the Body of Knowledge (BoK) it supports, form a foundation for applying proven quality principles and practices that are used around the world. This handbook follows the CQIA span in both content and sequence. Let it serve as your guide in preparing for the ASQ CQIA examination, and refer to it frequently as you learn and implement these ideas and tools in your organization.
Book Synopsis Slee's Health Care Terms by : Vergil N. Slee
Download or read book Slee's Health Care Terms written by Vergil N. Slee and published by Jones & Bartlett Learning. This book was released on 2001 with total page 646 pages. Available in PDF, EPUB and Kindle. Book excerpt: Includes terms from: health care administration, public health & epidemiology, government regulation, ethics & patient empowerment, finance & reimbursement, medical staff organization, clinical medicine & nursing, science, research & technology, law & legislation, and healthy communities movement.
Book Synopsis Cnor Exam Prep Book 2020 and 2021 - Cnor Study Guide Secrets, Full-Length Practice Test, Detailed Answer Explanations by : Mometrix Test Prep
Download or read book Cnor Exam Prep Book 2020 and 2021 - Cnor Study Guide Secrets, Full-Length Practice Test, Detailed Answer Explanations written by Mometrix Test Prep and published by Mometrix Media LLC. This book was released on 2020-07-28 with total page 212 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mometrix Test Preparation's CNOR Exam Prep Book 2020 and 2021 - CNOR Study Guide Secrets is the ideal prep solution for anyone who wants to pass their CNOR Exam. The exam is extremely challenging, and thorough test preparation is essential for success. Our study guide includes: Practice test questions with detailed answer explanations Tips and strategies to help you get your best test performance A complete review of all CNOR test sections CNOR is a registered trademark of the Competency & Credentialing Institute (CCI), which was not involved in the production of, and does not endorse, this product. The Mometrix guide is filled with the critical information you will need in order to do well on your CNOR exam: the concepts, procedures, principles, and vocabulary that the Competency & Credentialing Institute (CCI) expects you to have mastered before sitting for your exam. Test sections include: Preoperative Patient Assessment and Diagnosis Preoperative Plan of Care Intraoperative Care Communication Transfer of Care Instrument Processing and Supply Management Emergency Situations Management of Personnel, Services, and Materials Professional Accountability ...and much more! Our guide is full of specific and detailed information that will be key to passing your exam. Concepts and principles aren't simply named or described in passing, but are explained in detail. The Mometrix CNOR study guide is laid out in a logical and organized fashion so that one section naturally flows from the one preceding it. Because it's written with an eye for both technical accuracy and accessibility, you will not have to worry about getting lost in dense academic language. Any test prep guide is only as good as its practice questions and answer explanations, and that's another area where our guide stands out. The Mometrix test prep team has provided plenty of CNOR practice test questions to prepare you for what to expect on the actual exam. Each answer is explained in depth, in order to make the principles and reasoning behind it crystal clear. We've helped hundreds of thousands of people pass standardized tests and achieve their education and career goals. We've done this by setting high standards for Mometrix Test Preparation guides, and our CNOR Exam Prep Book 2020 and 2021 - CNOR Study Guide Secrets is no exception. It's an excellent investment in your future. Get the CNOR review you need to be successful on your exam.
