The Handbook for Credentialing Healthcare Providers

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Publisher :
ISBN 13 : 9780997284768
Total Pages : 50 pages
Book Rating : 4.2/5 (847 download)

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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

Physician Credentialing

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Publisher :
ISBN 13 : 9781556457463
Total Pages : 0 pages
Book Rating : 4.4/5 (574 download)

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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

The Credentialing Handbook

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Publisher : Jones & Bartlett Learning
ISBN 13 : 9780834209336
Total Pages : 604 pages
Book Rating : 4.2/5 (93 download)

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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.

Certified Provider Credentialing Specialist

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Publisher : National Learning Corporation
ISBN 13 : 9781731858412
Total Pages : 152 pages
Book Rating : 4.8/5 (584 download)

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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 National Learning Corporation. This book was released on 2019-02 with total page 152 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.

Verify and Comply

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Publisher : HC Pro, Inc.
ISBN 13 : 9781578393930
Total Pages : 174 pages
Book Rating : 4.3/5 (939 download)

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Book Synopsis Verify and Comply by : Carol S. Cairns

Download or read book Verify and Comply written by Carol S. Cairns and published by HC Pro, Inc.. This book was released on 2004 with total page 174 pages. Available in PDF, EPUB and Kindle. Book excerpt:

VA Health Care: Improved Oversight and Compliance Needed for Physician Credentialing and Privileging Processes

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Publisher : DIANE Publishing
ISBN 13 : 143792705X
Total Pages : 55 pages
Book Rating : 4.4/5 (379 download)

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Book Synopsis VA Health Care: Improved Oversight and Compliance Needed for Physician Credentialing and Privileging Processes by :

Download or read book VA Health Care: Improved Oversight and Compliance Needed for Physician Credentialing and Privileging Processes written by and published by DIANE Publishing. This book was released on with total page 55 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Physician Credentialing

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ISBN 13 : 9781556457470
Total Pages : pages
Book Rating : 4.4/5 (574 download)

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Book Synopsis Physician Credentialing by :

Download or read book Physician Credentialing written by and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Medical Credentialing Specialist - The Comprehensive Guide

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Publisher : Viruti Satyan Shivan
ISBN 13 :
Total Pages : 240 pages
Book Rating : 4./5 ( download)

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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.

Health Professions Education

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Publisher : National Academies Press
ISBN 13 : 030913319X
Total Pages : 191 pages
Book Rating : 4.3/5 (91 download)

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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.

A Guide to AHP Credentialing

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Publisher : HC Pro, Inc.
ISBN 13 : 9781578394784
Total Pages : 482 pages
Book Rating : 4.3/5 (947 download)

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Book Synopsis A Guide to AHP Credentialing by : Beverly E. Pybus

Download or read book A Guide to AHP Credentialing written by Beverly E. Pybus and published by HC Pro, Inc.. This book was released on 2004 with total page 482 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Credentialing Coordinator's Handbook

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Publisher : HC Pro, Inc.
ISBN 13 : 1601460554
Total Pages : 239 pages
Book Rating : 4.6/5 (14 download)

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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:

The Comprehensive Guide to Credentialing and Privileging for Ambulatory Surgery

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Publisher : HC Pro, Inc.
ISBN 13 : 9781578395347
Total Pages : 296 pages
Book Rating : 4.3/5 (953 download)

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Book Synopsis The Comprehensive Guide to Credentialing and Privileging for Ambulatory Surgery by : Laura Harrington

Download or read book The Comprehensive Guide to Credentialing and Privileging for Ambulatory Surgery written by Laura Harrington and published by HC Pro, Inc.. This book was released on 2005 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Medical Staff Credentialing

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Publisher :
ISBN 13 :
Total Pages : 64 pages
Book Rating : 4.5/5 (964 download)

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Book Synopsis Medical Staff Credentialing by : Vivian A

Download or read book Medical Staff Credentialing written by Vivian A and published by . This book was released on 2021-01-18 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt: You should buy this book if: You are a corporate trainer seeking either an outline for training in Medical Staff Credentialing or looking to supplement your current training curriculum.You want to learn the Medical Staff Credentialing process on your own.Even if you have already done credentialing, but need either a refresher, or to learn parts of the credentialing process you may not know.You are considering Medical Staff Credentialing as a career move

Dod Health Care

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Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781974412648
Total Pages : 62 pages
Book Rating : 4.4/5 (126 download)

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Book Synopsis Dod Health Care by : U.s. Government Accountability Office

Download or read book Dod Health Care written by U.s. Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-08-10 with total page 62 pages. Available in PDF, EPUB and Kindle. Book excerpt: " The process of credentialing and privileging is central to ensuring that physicians who work in DOD military treatment facilities (MTF) have the appropriate credentials and clinical competence. After an Army physician allegedly shot and killed 13 people at Fort Hood in November 2009, GAO was asked to examine DOD's physician credentialing and privileging requirements and whether MTFs are fully complying with those requirements. GAO examined the extent to which: (1) DOD ensures that physician credentialing and privileging requirements are consistent across the Military Health System (MHS), (2) Army MTFs are complying with Army's physician credentialing and privileging requirements, and (3) Army's existing oversight and physician credentialing and privileging requirements are sufficient to assure compliance and complete documentation. GAO reviewed DOD and service-level requirements and interviewed DOD and military service officials. Because Army has the largest staff of medical personnel, GAO reviewed a nongeneralizable sample of 150 physician credentials files-selected to include a variety of specialties-and interviewed staff at five Army MTFs selected based on size and location. "

Physician Credentialing and Peer Review Answer Book

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Publisher : Aspen Publishers
ISBN 13 :
Total Pages : 234 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Physician Credentialing and Peer Review Answer Book by : Patricia A. Younger

Download or read book Physician Credentialing and Peer Review Answer Book written by Patricia A. Younger and published by Aspen Publishers. This book was released on 1995 with total page 234 pages. Available in PDF, EPUB and Kindle. Book excerpt: Find the answers to questions most often asked by hospitals regarding the mechanics of the Credentialing process, such as involvement of the medical staff, board of trustees, and administrative personnel. It also guides the decision maker regarding the subjective judgment calls required during the process, such as whether to hire a practitioner who has a disciplinary history, what privileges to grant during the provisional period, and how to conduct the reappointment process. Includes state-by-state breakdown of laws applicable to discoverability and admissibility of medical staff committee records. Lists 350 questions, categorized by topic, with answers immediately following. Appendix lists each statute and regulation.

Physician Integration & Alignment

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Publisher : CRC Press
ISBN 13 : 1466588527
Total Pages : 263 pages
Book Rating : 4.4/5 (665 download)

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Book Synopsis Physician Integration & Alignment by : Maria K. Todd

Download or read book Physician Integration & Alignment written by Maria K. Todd and published by CRC Press. This book was released on 2012-11-05 with total page 263 pages. Available in PDF, EPUB and Kindle. Book excerpt: Today, with physician and hospital reimbursement being cut and tied to quality incentives, physicians and health plans are revisiting the concept of integration. Payers are demanding that the industry do more with less without sacrificing quality of care. As a result, physicians again find themselves integrating and aligning with hospitals that hav

Information Technology for the Practicing Physician

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Publisher : Springer Science & Business Media
ISBN 13 : 0387989846
Total Pages : 279 pages
Book Rating : 4.3/5 (879 download)

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Book Synopsis Information Technology for the Practicing Physician by : Joan M. Kiel

Download or read book Information Technology for the Practicing Physician written by Joan M. Kiel and published by Springer Science & Business Media. This book was released on 2001 with total page 279 pages. Available in PDF, EPUB and Kindle. Book excerpt: Following both a patient and an employee through a physician visit, this is a "how-to" manual for implementing practice management solutions. The first section provides information and examples prior to the patient visit, and includes examples of physicians who utilize email and Web sites to attract patients, electronic scheduling systems to decrease wait time, and registration systems which can verify insurance information. The second section focuses on electronic medical records, electronic referral systems, billing and collection systems, and follow-up patient education and discharge information, thus portraying the "future physician office visit." The third section centres on the physician practice manager's daily operations and how technology can achieve efficacy.