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The Clinicians Quick Guide To Credentialing And Privileging
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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 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:
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 Criteria-Based Core Privileging by : Todd Meyerhoefer
Download or read book Criteria-Based Core Privileging written by Todd Meyerhoefer and published by . This book was released on 2016-05-20 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: A criteria-based core privileging system ensures consistency, flexibility, efficiency, and objectivity. However, transitioning to core privileges can be a daunting and overwhelming task. Criteria- Based Core Privileging: Guide to Implementation and Maintenance helps take the hassle out of that transition. Acting as a how-to guide, this book provides the necessary steps for medical staff and credentialing leaders to successfully adopt a criteria-based system. In addition, it also lays out a road map to overcome the biggest challenges along the way, including obtaining buy-in from physicians and hospital leaders. This book will help medical staff leaders: - Develop a criteria-based core privileging system that is flexible, efficient, consistent, and objective - Identify key tips on how to obtain staff buy-in - Identify a clear path of transition to criteria-based privileging - Discuss how to apply criteria-based privileging to various practitioner categories - Handle privileging requests for new procedures and technology
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 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 The Credentialing and Privileging Toolbox by : Merella Schandl
Download or read book The Credentialing and Privileging Toolbox written by Merella Schandl and published by . This book was released on 2017-03-01 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: MSPs and medical staff leaders do enough vetting for practitioner applications without worrying about tracking down and validating resources that support structurally sound credentialing and privileging processes. Featuring an array of field-sourced, expert-endorsed forms that facilitate regulatory compliance, policy development, and routine credentialing communications, The Credentialing and Privileging Toolbox lightens the administrative load so MSPs and medical staff leaders have more time for duties that foster high-quality care and patient safety. Inspired by our popular OPPE and FPPE toolboxes, The Credentialing and Privileging Toolbox offers a bevy of sample forms, policies, letters, plans, reports, and related resources that healthcare organizations of various scope, size, and service focus are currently using to execute effective practitioner vetting processes. Included tools, which come from in-the-trenches MSPs and medical staff leaders, have been curated and appraised by expert author Merella Schandl. The resulting collection reflects industry best practices, the wide range of modern healthcare entities that credential and privilege practitioners, and the various aspects of a successful vetting approach. Tools are arranged by type and topic for easy navigation. Within each tool, Schandl highlights key components and provides targeted analysis on tailoring the sample to individual facility needs.
Book Synopsis The Greeley Guide to Medical Staff by Laws by : Joseph D. Cooper
Download or read book The Greeley Guide to Medical Staff by Laws written by Joseph D. Cooper and published by HC Pro, Inc.. This book was released on 2008 with total page 151 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Medical Staff Handbook written by and published by Joint Commission Resources. This book was released on 2011-07 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Medical Staff Handbook is the completely updated edition that provides an in-depth explanation of Joint Commission standards that address all medical staff issues, including the recently revised MS.01.01.01 standard. This reliable one-stop resource provides information on the credentialing, privileging, and appointment processes for hospital practitioners. The Medical Staff Handbook also includes the following: * An appendix with all Joint Commission Medical Staff standards, rationale, elements of performance, and scoring information * Complete coverage of medical staff bylaws and other areas affected by the revised MS.01.01.01 standard * Thorough interpretation of all Joint Commission standards related to the medical staff * Tips for developing new medical staff processes and improving existing processes for appointment and reappointment * Sample documents, practical strategies, and detailed examples to help readers understand and comply with the Medical Staff standards
Book Synopsis The Medical Staff Leaders' Practical Guide by : William K. Cors
Download or read book The Medical Staff Leaders' Practical Guide written by William K. Cors and published by HC Pro, Inc.. This book was released on 2007 with total page 271 pages. Available in PDF, EPUB and Kindle. Book excerpt: You are a great clinician. But do you have the tools to become a great leader? Physicians who accept or are assigned leadership positions are too often left on their own to develop leadership skills and educate themselves on their responsibilities as medical staff leaders. These physicians may be great clinicians and enthusiastic about taking a leadership position, but neither of these characteristics automatically makes a great leader. Get practical answers for physicians in leadership. The Medical Staff Leaders' Practical Guide, Sixth Edition provides direction for physician leaders in hospitals--those who remain primarily clinicians, but who also accept positions of leadership in the hospital or medical staff organization. It gives an overview of physician leaders' roles and responsibilities in credentialing, privileging, bylaws development, performance improvement, physician management, and board/physician relations. Completely revamped and updated, this essential resource for medical staff leaders includes: - Tools and information needed to fulfill leadership responsibilities for all medical staff leaders, including directors of medical staff offices, vice presidents of medical affairs, medical staff presidents, credentials committee chairs and members, and committee and department chairs - Expanded analysis and strategies for overcoming current medical staff leadership challenges, including merger issues, medical staff development plans, physician practice evaluations, assessing and improving clinical competence, and more - Guidance and how-to advice on creating a positive medical staff culture, minimizing distrust or conflict, and improving policies - Tips and insights from experienced medical staff leaders currently working in hospitals How do you keep up with evolving roles? As relationships continue to evolve between hospitals and medical staff, it is especially important for physician leaders to be well-educated about credentialing, privileging, conflicts of interest, medical staff organization, the roles of various physician leaders and committees, performance improvement, and more. This practical guide includes in-depth reviews of the top five medical staff leadership responsibilities: - Medical staff structure and governance - Credentialing and privileging - Peer review and performance improvement - Hospital-medical staff collaboration - Medical staff culture Rise to the challenge of leadership! Written by experienced medical staff leaders currently working in hospitals, The Medical Staff Leaders' Practical Guide, Sixth Edition, gives physicians the tools they need to meet the challenges of a leadership role. The tools and advice in this guide will help you: - Overcome physician apathy, poor meeting attendance, lack of volunteers for leadership positions, and turf battles - Improve peer review, evaluation of physician competency, and physician/hospital relations - Deal with disruptive and impaired physicians, conflicts of interest, exclusive contract problems, accreditation challenges, and emergency department coverage challenges - Create a positive working environment - Gain a better understanding of the credentialing and privileging process Take a look at the table of contents: Introduction: Today's Effective Medical Staff Section I: Medical Staff Structure and Governance - Physician apathy - Poor meeting attendance - Poor medical staff communication - Unprepared leaders - Lack of volunteers for leadership positions - Conflict over member rights and responsibilities Section II: Credentialing and Privileging - Cumbersome and lengthy process - Turf battles - New technology privileges - AHP credentialing and supervision - Information and decision errors - Lack of reappointment data - Unnecessary, lengthy, or costly fair hearings - Lack of criteria for privileges Section III: Peer Review and Performance Improvement - Ineffective peer review - Disruptive conduct - Impaired physicians - Assessing and improving clinical competence - Excessive utilization - Medical records completion - Inappropriate physician practice evaluation Section IV: Hospital-Medical Staff Collaboration - Strained physician-hospital relations - EMTALA and ED coverage - Hospital-physician competition - Economic credentialing - Strained physician-nurse relationships - Costs exceeding reimbursement - Medical errors and patient safety - Ineffective medical staff influence with board and administration - Liability risk - Conflicts of interest - Exclusive contract problems - Corporate compliance challenges - Accreditation challenges - Merger challenges - Lack of effective medical staff development plan Who will benefit from this book? Directors of medical staff offices, vice presidents of medical affairs, medical staff presidents, credentials committee chairs and members, committee and department chairs
Book Synopsis The Medical Staff Professional's Handbook by : Anne Roberts
Download or read book The Medical Staff Professional's Handbook written by Anne Roberts and published by . This book was released on 2011-06-23 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Medical Staff Professional''s Handbook The essential medical staff professional''s job manual Let your experienced peers provide you with the guidance and training you need to tackle your toughest challenges.The Medical Staff Professional''s Handbook is a comprehensive job manual developed by medical staff professionals (MSPs) Anne Roberts, CPMSM, CPCS, and Maggie Palmer, MSA, CPMSM, CPCS. While providing much-needed education for new MSPs, this book and downloadable toolkit also offer veterans new ideas, tips, sample policies, customizable forms, and advice for improving medical staff and credentialing processes. After reading this book, you will be able to: Define the roles, tasks, and expectations for MSPs to clearly identify their priorities Manage FPPE and OPPE processes to effectively assess physician competency Streamline and improve credentialing and privileging processes with dozens of customizable forms and sample tools Comply with accreditation and regulatory standards by understanding the MSP''s role in accreditation and the consequences of noncompliance Discover important tips to save time and increase efficiency on daily medical staff office tasks Support the medical staff and communicate with leadership Table of ContentsAbout the Authors Introduction Acronyms and Abbreviations Section I: The Successful Medical Staff Professional Chapter 1: Roles and Responsibilities of Medical Staff Professionals The Responsibilities of MSPs Who MSPs Support in the Organization Chapter 2: Managing External and Internal Relationships Navigating External Relationships Navigating Internal Relationships Chapter 3: Review of Credentialing, Privileging, and Medical Staff Standards History of Regulatory Agencies How the Standards Apply to MSPs Joint Commission Requirements What MSPs Should Expect During Accreditation Surveys Chapter 4: Legal and Regulatory Considerations for Medical Staff Professionals Managing Bylaws Rules and Regulations Corrective Action and Due Process Policies and Procedures HCQIA of 1986 NPDB Healthcare Integrity and Protection Data Bank Sharing Information Credentialing Interrogatories Attestation, Acknowledgments, and Release Forms Criminal Background Checks Disruptive and Impaired Practitioners Section II : Effective Credentialing and Privileging Chapter 5: The Credentialing Process Credentialing Basics Rules to Guide Your Credentialing Process Roles and Responsibilities During the Credentialing Process The Application Process Collecting and Verifying Information Review and Approval Process Chapter 6: Credentialing Responsibilities After the Initial Application Orientation for Patient Care Organizations Credentials Expiration Tracking and Ongoing Monitoring Tips for Avoiding Claims of Negligent Credentialing Chapter 7: The Privileging Process Implementing a Privileging Process Developing Clinical Privilege Delineations Granting Clinical Privileges Based on Competency Final Recommendations for Privileges Chapter 8: Reappointment Initiating the Reappointment Process Accepting the Application Performing Primary Source Verification Creating the Reappointment Profile Quality Review, Ongoing Evaluation, and Monitoring Review and Approval Chapter 9: Credentialing and Privileging Hurdles Low- and No-Volume Practitioners Allied Health Practitioners Telemedicine Practitioner Data and Document Confidentiality Leaves of Absence Paperless/Paper-Light Credentialing System Transition New Technology Privileging Chapter 10: Temporary, Emergency, and Disaster Privileges and Expedited Board Approval Temporary Privileges Emergency Privileges Disaster Privileges Fast-Track or Expedited Credentialing Section III : Measuring Practitioner Competency Chapter 11: Focused Professional Practice Evaluations Requirements for an FPPE Policy and Process Developing FPPE Criteria FPPE at Initial Granting of Privileges Tracking Completion of FPPE FPPE for Additional Privileges FPPE for Cause (Ongoing Professional Practice Evaluation, Peer Review, Leave of Absence Reinstatement) Chapter 12: Ongoing Professional Practice Evaluations Developing a Systematic Approach to OPPE Developing Quality Indicators Periodic Performance Feedback Reports Section IV : Sample Forms and Policies Credentialing Sample Forms Privileging Sample Forms Reappointment Sample Forms Competency Sample Form Continuing Education This book has been approved by the National Association Medical Staff Services for 5 continuing education units. Accreditation of this educational program in no way implies endorsement or sponsorship by NAMSS.
Book Synopsis The Lip's Guide to Credentials Review and Privileging by : Jcr
Download or read book The Lip's Guide to Credentials Review and Privileging written by Jcr and published by Joint Commission on. This book was released on 1999-06-01 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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:
Book Synopsis The Credentials Committee Manual by : Mark A. Smith
Download or read book The Credentials Committee Manual written by Mark A. Smith and published by . This book was released on 2016-05-30 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Best practices for compiling and using data in reappointment decisions, navigating credentialing considerations for nonphysician practitioners, preventing turf battles, and avoiding legal issues
Book Synopsis The Medical Staff Office Manual by : Marna Sorensen
Download or read book The Medical Staff Office Manual written by Marna Sorensen and published by . This book was released on 2015-08-28 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Medical Staff Office Manual: Tools and Techniques for Success Marna Sorensen, CMPSM The Medical Staff Office Manual: Tools and Techniques for Success is a comprehensive guide that maps every aspect of the medical staff office, from onboarding and orienting physicians to querying other facilities for practitioner information and effectively collaborating with physician leadership. In this in-depth manual, author Marna Sorensen, CMPSM, provides MSPs guidance on their role within an organization, quick access to accreditation and regulatory information, and job descriptions and customizable forms to simplify a constantly growing list of daily responsibilities. This book will help you: Consolidate everything you need to do your job into one place Detail procedures for all of your daily tasks, including practitioner data queries, acceptance letters, job descriptions, performance reporting, and sample forms Demonstrate what you do on a daily basis and clearly define your many roles as an MSP--no more questioning who is responsible for what! Update medical staff office functions and get the word out using the new technologies at your disposal Table of Contents Introduction/How to Use This Manual Medical Staff Organization and Staffing Medical Staff Office Job Descriptions The Credentialing Process Medical Staff Clinical Privileges Advanced Practice Professionals Templates for Most-Used Forms Medical Staff Policies HR or MSO?
Book Synopsis The Compliance Guide to the JCAHO Medical Staff Standards by : Kathy Matzka
Download or read book The Compliance Guide to the JCAHO Medical Staff Standards written by Kathy Matzka and published by HC Pro, Inc.. This book was released on 2006 with total page 197 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now in its fifth edition, this book features completely updated information, tools, and insights that will help in understanding and preparing medical staff for survey under the new 2007 standards. with the Compliance Guide to the JCAHO Medical Staff Standards, Fifth Edition in your library, you'll save hours rifling through hundreds of pages of documents, trying to decipher ways to comply. All the standards that relate to you and all the procedures you need to implement are consolidated into this one convenient, easy-to-understand resource.
Book Synopsis Chapter Leader's Guide to Medical Staff by : Kathy Matzka
Download or read book Chapter Leader's Guide to Medical Staff written by Kathy Matzka and published by HC Pro, Inc.. This book was released on 2011-01-24 with total page 125 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chapter Leader's Guide to Medical Staff breaks down The Joint Commission's medical staff requirements into easy-to-understand solutions to meet the challenges of these complex standards. You get simplified explanations of the chapter's key components along with communication techniques to help foster a strong and successful partnership between survey coordinator and chapter leader. Plus, to make staff training easy, this guide includes two downloadable PowerPoint® presentations highlighting key compliance takeaways. What's Inside: Keys to understanding The Joint Commission's stance on medical staff bylaws.(MS.01.01.01) Explanation of the role of the MEC How the medical staff plays into graduate education programs and performance improvement Accreditation's role in credentialing and privileging What the standards say about physician behavior The latest updates to telemedicine requirements Book jacket.
