The Clinician's Quick Guide to Credentialing and Privileging

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Publisher :
ISBN 13 : 9781683081944
Total Pages : 76 pages
Book Rating : 4.0/5 (819 download)

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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

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 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

Credentialing, Privileging, and Medical Staff Governance

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Publisher :
ISBN 13 : 9781683088127
Total Pages : 269 pages
Book Rating : 4.0/5 (881 download)

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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:

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.

The Credentialing and Privileging Toolbox

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Publisher :
ISBN 13 : 9781683082033
Total Pages : pages
Book Rating : 4.0/5 (82 download)

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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.

The Lip's Guide to Credentials Review and Privileging

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Publisher : Joint Commission on
ISBN 13 : 9780866885805
Total Pages : 80 pages
Book Rating : 4.8/5 (858 download)

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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:

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 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:

Verify and Comply

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ISBN 13 : 9781601466778
Total Pages : 204 pages
Book Rating : 4.4/5 (667 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 . 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.

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:

Verify and Comply

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Publisher :
ISBN 13 : 9781578399802
Total Pages : 182 pages
Book Rating : 4.3/5 (998 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 . This book was released on 2007-01-01 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Credentials Committee Manual

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Publisher :
ISBN 13 : 9781683080756
Total Pages : 0 pages
Book Rating : 4.0/5 (87 download)

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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

Credentialing and Privileging Your Hospital Medical Staff

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Publisher : Joint Commission on
ISBN 13 : 9781599403908
Total Pages : 158 pages
Book Rating : 4.4/5 (39 download)

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Book Synopsis Credentialing and Privileging Your Hospital Medical Staff by : Jcr

Download or read book Credentialing and Privileging Your Hospital Medical Staff written by Jcr and published by Joint Commission on. This book was released on 2010 with total page 158 pages. Available in PDF, EPUB and Kindle. Book excerpt: Identifies key responsibilities of the hospital, the organized medical staff, and the medical staff executive committee and governing board in granting and reviewing clinical care credentials and privileges. This title also provides examples for improving compliance.

2022 Hospital Compliance Assessment Workbook

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ISBN 13 : 9781635852448
Total Pages : pages
Book Rating : 4.8/5 (524 download)

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Book Synopsis 2022 Hospital Compliance Assessment Workbook by : Joint Commission Resources

Download or read book 2022 Hospital Compliance Assessment Workbook written by Joint Commission Resources and published by . This book was released on 2021-12-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Medical Staff Leaders' Practical Guide

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Publisher : HC Pro, Inc.
ISBN 13 : 1601460546
Total Pages : 271 pages
Book Rating : 4.6/5 (14 download)

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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

Medical Credentialing Specialist - The Comprehensive Guide

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Author :
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.