Credentialingresourcecenter.com

Provider enrollment: An introduction to the field

As defined by Solis, provider enrollment is “the process that healthcare providers use to request network participation with health insurance plans/payers … See more

Actived: 7 days ago

URL: https://credentialingresourcecenter.com/articles/provider-enrollment-introduction-field

Navigating APP credentialing and privileging laws

WebNavigating APP credentialing and privileging laws. Credentialing and privileging regulations for advanced practice professionals (APP) are currently a loose …

Category: Health Go Health

Structure of the Medical Staff Office

WebThe Medical Staff Office Manual: Tools and Techniques for Success is a comprehensive guide that maps every aspect of the medical staff office, from onboarding …

Category: Medical Go Health

Verifying board certification during your provider enrollment …

WebBoard certification is a voluntary achievement by a practitioner to further demonstrate his or her knowledge and skills in a particular specialty. Although it is not …

Category: Health Go Health

Hospitals, health systems, and delegated credentialing

WebA growing trend to further streamline provider enrollment is for hospitals and health systems to seek delegated credentialing from commercial payers on behalf of …

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Your Hospital's Financial Statements: How Management Keeps Score

WebFor example, ($250,000) represents a net loss of $250,000. Thus, the income statement represents the simple formula: Revenues – Expenses = Net income. …

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Familiarize yourself with the major health plan accreditors

WebURAC. URAC (formerly known as the Utilization Review Accreditation Commission), was formally incorporated in 1990 and offers more than 30 accreditation …

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Ensure your fair hearing process complies with state, federal law

WebTo maximize your hospital’s immunity protections, make certain your fair hearing process incorporates state law requirements and Health Care Quality …

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Overuse of medical jargon a barrier to communication with patients

WebSince only 12% of U.S. adults are considered to be highly proficient in health literacy—the ability to find, understand, and use health information—physicians should …

Category: Health Go Health

Know your APPs Credentialing Resource Center

WebKnow your APPs. There are a few things to keep in mind regarding advanced practice professionals (APP), sometimes known as mid-level practitioners, although this is not …

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What to include in a delegation agreement

WebWhat to include in a delegation agreement. In managed care credentialing, delegation is defined as a formal process by which an organization gives another entity …

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Legislation introduced in six states to protect healthcare workers

WebTo combat violence against healthcare workers, lawmakers in several states have introduced or passed legislation aimed to punish those who knowingly injure, …

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Should you create a dedicated

WebThere are advantages to having a dedicated physician health committee. The ability to maintain confidentiality may be greater with a small, dedicated group of members, and …

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Credentialing Resource Center Privileging Resources

WebPeruse our ever-evolving library of privileging tools. Clinical Privilege White Papers provide key background information, relevant authorities’ expectations, and sample competency …

Category: Health Go Health

Credentialing Resource Center Privileging Resources

WebPeruse our ever-evolving library of privileging tools. Clinical Privilege White Papers provide key background information, relevant authorities’ expectations, and sample competency …

Category: Health Go Health

Verify DEA and CDS certificates Credentialing Resource Center

WebAcceptable verification sources include a copy of the certificate, the DEA or CDS agency, the National Technical Information Service, the state CDS agency, and the …

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COVID-19 PHE is renewed through July 15

WebCMS continues to gradually end some emergency blanket waivers allowed under the COVID-19 public health emergency (PHE) for some providers, but for now the …

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Peer review of AHPs Credentialing Resource Center

WebBeyond having detailed requirements for membership, privileging criteria, and other applicable policies, FPPE and OPPE for AHPs is needed to provide an initial …

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AMA working to stop APRN practice expansion

WebAMA looks to stop APRN practice expansion. October 20, 2021. Credentialing Resource Center Digest. Next. Previous. As we approach the end of the …

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