CRC Announcements | Happy Fourth of July! | In observance of the Fourth of July holiday, CRC Daily will not be published on Monday, July 3, and Tuesday, July 4. We will have an expanded issue on Wednesday, July 5. |
| |
Weekly Roundup: Provider Enrollment | Featured content: Verifying board certification during your provider enrollment process | Board 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 required by any accrediting or regulatory body, many health plans do require as part of their credentialing criteria either board certification or obtainment of board certification within a specific time frame after completing training or being approved for participation. |
Heard this week | "The benefits to telemedicine are enormous ... It will make it quicker and easier to access treatment, drive up practices, lower costs and, most importantly, make sure patients get the treatment they need, when they need it, to improve their long-term health." |
Free resource: Regulatory and accreditation body verification requirements for managed care credentialing | The purpose of the verification process is to ensure that the information provided by the applicant is accurate and to determine whether the applicant’s credentials meet the organization’s criteria, as outlined in its policies. Verifications are performed at both initial credentialing and recredentialing, although only those elements subject to change (e.g., licensure) are required to be reverified at recredentialing. This table summarizes the various credentialing elements that must be verified through an appropriate source (either primary or secondary source accepted) and the associated time frames required by the regulatory and accreditation bodies impacting managed care credentialing. |
| |
New Content: Members Only | Sample temporary privileging policy | Published 6/28/17 Bylaws and policies that don’t sufficiently address temporary privileges—or that leave the door open for corner-cutting—jeopardize organizations’ legal standing and patients’ access to quality care. |
Four major time-savers for MSPs on the go | Published 6/26/17 To: MSP colleagues From: Me Subject: Help! How many of us have received and/or sent an email that started out like this? We all have, at one time or another, and the person asking is hanging out there, swinging by a rope, hoping to latch on to someone who has the answers and the time to provide them. The operative word here is “time,” a seriously valuable (and too often scarce) commodity in our chosen profession. That person with the solution might be unable to lend a hand, already juggling the load of multiple positions, all while contending with antiquated or absent tools. How do we save time and produce more with what we have (or don’t have)? |
| |
| Product Spotlight | New to managed care credentialing? Whether you work for a health plan or a hospital medical staff services department, Credentialing for Managed Care: Compliant Processes for Health Plans and Delegated Entities answers all of your health plan credentialing and enrollment questions. Learn the regulatory and accreditation requirements related to managed care credentialing, including those from CMS, NCQA, and URAC. Author Amy M. Niehaus, CPMSM, CPCS, MBA, provides readers with the guidance to create a comprehensive and compliant credentialing program to support your health plan or to streamline your hospital’s provider enrollment process through delegation. MSPs in all healthcare environments can benefit from understanding credentialing in the managed care world to support their organizational goals of compliance, operational efficiency, cost savings, and practitioner satisfaction. | |
Contact Us | Delaney Rebernik Editor Credentialing Resource Center drebernik@hcpro.com HCPro 35 Village Road, Suite 200 Middleton, MA 01949 800-650-6787 www.hcpro.com For advertising and marketing opportunities with the Credentialing Resource Center, please email dhartley@hcpro.com. | |
Career Center | Post your open positions or find your next career move with the HCPro Career Center. | |
|