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

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:

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.

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

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:

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.

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:

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.

Download or read book Core Privileges for AHPs written by Sally Pelletier and published by HC Pro, Inc.. This book was released on 2011 with total page 453 pages. Available in PDF, EPUB and Kindle. Book excerpt: Core Privileges for AHPs: Develop and Implement Criteria-Based Privileging for Nonphysician Practitioners, Second Edition Sally Pelletier, CPMSM, CPCS Put decades of unique research expertise to work for you. Simplify AHP privileging with the only resource that combines decades of unique research and consulting expertise. This book and downloadable forms library of 38 sample forms provide a guide to developing and implementing core privileges for nonphysician practitioners. Benefits: Save weeks of time otherwise spent researching specialty professional societies and evaluating data for competency benchmarks Eliminate the hassle of developing forms from scratch Access a comprehensive collection of 38 core privilege forms for AHPs in one convenient location, available for download Improve your existing forms and create new ones based on expert-developed content and best practices Ease the conversion from laundry lists to core privileging Benefit from expert analysis of competency criteria What''s new in this edition? New privileging forms for anesthesiology assistants, pathologist assistants, radiologist assistants, and registered nurse first assistants Additional insight into how to use the forms and optimize nonphysician practitioner privileging All forms from the previous edition have been reviewed and updated with necessary changes and recommendations Updates on additional accrediting body requirements for privileging, including The Joint Commission, DNV, and HFAP Check out the Table of Contents: Section I: The Basics of Credentialing and Privileging Chapter 1: Credentialing: The Prerequisite of Privileging Chapter 2: Privileging Chapter 3: Linking Competency to Core Privileging Through Focused Professional Practice Evaluation Chapter 4: Criteria-Based Core Privileging: A Better Way to Privilege Section II: Developing and Implementing Core Privileges Chapter 5: Getting to the Core: Creating Criteria-Based Core Privileges for Your Organization Chapter 6: Implementing Core Privileges Chapter 7: Overcoming Controversies and Challenges Section III: Core Privileges for Nonphysicians Chapter 8: Changes in Healthcare That Affect the Credentialing of Nonphysicians Chapter 9: Credentialing and Privileging AHPs in Compliance With Accreditation Standards Chapter 10: Establishing Terminology, Definitions, and Policies and Procedures for Privileged vs. Nonprivileged Practitioners Section IV: Sample Core Privileging Forms Supervising Physician''s Agreement Overviews are included for each privileging area Privileging forms: Anesthesiologist Assistant Certified Nurse Midwife Certified Registered Nurse Anesthetist Clinical Nurse Specialist Nurse Practitioner Acute Care Cardiovascular Medicine Cardiac Surgery Critical Care Dermatology Emergency Medicine Neonatology Nephrology Neurology Orthopedic Surgery Pediatrics Primary Care Psychiatric/Mental Health Surgical Women''s Health Pathologist Assistant Physician Assistant Acute Care Cardiovascular Disease Cardiovascular Surgery Critical Care Dermatology Emergency Medicine Nephrology Neurosurgery Primary Care Orthopedic Surgery Pediatrics Radiology Surgical Urology Women''s Health Psychologist Radiologist Assistant Registered Nurse First Assistant

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:

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:

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:

Download or read book Credentialing and Privileging Your Medical Staff written by Jcr and published by . This book was released on 2007 with total page 143 pages. Available in PDF, EPUB and Kindle. Book excerpt:

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:

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

Download or read book Credentialing and Privileging Systems written by Jack Zusman and published by . This book was released on 1990 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt:

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