Package Description


Price $499

Objectives:  This certification is designed to increase your knowledge and competence in the credentialing process.  You will be able to demonstrate your knowledge, skills, and abilities in the credentialing processes for your organization.

Primary Audience:  Credentialing Staff

Benefits:  Credentialing staff will have the knowledge to:

  • Perform credentialing functions to meet documentation guidelines for compliance with regulatory standards and accrediting bodies
  • Credential physicians, allied health and other practitioners
  • Collect and maintain an accurate practitioner database and analyze verification information
  • Direct credentialing processes
  • Participate in audits of practitioner files for compliance
  • Collaborate with the organizations medical staff to develop and maintain facility specific credentialing standards and procedures

Section Breakdown:

  • Credentialing overview
  • Committee and Staff Structure
  • Provider Credentialing
  • Primary Source Verification
  • Credentialing Committee Process
  • Provider Recredentialing
  • Privileges
  • Ongoing Monitoring and Compliance
  • Telemedicine
  • CMS Regulations
  • Meeting Minutes
  • Fair Hearings
  • File Audit
  • Additional Requirements-Payer
  • Key Legal Cases
  • Putting it all together
  • Payer Enrollment Content

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