ABOUT US

Dilsa S. Bailey, CPMSM

CEO, The Right Credentials Network, LLC

Certified in Professional Medical Services Managment since 1997

Credentialing and Provider Enrollment Program Management, Consulting, and Training

Let TRCN help you "Always Be Prepared."

 

Dilsa S. Bailey, CPMSM is a Medical Services and Credentialing Consultant and Trainer. Her experience in hospital, medical services, and managed care credentialing spans over twenty years. Her expertise in these fields has helped her employers and clients meet and maintain accreditation for Joint Commission, NCQA, URAC, and CARF as well as meet the regulatory requirements for federal agencies and various states. In addition to ensuring compliance and managing departments to reach their highest level of excellence, Dilsa has sat on both sides of the auditing table for delegation oversight and preparation for delegation arrangements with payors.

 

Dilsa shares her knowledge regularly with peers through one on one coaching, webinars, and presentations. Her training experience includes presentations at the 2009 National Association of Medical Staff Services Conference, the 2013 Annual Tennessee Association of Medical Staff Services Conference, and numerous presentations at quarterly Georgia Association of Medical Staff Services meetings. She has led and facilitated educational seminars for her employers and clients. Her quest to empower credentialing and provider enrollment professionals is evident in her popular Managed Care Credentialing Group on LinkedIn.

 

Dilsa continuously maintains knowledge of the credentialing world and its effectiveness in the delivery of quality patient care. In that spirit, she has established long-term working relationships with talented and dedicated professionals across the healthcare organizational spectrum. Start a conversation with Dilsa and subscribe to this website for current healthcare credentialing and provider enrollment-related news. Please take the survey and earn a discount on her next online course or webinar.

 

TESTIMONIALS

 

"Dilsa was a great person to work with, she brought expert knowledge, integrity and a very easy to work with approach. Dilsa, myself and the team collaborated easily and very effectively on the credentialing transition project. Dilsa created cohesive, comprehensive policies and procedures, forms, tools and letters that met NCQA, state and federal standards and regulations."

 

Natacha Julien, CPCS, CPMSM

Director of Credentialing and Provider Data Management

Commonwealth Care Alliance

 

"I contracted Dilsa to work on a hospital project with me as they were working toward consolidating payer credentialing. She worked diligently and in a very timely manner to assure that this organization had all of the correct P&Ps and also that they understood the process. Dilsa was a joy to work with."

 

Dr. Mary Baker, CPMSM, CPCS President 

Medical Staff Plus Consulting, LLC

 

"Dilsa has been one of my clients during my stint at Apollo Health Street. She has always been supportive and has always extended a helping hand during our pre and post transition phase. Her knowledge in the credentialing world is outstanding and she is one of the persons who likes to do an extensive research on the subject. A very good team player, expert in project management and a kind human being, it was pleasure to work with her. My good wishes for all her future endeavors."

 

Simanta Paul

Business Process Consultant

Cotiviti (Formerly Connolly iHealth Technologies)

 

 

"Dilsa is very outcome focused and works hard to achieve the goals established. She understands Quality and Risk Management and works hard to support regulatory requirements as well as performance improvement. She is my first choice as a Medical Staff professional."

 

Michelle Bryant

Quality Management and Clinical Operations

 

 

 

 

 

 

 

KEY EMPLOYERS AND CLIENTS:

 

Commonwealth Care Alliance

Consultant, Credentialing, Training, and Accreditation Prep

 

Southern University of Illinois Medicine

Consultant and Trainer, Credentialing

 

South Carolina Primary Health Care Association

Consultant and Trainer, Credentialing

 

Advicare Health

Consultant and Trainer, Credentialing

 

Alameda Health System

Consultant, and Trainer, Credentialing

 

Windsor Health Plan

Manager, Credentialing

 

Emory Healthcare

Manager, System Credentialing

 

Tenet Healthcare-South Fulton Medical Center

Director, Medical Staff Services

 

Children's Healthcare of Atlanta

Manager, System Credentialing

 

Absolute Total Care

Centene Corporation 

Consultant, Provider Data Management and Credentialing

 

2014 NCQA HP Credentialing Standards Webinar

Trainer

 

Managed Care Credentialing 101

OnDemand Trainer

 

Georgia Association of Medical Staff Services (GAMSS)

Trainer

 

Tennessee Association of Medical Staff Services (TAMSS)

Trainer

 

National Association of Medical Staff Services (NAMSS)

Trainer

ABOUT US

Helping you "Always Be Prepared" for your next audit or delegation arrangement. Call me to set up a new credentialing department or analyze your current credentialing program. For more information, go to Services or drop me an email.

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© 2014 The Right Credentials

THE RIGHT

CREDENTIALS

 

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