I am just getting back from the 42nd Educational NAMSS Conference and Exhibition with a lot to consider. You see it’s hard to walk away from a conference with so much to offer without putting any of it to use. That’s the objective. Unlike your usual vacation destination, say Las Vegas, what happens there is not supposed to stay there. Lots of great things happen at conferences like these that you want to put to use. Two of those things are extremely important. One is exposure

The stories never change. It doesn’t seem to matter whether it’s a medical services office in a hospital or a credentialing department for an insurer. The staff is working on overload. Why? There is an array of answers to that question. Many offices are still dependent on spreadsheets as opposed to a database. Other offices that have access to databases do not fully utilize them. Nor do they have the staff to manage them properly. Some offices use CVO’s that meet only a port

Happy Holidays Everyone! No matter which one you celebrate, enjoy. This holiday season is the best time of year to rejuvenate and while doing so, reflect on the coming year and appreciate this past year. Think of all the wonderful relationships you began and the ones that you can create. What would our lives be like if we had no real, stable relationships? We would most likely be alone, without anyone to help us in need or to help us celebrate each accomplishment in life. Tha

Over the past twenty years, I have witnessed and encountered some of the best, some of the worst, and some of the strangest credentialing programs. That’s why I enjoy helping organizations pull together a successful, streamline program that should almost run itself with the right tools and the right staff. But, first things first. To thrive the organization will need to develop a sound structure and foundation for credentialing. Here are six recommendations to make sure that

Are you frustrated yet? That big box health plan has been credentialing your provider for almost a year, and you just keep giving away free healthcare services waiting for that retro to take effect. Yes, you are. So are they. They, the health plans, are overwhelmed with volumes. And, also overwhelmed with trying to perform delegation audits in a timely fashion. Let’s face it. Most of us credentialing professionals love our jobs and would hate for them to disappear due to the

The credentialing profession is about consistency. Regulatory and accrediting agencies mandate a set of criteria. All we have to do is follow that criterion to the letter. Sounds simple, right? To the individual unfamiliar with that simplified criteria, yes. The first impression would be to follow the directions to create a successful program. However, those of us in the profession know that the process is anything but simple. Collecting and verifying data may be the easy par

ARCHITECTS first get a view of the land. Before they envision a building, they envision what would fit into that landscape. The architect then considers what occupies the surrounding space. It is then they start pulling it all together with drawings and photos and notes. That is typically how a credentialing or provider enrollment program should be designed. To build a successful credentialing or provider enrollment program, you need to know the lay of the land. You need to k

THE CANDY IS tempting. The costumes are fun. Fall has arrived with a bang as the brilliant fall colors trigger new ideas for the coming year. Celebrate. Get ready for the next year by planning now how to train your staff for optimum production and satisfaction. Happy Halloween from The Right Credentials Network! Your source for customized on-demand training for the credentialing professional! Dilsa S. Bailey, CPMSM Trainer and Consultant 678-744-4825 www.trcn-training.com www