I’ll be honest. When I first started in the medical services profession, it was a job. I must admit it was a fascinating job. However, my sights were set elsewhere. But, it was my innate work ethic that made me tackle it with zest. I found myself learning so much more than I had expected, as well as interacting with true professionals in the medical and administrative fields that intrigued me. I couldn’t stop learning enough. So now, almost 30 years later, I look at what I do

Here's a recent email I received from ICE. Thought it might interest you! About a month ago, the Louisiana House of Delegates passed House Bill 748, which banned the use of the term “certification” issued from professional credentialing bodies unless such certification is used in conjunction with licensure. ICE is now pleased to inform you that Louisiana House Bill 748 has been amended to address the concerns of the credentialing community! The concerning language regarding t

What is credentialing? In the healthcare industry, hospitals, managed care organizations, medical schools, and large group practices are just a few entity types that perform credentialing to determine if the healthcare providers affiliated with them are competent, qualified, and legally registered to practice. Credentialing sounds complicated, but it isn’t. Yes, there are a lot of steps entailed. Some of those steps have been mandated by state and federal guidelines as well a

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

Yes, some standards should be met. There are credentialing requirements dependent on your corner of the healthcare industry that must be fulfilled. Hospitals and managed care organizations have a different set of accreditation criteria. Each state may have another set of standards or an unusual twist on the general norms required. What you may consider being an elementary set of rules for all healthcare organizations may need a second look to ensure your compliance. You not o

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 State of the Medical Services Professional was a study conducted by National Association of Medical Staff Services (NAMSS). It's a well-written perspective on how far the Medical Services Professional (MSP) has evolved over the years and where it's headed. When I first entered the credentialing field in the very early 90's, it was by happenstance. I was working for the Vice President of Medical Affairs (VPMA) of a newly formed healthcare system, two neighboring hospitals.

Welcome to The Right Credentials Network! Our goal is twofold. First, we want to assist healthcare organizations in the training of their medical services personnel. A trained and effective professional can ensure that your organization has a strong, compliant credentialing and enrollment program that will protect your members and patients. Trained professionals provide a win-win situation for the medical services professional, the healthcare organization, and the individuals

Here's an article that supports the practice of credentialing practitioners of all levels to ensure your members or patients are receiving the best quality of care. Competency, fatigue, and processes surely contribute. Read and remind yourselves why you should invest in your credentialing department. Deaths by Medical Mistakes Hit Records #causeofdeath #credentialing #medicalerrors