A blog for medical professionals and physician group practices to learn about and share experiences associated with provider credentialing, privileging, enrollment and analytics.
Implementing data governance gives the healthcare industry access to analytics which help providers provide the best possible care to their patients....
Healthcare organizations juggle a variety of priorities, but the one of most important is patient safety. There are many ways to ensure physicians are performing to the best of...
This year’s annual report survey on provider enrollment dives into Financial Outcomes and Implications, Business Services and Operations, and Provider Data Management. In this post...
Privilege delineation is essential in assuring quality care and minimizing the liability exposure of an institution and its staff. Get our pro tips on what’s required and best...
Leverage Periodic Practice Evaluation (PPE) programs to improve individual provider performance and organizational quality....
The rollout of COVID-19 vaccines has prompted health facilities to impose very specific requirements for staff, most of whom are in compliance....
Learn to differentiate credentialing and privileging and get an overview of the many accreditation bodies and their privileging standards....
Turnover is expected in any industry, but within the healthcare industry, it can be tough to manage. Learn how the right tool, like CredentialMyDoc, can foster business continuity...
Our Privileging 101 Series covers it all, from basic education on the history and fundamentals of clinical privileging to how to navigate all the regulatory and legal aspects...
The shift to remote work in the worst times of COVID forced quick adaptation to new processes, from a technological and employee management perspective....
Health systems with health plans are becoming more popular, but with this trend come a variety of challenges. Learn how the right technology can be leveraged to address the most...
Due to the spread of COVID, many organizations have utilized virtual conferences instead of being in-person. Learn how an industry expert navigated this challenge to create...
Some hospitals and health systems require documentation of a certain number of admissions or consultations prior to granting privileges. Discover when and how case logs should be...
Flawed directories are infuriating to consumers to say the least. But they are also dangerous as they impede a patient’s ability to get care. And, they signal that health insurers...
Privileging projects are tricky, but they’re essential. Standardizing privileges ensures you have consistent criteria for privileges across a health system and equips you to...
Understanding the medical staff to provider ratio continues to be an trending topic within the industry. We dive into what variables and factors determine and influence these...
As health plan responsibilities continue to increase around managing physician networks and payer credentialing processes, automating the process is more important than ever. ...
Today’s medical groups are under immense pressure to do more with less. This is especially true for those responsible for credentialing and enrollment. If your medical group is...
Things can be a little confusing when it comes to multi-state license verification, as many hospitals utilize different databases in lieu of querying each individual state...
After analyzing results from our latest Annual Report, we identify how the industry can continue to adapt in order to embrace industry trends and best practices....
Pivoting to virtual platforms to conduct surveys has revealed surprising security and functional benefits that have been utilized to make processes more efficient than before the...
Roger Mata discusses his journey with VerityStream as well as the culture amongst the community that enables all employees to thrive....
Many organizations create centralized data repositories for provider data, or a single source of truth, to help them manage providers that practice at multiple locations. Whether...
Everything you need to know about various Accreditors and Regulatory Agencies and the types of credentialing elements that may require ongoing monitoring....
Vicki Searcy opens up about her journey to becoming an expert in credentialing and privileging services and how it relates to the future of the healthcare industry....
Advanced Practice Providers are members and non-members of a medical staff who are granted privileges. CredentialStream includes everything needed to request, gather, and validate...
Working remotely has been an accommodation that many have struggled with. Online auditing and credentialing must be monitored closely for privacy security and compliance with NCQA...
Credentialing providers involves evaluating professional and peer references, which must be obtained from a suitable source to be effective....
Transitions to remote work in response to COVID have been far from seamless. Hear from a medical staff services manager's perspective on managing remote CVO teams....
The new OneClick CVO selects providers efficiently and sends their files to VerityStream CVO to support the initial and/or re-credentialing process....
Recent trends have resulted in more health systems using CVOs for provider credentialing. Read about the extensive benefits that CVOs provide for organizations....
If you’re a leader of Federally Qualified Health Center (FQHC), it’s important to know the ins and out of the credentialing, privileging and enrollment requirements your...
Standardizing privileges leads to decreased confusion, better-informed stakeholders, improved provider satisfaction, and faster privileging turn-around-times. This post summarizes...
The No Surprises Act requires health insurers and healthcare providers to work together to ensure consumers are informed and protected. This post covers the numerous compliance...
Find out how importance of privileging has evolved over the years and how it's currently used to enable qualified providers to care for patients....
Bernard Julve explains how he's come to lead VerityStream's software development team and highlights the importance of open culture and responsibility within the work environment....
The pandemic has had a drastic impact on staffing and hiring practices for every organization. Find out how Sentara has optimized their Human Resources department to adapt to life...
To remain in compliance, our industry experts explain the definitions and credentialing requirements set by the Joint Commission for organizations that teach residents and fellows....
Whether you’re a health plan, offer an internal health plan, or contribute information to a health plan, you should know about the latest updates to The No Surprises Act....
Provider Validate, available in the App Orchard, allows Epic users to add external referring providers to their master provider database - directly from Hyperspace....
COVID may not yet be over, but electronic meetings are here to stay! Ann Klinger from OHSU speaks to her experience transitioning to electronic committee management and how this...
If you’re looking to implement a new credentialing solution, follow these 8 tips to get the job done right....
Begin 2022 with a plan for success. Here are 6 traits to cultivate to be a successful in any profession, but especially relevant for credentialing and enrollment professionals....
Medical Service Professionals (MSPs) perform credentialing along with many other evolving services, and the credentialing process is extremely stringent in terms of the privacy and...
Privileging projects take time, are complicated, and require the utmost attention. A phased approach, as outlined in this post, is key to success....
Trust is rarely given freely, it must be earned. Leaders have an even greater responsibility to cultivate trust with their team in order to effectively lead. Vicki Searcy breaks...
The results of our 2021 Annual Report on Provider Enrollment proves that medical professionals want to reduce the time it takes to enroll a provider. Discover how delegated...
Facilitator skills may be the most underrated but versatile skill a medical staff service professional can cultivate. emPOWER your career even further with insights from Jackie...
The provider enrollment industry is always in motion, and this year is no different. Dive into the results of our 2021 Annual Report on Provider Enrollment for key insights on...
We would like to wish you a very happy Medical Services Professionals Week and share with you 5 top reasons to celebrate this week! MSPs are the gatekeepers of patient safety and...
The number of Medical Staff Credentialing Professionals increases every day. Here’s a quick a look at their daily roles and responsibilities....
Analytical skills are essential for effective credentialing, enrollment, privileging, and evaluation of providers. Are you ready to level up your skills as a medical staff services...
Learn about how our interns transform into full-time employees in this employee spotlight on Gabe Glimps!...
One of the things that we all have in common is 24 hours a day. How we spend the work hours of each day has a huge impact on how we feel about our jobs and the projects that we...
Payer Contracts are a vital part of the healthcare system. They define and explain a provider’s reimbursement arrangement for delivering healthcare services within individual...
Are you looking to move into a leadership role in the medical staff office? Dive into the top ten recommendations from medical staff leaders on what it takes to be a successful...
Cheryl Cisneros speaks on public speaking and leadership opportunity that knocks open the door for professional growth. Cheryl sits down with Renee Dengler and Kris Bigelow for...
Introducing a very important team member, Tiffany Belk, a Regional Manager, Implementations at VerityStream. She started as a Client and now works for VerityStream. Learn more...
Primary Source Verification (PSV) is an integral part of the credentialing process. Learn about what is PSV, how it is performed, and the regulatory requirements involved. ...
Privileging has certainly evolved over the last 35 years. Our expert, Vicki Searcy, elaborates on how you and your organization will benefit from the privileging tools that are now...
The need to ensure patient safety has always been a top priority, in fact, it’s the main reason the National Practitioner Data Bank (NPDB) was created in the first place. So, why...
Pinal Vaghasiya started at VerityStream as a Software Developer under Bolt Team . Learn more about Pinal's great experience over the past few years of working for VerityStream and...
In this emPOWER series issue, Dwaina C. Humphries shares information and interpersonal skills- and interviews from someone who excels in using those skills. I think that we can all...
As health systems grow larger, more and more of them are adopting Delegated Credentialing. In this post we cover what Delegated Credentialing is, what it requires, and what it...
After over a year of dealing with the impact of a pandemic do you find it hard to decide when the time is right for a project? VerityStream helps you decipher the quality steps of...
The pandemic forced all of us to adapt in extreme ways. The most notable? The explosion of remote work. Check out this post to see how Medical Staff Professionals (MSPs) handled...
Communication is so important in today's culture and often misread, misinterpreted, and misunderstood. Katie Fox breaks down how to be professional in your workplace with...
Every hospital is governed by medical staff bylaws specific to their organization. These bylaws dictate a variety of things, like how a medical staff structure is organized and...
New provider applicant already feel that the credentialing process is time-consuming, repetitive, and difficult. Here is why your organization should rethink pre-applications...
Medical staff services teams have made considerable advances implementing standardization, centralization, and process improvements within their organizations. See how far we have...
We spend our lifetimes communicating – at work, with family and friends, in daily interactions with a multitude of individuals. Vicki Searcy breaks down different types of...
Every year VerityStream conducts a Medical Staff Credentialing survey to get a pulse on the trends that will help you better evaluate and manage your credentialing operations....
The beauty of technology lies in the fact that it is always improving and evolving, and that’s no different when it comes to credentialing software. Learn how our credentialing...
Even though standardizing privileges is not easy, it is well worth the effort. Vicki Searcy breaks down the success factors your team needs to take into account when approaching...
Keeping up with compliance, regulation, accreditation, and certification is complicated business for today’s healthcare organizations. Check out this rundown on the Federal and...
In this emPOWER issue, Lisa Rothmuller writes about the importance of critical thinking skills for Medical Services Professionals. What does critical thinking skills mean when it...
As today’s hospitals and health systems continue to face shrinking budgets, pressure to speed up the revenue cycle, and credentialing demands that far exceed their in-house...
A quick pulse check on the credentialing industry and how healthcare organizations are approaching blockchain, telehealth providers, board certification verifications, and more....
Here’s what you need to know about building a Disaster Privileging and Locum Tenens process before disaster strikes....
Having a technical mindset is critical to success in medical staff services. This emPOWER series blog post dives into detail why this new skill is a game changer in the age of...
References for credentialing purposes can help you collect the information you need to hire competent and qualified candidates. Read on for our top recommendations for building an...
With more and more credentialing paperwork being electronically managed, electronic credentials-related meetings are becoming the new norm. Here’s what you need to know about...
An exclusive interview with Heidi Thompson as she tells us of her accomplishments within the medical staff office and within her organization, St. Luke's. Heidi is an outstanding...
The way we hire and manage people has changed. Dive into the basics of telestaffing and what you need to know to build a successful remote workforce....
As part of our emPOWER series, we present to you best practices to managing your time effectively so that you can get more credentialing tasks done while maintaining a good...
Amanda Walker, CVO Manager at Legacy Health, weighs in on what it takes to launch a successful CVO within a health system....
As a consultant with VerityStream since 2015 and a valued subject matter expert in payer enrollment, Cheryl Cisneros presents her notes on the 2021 National Credentialing Forum....
Here are 8 key skills every successful medical staff service leader has in their repertoire that enables them to inspire, thrive, and master the credentialing industry....
All of us – no matter how much experience we have – can use reminders and reinforcement about basic skills that make us more effective. Prioritization is top of the list of for...
Proctor Coordinators play a big role in ensuring patient safety. Standardizing medical staff processes by embracing technology is key to their success – get our top tips for going...
Introducing our new blog post series - emPOWER! We are all about leveling up your skills in the Healthcare Industry. Our team of experts have come together to bring you inspiring,...
We are pleased to introduce Mendy Koscinski who has been on both sides of the house, working for VerityStream and worked with us at her previous organization, INTEGRIS. It was...
Pending claims can negatively impact more than your organization's bottom line. In this post, we’ll identify causes of pending claims and explore opportunities for improvement....
Bye bye 2020. We reflect on what we learned from this tumultuous year as we keep our sights on the future and a brighter new year. ...
Melissa Walters is a hard worker, determined and has great leadership skills that she has used in her positions as well as for the benefit of NAMSS. She is a great example of...
Exciting beginnings at VerityStream can lead to fruitful careers. Check out Carolyn's story of how she started and where she is going with us!...
Did you know provider data management can have a major impact on revenue? Without a source of truth, many organizations are leaving themselves open to claim denials or slow...
When your credentialing and provider enrollment functions do not align, duplicate work and the lack of automation possibilities is rampant. Learn from the experts the benefits and...
As the year closes it is time to reflect on all your hard work and great accomplishments as Medical Services Professionals. It is also a time to plan and future proof your...
For the first time ever, NAMSS was held entirely virtually with vendors and attendees alike joining in and connecting online. It was quite an experience and we would like to share...
Lisa Rothmuller has been with VerityStream from the beginning and has climbed that ladder to achieve leadership status. We are proud to share her story and her accomplishments...
Organizations have incurred significant costs due to flawed Provider Data Management. See how industry-wide standardization can save $2.26 Billion annually. ...
Guidelines and recommendations on what to provide, verify, and perhaps omit when it comes to provider affiliation verifications. More isn't always best....
Privileging Telehealth Providers is a complex process, check out this comprehensive guide to ensure you have all the information you need for success. ...
Discover how technological advancements have changed credentialing and privileging in the Medical Services field, and how you can stay ahead of the curve. ...
From the days of Medical Staff Secretaries to today’s booming technology scene, this post dives into the world of credentialing and medical services over the past 50 years....
We are impressed with Tameka O'Neal's knowledge and ability to share her expertise with the individuals in the industry. From the perspective of a credentialing leader in the...
Explore situations where organizations would need to ask a provider to withdraw their request for privileges and how to manage those circumstances according to regulatory bodies. ...
Successful NCQA CVO certification involves understanding and advance preparation, especially for the virtual surveys necessitated by COVID-19. VerityStream experts and a client...
Healthcare has been hit particularly hard by change due to COVID-19, but by and large industry leaders have done an incredible job staying agile and keeping up. Here's a quick look...
Imagine a reappointment process where a provider only has to complete one application and one privilege form for your entire multi-hospital health system. We dive in to how to make...
Join us on Nicole Antoniuk's adventure with VerityStream and how she is bringing her energy to every aspect of the vStreamer experience....
Privileging can be complicated enough without having to also wonder which types of providers you should be privileging. We take a deeper look at Allied Health Professional and...
Review the seven benefits of paperless credentialing and privileging while keeping in mind key questions to ask before implementation....
An important distinction is knowing what and when to use Proctoring vs. Precepting when monitoring FPPE. This blog post describes the differences and the Joint Commission standards...
Health System CVOs might offer the same services but you can’t analyze metrics without understanding how these five common processes can vary between organizations....
Joe Deedy has been climbing the VerityStream ladder since he was an intern, and is now a Regional Sales Director. Check out his career story at VerityStream....
When we heard Tunisia’s story of going from a manual to electronic process within the space of a few weeks at The Centers for Families and Children / Circle Health Service, I knew...
The saying goes "if you’ve seen one CVO, you’ve seen one CVO". Even so there are common services provided by health system CVOs that we can look to for common metrics....
While pandemics can have a lasting impression and influence on the future of healthcare, there is comfort in knowing some things, such as patient safety, will always be important...
This national emergency has dramatically altered credentialing and privileging processes. An important question on every MSP’s mind now is "how do we get paid"? This blog post...
Looking to the future of Medical Staff Services over the last 30 years. What led us to where we are today and what will continue to drive us onto new horizons....
Understand the importance and content of privilege forms as well as best practices related to organization and maintenance....
A review of Privileging basics including Centers for Medicare & Medicaid Services (CMS) requirements....
VerityStream employees are proud to work in a variety of roles during their careers at VerityStream. Jordan Hickle especially enjoys the knowledge-sharing and comradery he...
Lessons from Memorial Healthcare System's finest credentialing professionals, how they built their careers in the industry and advice they give to their profession on how to be...
When the majority of hospitals are still electively performing high-risk procedures without the adequate ongoing experience to do so, how does this affect the granting of clinical...
Understand key learnings of successful Central Verification Organizations (CVOs) ranging from services offered to operations....
Working from home can make credentialing meetings and review processes very challenging. Here are some tips and advanced tricks from our experts on how to do electronic approvals...
Our annual report is set to release in May 2020. Get a sneak peek preview of what our survey results reveal about medical staff credentialing trends....
Working remotely has become more standard in many professions. And during the COVID-19 national emergency, it became required for many. Credentialing and medical staff...
The challenge will be not just to stand up a telehealth service, but to expand upon existing services and the rules around service deliverability. ...
Learn the six reasons you need to embrace and maximize technology supporting credentialing processes....
All of us at VerityStream are proud to partner with Medical Staff Professionals and other healthcare organization leaders to provide the tools that are needed to streamline...
Providing care to patients and responding to the COVID19 pandemic is the focus of your staff and the entire healthcare system right now. VerityStream is here to support you in...
Our consulting team describe how to create effective credentialing summary reports and why they are so important, including why comparing actual performance can help you improve...
The ABCs of establishing and maintaining requirements for basic life support and successful credentialing of certifications....
Discover the top 5 reasons projects fail within an organization and how you can learn from previous mistakes to ensure your projects do not meet the same end....
From Technical Specialist to Director of Data Services, Manshi Nawab describes her career journey at VerityStream and what it is like to be a vStreamer. ...
Risk can be scary and intimidating, and new technology can always feel risky. But what do you lose by not innovating and implementing the latest trends?...
We like to highlight individuals who are going places at VerityStream. Introducing Baird Dillon, our Customer Support Team Lead in Boulder! ...
Define your clinical privileges with best practices in mind. Here are 11 tips to organize and format your privileges with VerityStream best practices in mind....
Adding CredentialMyDoc to VerityStream enables our clients and theirs to receive the benefits and network effects of a larger and more robust ecosystem. Clients of CredentialMyDoc...
Everything seems achievable when you start off a brand new year. Possibilities must abound – or we wouldn’t make New Year’s resolutions, and buy exercise equipment and join Weight...
Learn about the impressive things Paige Martin is doing at Sentara Healthcare and part of the journey she has taken with Sentara to standardize privileging....
Thanksgiving is right around the corner and it makes me start thinking of things that I'm thankful for. I have so many things to be thankful for personally - my family, a job that...
Learn from our experts why it is so important to become a certified provider credentialing specialist. Kay Lynn Akers, CPCS dives into the 4 driving factors and the benefits it can...
Every health system should have a leader in provider relations just like Emilia Webster. VerityStream Consultant Renee Aird-Dengler interview with Emilia highlights the benefits of...
Discover how you can expedite the credentialing process and ensure your providers are ready to go in record time...
VerityStream Consultants recently took and passed the NAMSS CPCS examination and have achieved certification. Learn from their certification journey as we introduce 5 consultants...
Neurosurgeon Dr. Christopher Duntsch left a disastrous trail of maimed patients in Texas and is now imprisoned for aggravated assault. Could these deaths and injuries have been...
Discover the top ten most frequently experienced privileging mistakes that plague various organizations today and the recommendations on how to avoid them....
An excellent approach to clinical privileging is one of the most critical components of your organization’s quality program. But privileging can be challenging at a busy ambulatory...
We are two-thirds the way through 2019 and still so much to do. Is it hard to stay focused and is it clear what projects matter most? Vicki Searcy explains in this post the power...
In healthcare credentialing, there’s confusion about what it means to be a “participating” provider, which is key to avoiding claim denials. Here are five strategies to help get to...
Building a solid credentialing staff can be challenging, especially when the right resources are not available to you. How can you cultivate your existing staff to become stellar...
A massive shift to hospital-employed providers, a significant growth in the number of non-physician providers, and a brewing war for talent are just a few trends hospital and...
Time is a funny thing. Sometimes a single day seems to last an eternity but a year can pass by in a flash. It’s hard to believe that it’s been 18 months since we merged Echo, a...
Legacy Health’s Amy Lyons and Amanda Walker share their journey of integrating their centralized credentialing services and provider enrollment. Learn more about their process...
These days, red sticky notes have been replaced by electronic communication about credentialing red flags. Having an electronic file to review allows physician leaders to evaluate...
Franciscan Missionaries of Our Lady Health System shares their experience eliminating non-value-added verifications from their credentialing process, including: licensed...
Where does your organization stand within the credentialing industry? Are you on par with most organizations or are you leading the pack? Here are 5 reasons to download our report...
Understand the three steps to demonstrating return on investment for new credentialing and privileging initiatives plus how Verity can help you get there....
Privileging telehealth providers is a growing issue for many health systems, hospitals – and the individuals who perform the credentialing. This report identifies how organizations...
Focus on the benefits of paperless privileging and overcome barriers to fully implementing a paper-free privilege process at your organization....
Use these tips in three key areas to aid in making the successful transition to an electronic provider application....
Meet Barbara Ortolf and discover her unique view into the medical staff services/credentialing industry from many career pathways, but coming from an accounting background....
Healthcare organizations in the digital age are taking on more and more telehealth providers but the question is, how is the credentialing and privileging industry adapting to this...
Health care organizations are looking for information when tackling industry challenges. But where do you start? Here are four tips on finding informative resources....
Credentialing and enrollment leadership changes are going to occur at some point. Learn why it is important to start planning for transitions early....
Where do we draw the line with embracing the future and streamlining our credentialing processes while also balancing the need to maintain stringent rules to protect your patients...
Find out how data, delegated credentialing, collaboration and flexibility will aid you in enrolling to meet provider start dates for maximum reimbursement and minimal claims holds....
Change is one thing we can count on in life. Learn how taking action can bring positive change to your medical staff services team and organization....
There are only 24 hours in the day, and no time machine (yet?) to give you more time in the day. With all of the credentialing committee meetings, applications to follow up on,...
We all experience times when there’s more on our plate than we have hours for in the day. These five prioritization tips will help you spend those hours on what matters most....
The industry is making some progress on establishing benchmarks. If you’re looking to build a case for freshening up your credentialing, privileging, and enrollment processes, here...
We have the most comprehensive list of policy changes and updates that were announced or highlighted at the 2019 CMS Conference. Topics include PECOS 2.0 release, independent...
Is fatigue affecting your credentialing turnaround time? Are you looking for a way to improve your processes without adding more FTEs? Here are 3 ways your Medical Staff Office can...
"CredentialStream, how can I automate my medical staff office?" CredentialStream: Here are some tips I found on how to move from manual processes to automation....
Renee Zimmerman is a super star who works in credentialing and/or payer enrollment work space. This spotlight is intended to highlight her achievements during her career and her...
There are many reasons to standardize privileges across medical staffs—improved program management, ensuring compliance with regulatory requirements, alignment with contemporary...
Answer these five important questions before declaring your system as the organization’s source of truth for provider data....
Clutter can contribute to higher anxiety levels in individuals, whether at home or at the office. This is also the case for your Credentialing Committee meetings. Consider clearing...
Looking ahead at 2019, HealthStream’s Robin Rose turns our attention to the top trends that could significantly alter the healthcare industry as we know it. This is the second post...
Leslie Cox is the Senior Director, CVO at Banner Health and our spotlight on her reveals some great insights into running a successful CVO, including challenges and advice from...
HealthStream’s Robin Rose highlights the top trends that are driving transformation in healthcare....
Professional references can be time consuming and result in a lot of time wasted tracking down the peer and reminding them to complete that reference letter for the applicant....
Do you know what is in your privilege forms? Read more to learn why a schedule for reviewing privilege forms is necessary. ...
Data has become essential for organizations to meet their business goals and improve their processes. Is your organization still wondering how long it takes to process new provider...
A look at the evolution of CVOs from their start to today’s state with critical questions to answer for the future....
In 2018, we began a recurring series on individuals who are “super star” MSPs (Medical Services Professionals) or Enrollment Professionals. We all have a story about how we got...
Would you like to make it easier for your providers to have a clean slate in the new year and beyond? If you answered yes, continue reading to learn how to develop FPPE action...
Meet Megan, Client Executive with VerityStream and learn about why she loves working at VerityStream. ...
How well we react to the changes in our worklife is an indicator of how effective we will be in our profession. Here are 13 smart things that every medical staff professional...
How to evaluate your verification and monitoring tactics to insure your medical group is providing the most comprehensive validation possible of your providers. Our experts point...
Six ideas for goals to benefit you and your organization. Which one is your first priority?...
No matter how robust your security setup is, chances are you're vulnerable to hacks, data breaches, and forces of nature. A loss of data is a huge financial risk that medical...
We have learned so much, and with this time to reflect, we are thankful for all of you who are a part of the VerityStream community....
Hot off the Press! CMS releases their annual audit results for online directories. Review the results for data collected from November 2017 to July 2018 and get informed to ensure...
Hospitals and health systems looking to keep reimbursements from payers on track should consider implementing these helpful tips into their provider enrollment processes....
Understand tips and benefits of enabling providers to take a more ‘hands-on’ approach to their credentialing process. ...
A slow provider onboarding and enrollment process can set your practice up for serious financial strain. However, despite your best efforts the process has never been more...
When provider data reside in multiple databases and physical locations, health systems risk revenue loss, data inaccuracy, and provider frustration. At its heart, consolidation of...
Excessive paperwork, slow validation, and reimbursements in jeopardy are common occurrences in outdated verification and credentialing processes. Learn more about how pre-formatted...
Electronic meetings can be an incredibly efficient way to conduct healthcare/medical staff organization business. But the “devil” is in the details (as usual). There are many...
OIG oversight of HHS programs ensures integrity, effectiveness, and efficiency. This can also lead to recovery in billions of dollars in savings. However the time-consuming and...
Without industry standards on defining credentialing metrics, there is no way to benchmark your organization with others. Standardizing six metrics in your organization can help...
It is NAMSS Week! This is the time to reflect on the medical services profession, and our collective accomplishments as well as our individual accomplishments....
If you have ever requested staff, equipment or other resources and been turned down maybe a cost-benefit analysis could have made the difference. Learn what it is what and what...
This is the first article in a series on remote working and shares four benefits to offering this work arrangement to credentialing staff....
Learn why fostering engagement in your team is important and three tips on how to do it....
Short client stories describing enrollment challenges they faced that proved both costly in time and money....
Approximately 200 organizations are currently recognized in credentialing by NCQA either as a certified CVO or under NCQA’s CR standards. Preparing for any type of...
The benefits of delegated credentialing from a medical group practice’s perspective are many. First and foremost, with delegated credentialing you can eliminate weeks from the...
Just because you use PECOS and enroll your providers electronically doesn't mean you shouldn't be vigilant of some key mistakes you could be making that could have an impact on...
Recap of the 42nd NAMSS Conference by former NAMSS President and CVO Symposium speaker, Vicki Searcy. ...
CVOs across the country are collaborating in effort to identify standards and lead the industry....
Ready to tune up and speed up your payer credentialing process? Here are 10 questions to ask before you choose a solution....
46.9% of credentialing professionals use PECOS for CMS enrollment. Save your organization and yourself time and effort by following these helpful tips to make your PECOS enrollment...
Is your organization prepared to prevent a provider impersonator? Recent news reveals why policies should be reviewed and four ideas to consider....
The issue of aging providers has been dealt with by some healthcare organizations – and organizations who have done so will attest that it isn’t easy or quick to determine how to...
Using PECOS (the Provider Electronic Chain, and Ownership System), Medicare’s online enrollment system to enroll your providers create efficiencies for your organization and can...
Provider directories are commonly overlooked assets of a health organization that can have a significant impact on physician satisfaction. Learn how you can improve your...
Take a look at 5 of the 10 findings described in the 2018 Annual Report on Medical Staff Credentialing that compare results from our 2017 report and takes a look into the future of...
Bylaws shouldn't hold your organization back from efficient credentialing processes. Here are a few tips to keep in mind when looking at Bylaw requirements....
Professional conferences provide great opportunities to learn from your peers. Here are some common trends that we found to have perpetuated throughout our user group conferences...
Medical staff professionals wear many hats and handle a multitude of projects. Is your staff prepared to juggle multiple cases and perform efficiently? Learn why project management...
You can never be too prepared! Disaster can strike at any moment and it is important that your entire workforce is prepared for what will happen next....
To secure additional resources, a credentialing department must create a value proposition based on accurate data converted to information. That information should tell a story...
Mergers and acquisitions are hard on staff. However that should be no excuse to let dysfunctions seep into your teams. Building a cohesive team from the start will lend itself well...
How many of us have learned things the hard way? I know that I certainly have from time to time. Save yourself a lot of embarrassment by making sure that new technology is...
There are thirty-seven different versions of your neighboring city’s hospital in your Hospitals Table staring at you right now. Which one do you choose? And how can you remove this...
We are in the middle of a busy conference season for medical staff professionals. While many of you have made plans to attend at least one event, there is another group who has...
Rachel Deming Purcell, Director of Regional Credentialing, Quality and Operations Support at The Permanente Medical Group sees that today’s positions now require systems thinkers,...
We at VerityStream love helping our customers! We enjoy the conversation, getting to improve our product from our customer’s recommendations and helping to grow the use of systems....
In my opinion, a credentialing (or a mortgage) process is electronic only if it is paperless for both the applicant and the recipient of the data. Your process is NOT electronic if...
Credentialing used to be solely focused on just that, credentialing. With all the changes our industry is enduring, it has become essential for healthcare organizations to...
Industry best practice is to make information about providers' granted privileges readily available to patient care providers (i.e., nursing stations, OR scheduling, pharmacy,...
The Joint Commission announced the requirement for OPPE in 2007, in order to give organizations time to formulate their strategies for compliance by January 1, 2008 (the date on...
With quality in mind, The Center for Medicare and Medicaid Services (CMS) launched their Hospital Value-based Purchasing (HVBP) Program in order to set performance standards and...
In most hospitals, the medical staff organization is supported by one or more medical staff professionals (MSPs). These individuals may be called by different titles, but their key...
I started working in Medical Staff Services in January of 2009, just one month before the HITECH Act was signed into law. At the time, meaningful use of health care data and...
File and folder organization can hinder or help efficiency depending on how an organization sets up their naming conventions. Commonly an organization will assign files to a user:...
Ann Klinger began her career in medical staff services in 1998 at Tuality Community Hospital in Hillsboro, Oregon. Prior to entering the world of medical staff services, Ann worked...
A standard master provider ID across the system ensures that applications that share data will always update information as desired. As applications merge and change, industry...
Advances in applications, technology and industry, provide more usage of automation tools. Impediments to taking advantage of these features occur when the data stored in the...
In order for databases to run at optimal performance standards, the system must have adequate space available for software being employed. Having unnecessary files or bloated files...
Record types are commonly used by a system to categorize data within an area. When large quantities of record types occur; data entry, managing and reporting becomes very...
Having an accurate Master Provider Database is essential for any healthcare organization. Over time it is easy to see how duplicate provider information occurs....
Duplication within large master reference tables can translate very quickly into data duplication with data containing the same information but with subtle but impactful...
One of the changes that I see coming is centralization of the decision-making process in health systems. What does this mean? In some organizations, the support for the...
In the 2017 Annual Report on Medical Staff Credentialing, 90.5% of you indicated that data management is an initiative that is extremely or very important, and 72.9% of you have...
Carefully selected metrics for your organization’s onboarding provider dashboard can improve workflow efficiencies, give insight into data, and improve reimbursements....
At a time when organizations are merging their systems and procedures, provider database standardization is more important than ever to ensure data integrity and reimbursement. ...
Standardizing and automating your organization’s onboarding processes can save time and money by accelerating reimbursements and narrowing the timeframe it takes to onboard a...
Perhaps some apply, and some don’t, and this is by no means an exhaustive list. But we think it’s always valuable to be aware of and examine mindsets (conscious and subconscious)...
Sometimes it feels as if we are not in control of our time and that contributes to the stress that we experience on a daily basis. One of the things that I’ve found that helps:...
If write-in privileges are permitted, that is a direct “flag” to surveyors of regulatory/accreditation organizations of the potential that privileges were granted outside of the...
Over 70% of last year’s credentialing survey respondents indicated their credentialing solution is the single source of truth within their organization. One of the downstream...
There were many very informative sessions such as Evolution in Competence Assessment Programs to Meet Emerging Trends in Licensure and Credentialing, credentialing portability and...
The report was published on May 2, 2018 and is the result of a survey conducted of Medical Services Professionals and others responsible for credentialing during December 2017 and...
Congratulations to the NAMSS committees and individuals responsible for making the arrangements for this conference – I know that those who were able to attend greatly benefited...
Highlights of the conference include changes in how the MAC will communicate with providers, changes to the Program Integrity Manual, MACS not requesting certain documents, changes...
Today's MSPs have worked very hard to streamline processes, both in technology and human ways. According to our research, approximately 80% feel they have streamlined and reduced...
Organizations are bringing together their credentialing, payer enrollment and recruitment teams to ensure data elements are defined to meet each collaborating partner’s business...
If you are looking to implement an electronic credentials review process as a goal for the next quarter or year, there are components that can be taken early to lay the foundation...
Before taking the plunge and shredding the paper, here are a few things you should consider to prepare your organization for success...
Discover the strategies that will extend the benefits of your privileging program to the point of service to ensure that benefits from your privileging program are realized....
Succession management is the process of identifying those jobs considered to be at the core of the organization – too critical to be left vacant or filled by any but the best...
All of us who work in healthcare have seen and experienced the many changes that have occurred as a result of the shift of organizations to increasingly employ/contract with...
Are you procrastinating on reviewing your organizations delineation of privileges? Here are some questions to get you started and reasons why you should not put it off any longer....
