History Historically, accreditation and licensing bodies have varied in terms of the length of the reappointment. Some have followed the Joint Commission requiring a 2-year (not to exceed than 24 months until [...]
Doctor Deceit: Why Provider Credentialing is Imperative in Preventing Medical Malpractice A Recent 20/20 episode titled "Doctor Deceit" features Dean Faiello, a pathological liar who falsely represented himself as a dermatologist and [...]
Did You Know About Operation Nightingale 2023? What is Operation Nightingale? The U.S. Department of Health and Human Services Officer of Inspector General launched a multi-state investigation on January 25, 2023, charging [...]
Medical Provider Resources is beyond thrilled to congratulate Krista Ward for successfully passing the CPCS (Certified Professional Credentialing Specialist) certification with the National Association of Medical Staff Services (NAMSS)! On June 8, [...]
Provider credentialing is the process of obtaining, verifying, and analyzing a practitioner's qualifications to provide care or services at a facility. Medical Staff Professionals (MSPs) must verify a practitioner's professional credentials per [...]
Our March Did You Know Features Provider Enrollment Updates: Ambetter Virtual Insurance, United Healthcare Market Place Insurance Plan & Insurers Offering 2023 Coverage Through the Kansas Exchange Ambetter Virtual is a new [...]
What is Concierge Medicine? Concierge medicine is a popular emerging alternative to the traditional delivery of healthcare. This subscription-based, membership medicine business model occurs primarily in family medicine and internal medicine and [...]
The DEA (Drug Enforcement Administration) Helps Enforce Controlled Substances Laws & Regulations What is the DEA? What is a DEA number and what does it mean? Our medical credentialing and insurance enrollment [...]
In This Month's Did You Know: Lucet, APRN Practice Changes in Kansas, Nursing License Number Meaning, Licensed Independent Practitioner Terminology Changes & a Data Bank Administrator Webinar. Read the Newest Medical Credentialing [...]
What Are “Red Flags” On Medical Credentialing Applications? A red flag identifies any discrepancy, derogatory information, or potential concerns about an applicant. What are a few examples of red flags? 1. Unexplained [...]
