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 [...]
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, [...]
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 [...]
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 [...]
What is Delegated Credentialing? Delegated credentialing is an arrangement in which a healthcare entity authorizes another healthcare entity to credential its healthcare providers. An example: A preferred provider organization (PPO) or other [...]
Congratulations to Kamie for Passing Her Certified Provider Credentialing Specialist (CPCS) Certification Exam! The National Association of Medical Staff Services (NAMSS) certification establishes industry standards and serves as a comprehensive measure of [...]
Centralized Verification Organizations (CVOs) Can Greatly Reduce the Burden of Regulatory Compliance in the Medical Credentialing Process According to the American Hospital Association, “Health Systems, hospitals, and PAC providers must comply with [...]
