A well-structured, adaptable medical staff services department (MSSD) can make a real difference in today’s changing healthcare landscape. Mergers and acquisitions continue at a rapid pace, regulatory challenges are increasing, and payment models are evolving, all of which make the credentialing, privileging, and enrollment functions of the MSSD crucial. Increasingly, MSSDs are being tasked with… [Read More]
Reclaiming Revenue: A Found-Money Trifecta in Credentialing, Privileging and Enrollment
In this new article published in Becker’s Hospital Review, Amy Niehaus presents three areas CFOs and Revenue Cycle professionals need to explore. By reading “Reclaiming Revenue: A Found-Money Trifecta in Credentialing, Privileging and Enrollment,” you will see that, yes, there is revenue rattling around in the medical staff services department (MSSD). It’s time to reclaim… [Read More]
Hidden ROI in Credentialing, Privileging & Enrollment
11/16/2017 – This webinar will discuss how credentialing, privileging, and enrollment practices affect financial performance, and will identify three ways hospitals and systems can positively impact their revenue cycles by optimizing their medical staff services department. CFOs and revenue cycle managers will take away a checklist of areas to make improvements, plus models for determining revenue impacts in their own organization. Watch Now!
10 “Aging Physicians” Issues Hospitals Are Facing
Age catches up with all of us, but in medicine, it’s catching up with some more than others. In 2015, the number of practicing physicians older than 55 (a.k.a. Aging Physicians) topped 30 percent. In some specialties, aging is even more prevalent. In 2013, more than half of neurologists, orthopedic surgeons, cardiologists, psychiatrists, oncologists, pulmonologists,… [Read More]
Are You At Risk for Negligent Credentialing?
9/21/2017 – A timely look at the compliance and risk side of credentialing. What is negligent credentialing and where/when is it most commonly found? Attendees will take away a checklist of areas to look for issues in their own organizations. Watch Now!
11 Ways Increasing Employed Physician Numbers Magnify Medical Staff “Issues”
According to a 2016 survey, as many as 58 percent of physicians in the United States are employed by a hospital or physician group. According to another national study, the three year period from July 2012 to July 2015 showed the number of hospital-employed physicians increased by almost 50 percent. And those numbers show no sign… [Read More]
Understanding Credentialing and Enrollment Processes: Healthcare Organizations vs. Health Plans
As someone who manages or oversees provider credentialing and payer enrollment for your hospital or healthcare organization, you understand the value of maintaining efficient processes across departments to save time, reduce costs and ensure providers are granted privileges as quickly as possible. Health plans (also known as managed care organizations) strive for similar goals. Understanding the payers’ specific accreditation and regulatory requirements can help you and your team of medical services professionals further ensure timely processing of provider applications. This white paper will explore: the processes payers conduct to evaluate and enroll healthcare providers; common challenges in provider enrollment and how to solve them; and tips and techniques to achieve delegated credentialing.
Negligent Practitioner Credentialing: Avoid Being in the Headlines
I always look forward to the mail on Friday because it usually includes the latest issue of People Magazine. I know what you might be thinking, but reading about all the latest “gossip” as well as leading news is my guilty pleasure. Many times, I do find the articles to be quite informative—not all of… [Read More]
Credentialing Compliance and Accreditation Tips for the New Year
January is a time when many of us reflect on the happenings of the previous year and will set new goals for 2017. Some of the top resolutions include spend more time with family and friends, exercise more, learn something new, and get organized. As MSPs, it is also a good time to evaluate current… [Read More]
Credentialing Advancements in a New Delivery Era
As hospitals form more expansive networks, small inefficiencies in individual credentialing processes compound and become increasingly disruptive at the system level. But for healthcare organizations that do credentialing well, the positive results are substantial. They include reduced costs and risks, to both the patient and the institution, quicker performance, and enhanced revenue, all centered on… [Read More]
