Credentialing & Applications: Get Your Providers Approved Faster by Payers

Length: 60 minutes Expert: Mary Baker, CPMSM, CPCS CEU: 1.0
Clear

The consequences your providers face for failing to accurately complete or update their credentialing and privileging information can be disastrous (these include the denial of privileges and significant losses in reimbursement).

It doesn’t matter whether you’re completing or updating your credentialing and privileging information online with CAQH, or submitting a payor-specific application – the massive risks generated due to errors are the same. But, you can avoid the most common credentialing and privileging “pitfalls” –  if you know what to look for.

During a 60-minute online training, credentialing expert, Dr. Mary Baker, CPMSM, CPCS will provide you with the inside scoop on the most common reasons your credentialing and privileging applications are denied. You’ll walk away from this training session with the tactics necessary to ensure your providers sail through the approval process the first time.

Here are just some of the expert, insider advice you’ll receive by viewing this 60-minute online training.

  • Utilize a proven CAQH attestation schedule to avoid outdated information
  • Avoid lost privileges and improve reappointment application accuracy with proven checklist
  • Identify innocent employment/affiliation gaps that’ll lead to application approval delays
  • Stop malpractice insurance perimeters from causing delays in your approval
  • Determine how state licenses can lead to privileges being suspended
  • Easily detect date related errors that can get your application denied
  • Prevent the top missing information reasons for application hold ups
  • Pin down how incomplete peer information can stop your application in its tracks
  • Quickly identify year over year gaps to speed up approval
  • Head off foreign graduate information errors with simple rule
  • And so much more…

You know that it’s ultimately your provider’s responsibility to ensure that the submitted information on their payor applications is complete and accurate. But you also know that your providers rarely are the ones filling them out. In most cases, they just glance at the information that you’ve prepared, and sign on the dotted line.

Your providers are depending on you to submit their credentialing and privileging applications accurately, entirely and on time – the first time. This is a massive burden considering the serious consequences of doing it wrong, but you don’t have face this alone. Order this online training session today.

Meet Your Expert

Mary Baker
CPMSM, CPCSPrinciple and Owner, Medical Staff Plus+Consulting, LLC

Mary brings over 30 years of domestic and international credentialing and privileging experience to her work with medical staff leaders and medical staff services professionals. Her previous roles as a director of medical staff services in hospitals and her work as a consultant makes her uniquely qualified to assist medical staff service professionals to address their most difficult challenges.

Dr. Baker advises clients in the areas of regulatory compliance, credentialing and privileging, quality/performance improvement, medical staff services department effectiveness, credentialing verification organization implementation and assessment, and medical staff services professional leadership and development training. She also speaks on number of topics related to medical staff services functions and national and international regulatory compliance.

Dr. Baker is a certified CPCS and CPMSM and has been a member with the National Association Medical Staff Services (NAMSS) since 1990. She has served as President Elect of the Ohio Association Medical Staff Services (OAMSS) and as a Board Member of Texas Society Medical Staff Management (TSMSS). She received her Master’s in Healthcare Administration from Central Michigan University and a Doctorate in Healthcare Administration from University of Phoenix University.

Reviews

Overall it was a good webinar.
Ernestine Pollard
HIM Director & Credentialing Coordinator, Pocahontas Memorial Hospital
I love the fact that GoToWebinar was very user-friendly.
Selena Cannady
Provider Relations Specialist, Hamilton Center Inc.
Good review of the credentialing process
Cynthia Witt
Director of Billing, WomenCare
Good Information.
Nadine Kramer
Credentialing Assistant, Frontier Behavioral Health