This Proficiency in Practice Course is designed to provide healthcare professionals with a thorough understanding of peer review and performance review processes, their significance in maintaining high standards of care, and practical applications within healthcare organizations. Each session builds on the last, starting with foundational knowledge, followed by an in-depth analysis, and concluding with real-world case studies and common pitfalls to avoid.

Session 1: Introduction to Peer Review and Performance Review 

Duration: 1.5 hour

Date & Time: November 3, 2025 2pm ET

In the first session, participants will be introduced to the essential concepts tied to peer review and performance review. Attendees will leave understanding why peer review and performance review are important in healthcare quality assurance and regulatory compliance. Key terminology and the roles of different hospital departments will be explored.

Learning Objectives:

• Understand the basics of peer review and performance review.
• Familiarize with terminology used by accrediting bodies.
• Identify the departments and individuals responsible for these processes in hospitals.

Session 2: Deep Dive into Peer Review and Performance Review 

Duration: 1.5 hour

Date & Time: November 5, 2025 2pm ET

This session offers a detailed examination of the peer and performance review processes, including specific tools, methodologies, and their expected impact on clinical outcomes. Attendees will gain practical insights into how these reviews are conducted, how to measure performance, and how to document protocols and results to comply with applicable laws, regulations and accreditation standards. 

 Learning Objectives:

• Explore the detailed processes of peer and performance reviews.
• Understand the methodologies and tools used in these reviews.
• Analyze the impact of reviews on clinical outcomes and staff development.

Session 3: Common Pitfalls and Case Studies 

Duration: 1.5 hour

Date & Time: November 7, 2025 2pm ET

The final session focuses on common challenges encountered during peer and performance reviews, using case studies to highlight best practices and mistakes to avoid. Attendees will learn how to address these challenges and apply lessons learned from real-world examples.

Learning Objectives:

• Identify and address common pitfalls in peer and performance reviews.
• Learn from real-world case studies to improve review processes.
• Develop strategies to overcome challenges and enhance effectiveness.

 Price

Members: $299

Non-Members: $389

The Provider Enrollment Glossary is a powerful tool developed by NAMSS to enhance your understanding of key terms related to provider enrollment practice.  As defined in the Tomorrow’s MSP®: The Future of the Medical Services Profession report, provider enrollment has been identified as a core function of the profession and necessary for the role of gatekeepers of patient safety.

Provider enrollment encompasses a wide range of tasks, including completing applications, submitting necessary documentation, and navigating intricate credentialing processes. In this intricate ecosystem, understanding the terminology associated with provider enrollment is critical for healthcare professionals, administrators, and organizations alike. However, the healthcare industry is rife with jargon, acronyms, and ever-changing regulations, making it challenging to keep up with the ever-expanding vocabulary.

NAMSS’ Provider Enrollment Glossary can bridge that gap by offering a comprehensive collection of industry-specific terms, definitions, and explanations. The Glossary creates a unified language for provider enrollment and acts as a valuable reference tool, bringing clarity and consistency to the terminology used throughout the provider enrollment process. Together, let's build a stronger foundation for the future of healthcare.

The NAMSS Medical Services Management (CPMSM®) Study Guide is a PDF reference guide designed to help medical services professionals prepare for the CPMSM® exam. This comprehensive resource covers exam topics including credentialing and privileging; regulatory compliance; and managing departmental operations. In addition, these topics are reviewed from the perspective of a variety of healthcare settings, including hospitals, credentials verification organizations (CVOs), managed care organizations (MCOs), and ambulatory care settings. MSPs are able to access the full spectrum of information they will need to know for the CPMSM® exam in one organized guide. The guide also includes a 100-question practice exam for assessing your knowledge of exam content.

This product is current with the Spring 2024 NAMSS CPMSM Exam Content Outline.

Who Should Purchase:

• MSPs planning to take the Certified Provider Medical Services Management (CPMSM®) Certification Exam. NAMSS members and non-members are welcome to purchase the guide.

Contents:

• Credentialing Environment Overview
• Principles of Credentialing and Recredentialing
• Ensuring Compliance with Accreditation Standards and Regulatory Requirements
• Managing Departmental Operations and Facilitating Medical Staff Functions
• Developing Your Study Strategy

What You Will Learn:

• How to increase your knowledge about how to maintain compliance with regulatory and accrediting bodies;
• How to improve your understanding of implementing credentialing/privileging processes;
• Relevant exam-related information organized by topic so that you can carefully review areas in which you are lacking knowledge;
• Familiarity with the types of questions included on the CPMSM® exam; and
• An accessible reference to help answer your questions in the workplace.

Cost: 

• Hover over the "Register" button in the top right corner to see the price

This product covers the following Core Functional Area(s) and Tomorrow's MSP Skillsets: 

Core Functional Area(s):

• Conducts, Participates In, and Maintains Primary Source Verification    
• Conducts, Participates In, and Maintains Credentialing and Privileging
• Manages the Credentialing or Privileging Process
• Conducts, Participates In, and Maintains Current Clinical Competency Evaluations and Peer Review          
• Complies with Accreditation and Regulatory Standards
• Manages Compliance with State and Federal Accreditation Standards and Regulatory Requirements
• Manages Departmental Operations        
• Manages Provider Enrollment Process
• Facilitates Medical Staff Functions
• Analyzes and Manages Data

Skillsets:

• Analytical Thinking
• Budget/Finance
• Change Management
• Clinical Competence Evaluation
• Confidentiality
• Database Management
• Flexibility/Adaptability
• Information Technology
• Legal
• Managed Care
• Medical Staff Bylaws & Policies and Procedures
• Professional Ethics
• Quality Review/Quality 
• Risk Management

Note: The Certification Commission of NAMSS (CCN) does not develop, administer, sponsor, endorse, or financially benefit from any type of exam review, preparatory course or published materials related to the content of the certification examinations. The purchase and/or use of any exam preparation material does not guarantee a passing score on the exam.

The NAMSS Credentialing Specialist (CPCS®) Study Guide is a PDF reference guide designed to help medical services professionals prepare for the CPCS® exam. This comprehensive resource covers exam topics, including credentialing and privileging; primary source verification; compliance with standards; and medical services operations. In addition, these topics are reviewed from the perspective of a variety of healthcare settings, including hospitals, credentials verification organizations (CVOs), managed care organizations (MCOs), and ambulatory care settings. MSPs are able to access the full spectrum of information they will need to know for the CPCS® exam in one organized guide.

The 2024 NAMSS Comparison of Accreditation Standards Grid was updated in March 2024. The 2024 NAMSS Comparison of Accreditation Standards Grid is current with the Summer and Fall 2024 NAMSS CPCS® Exam Content Outline. Please note, 2025 NCQA standards will be included in the 2025 grid to be released later this summer. 

Who Should Purchase:

• MSPs planning to take the Certified Provider Credentialing Specialist (CPCS®) Certification Exam and/or MSPs new to the field who are looking for an go-to resource. NAMSS members and non-members are welcome to purchase the guide.

Contents:

• Principles of credentialing and re-credentialing, including bylaws, policies, procedures, rules, and regulations;
• The application process;
• Credentials verification, including board certification and licensure;
• Clinical privileges;
• Peer review and performance improvement;
• Re-credentialing, reappointment, and reappraisal;
• Operations and information management;
• Medical staff management;
• Healthcare law, including medical staff appointments and privileges, the medical record, and the Healthcare Quality Improvement Act (HCQIA); and
• Exam study strategies and self-check questions.

What You Will Learn:

• How to increase your knowledge of the credentialing process;
• How to improve your understanding of each medical environment and its patients;
• Relevant exam-related information organized by topic so that you can carefully review areas in which you are lacking knowledge;
• Familiarity with the types of questions included on the CPCS® exam; and
• An accessible reference to help answer your questions in the workplace.

This bundle includes access to the NAMSS Comparison Grid of Accreditation Standards:

• The NAMSS Comparison of Accreditation Standards Grid is an online PDF reference guide that provides “plain-language” interpretations of the credentialing standards for The Joint Commission, NCQA, Healthcare Facilities Accreditation Program, DNV, URAC, the Accreditation Association for Ambulatory Health Care, as well as the Medicare Conditions of Participation. This product includes updates that will be made by NAMSS over the next 12 months. This product is a downloadable document and does not ship.

Cost: 

• Hover over the "Register" button in the top right corner to see the price

Note: The Certification Commission of NAMSS (CCN) does not develop, administer, sponsor, endorse, or financially benefit from any type of exam review, preparatory course or published materials related to the content of the certification examinations. The purchase and/or use of any exam preparation material does not guarantee a passing score on the exam.

The NAMSS Credentialing Specialist (CPCS®) Study Guide is a PDF reference guide designed to help medical services professionals prepare for the CPCS® exam. This comprehensive resource covers exam topics, including credentialing and privileging; primary source verification; compliance with standards; and medical services operations. In addition, these topics are reviewed from the perspective of a variety of healthcare settings, including hospitals, credentials verification organizations (CVOs), managed care organizations (MCOs), and ambulatory care settings. MSPs are able to access the full spectrum of information they will need to know for the CPCS exam in one organized guide.

The 2024 NAMSS Comparison of Accreditation Standards Grid was updated in March 2024. The 2024 NAMSS Comparison of Accreditation Standards Grid is current with the Summer and Fall 2024 NAMSS CPCS® Exam Content Outline. Please note, 2025 NCQA standards will be included in the 2025 grid to be released later this summer. 

Who Should Purchase:

• MSPs planning to take the Certified Provider Credentialing Specialist (CPCS) Certification Exam and/or MSPs new to the field who are looking for an go-to resource. NAMSS members and non-members are welcome to purchase the guide.

Contents:

• Principles of credentialing and re-credentialing, including bylaws, policies, procedures, rules, and regulations;
• The application process;
• Credentials verification, including board certification and licensure;
• Clinical privileges;
• Peer review and performance improvement;
• Re-credentialing, reappointment, and reappraisal;
• Operations and information management;
• Medical staff management;
• Healthcare law, including medical staff appointments and privileges, the medical record, and the Healthcare Quality Improvement Act (HCQIA); and
• Exam study strategies and self-check questions.

What You Will Learn:

• How to increase your knowledge of the credentialing process;
• How to improve your understanding of each medical environment and its patients;
• Relevant exam-related information organized by topic so that you can carefully review areas in which you are lacking knowledge;
• Familiarity with the types of questions included on the CPCS exam; and
• An accessible reference to help answer your questions in the workplace.

Cost: 

• Hover over the "Register" button in the top right corner to see the price

Note: The Certification Commission of NAMSS (CCN) does not develop, administer, sponsor, endorse, or financially benefit from any type of exam review, preparatory course or published materials related to the content of the certification examinations. The purchase and/or use of any exam preparation material does not guarantee a passing score on the exam.

Watch the recording of "NAMSS Certification Exam Study Tips" by Pauline Tise, CPCS, CPMSM and Faith Rhoades, MMHC, CPMSM, CPCS, FMSP. Then, complete the quiz and earn 80% or higher to receive CE credit.

Originally presented 4/9/2025

Speaker(s): 

• Pauline Tise, CPCS, CPMSM
• Faith Rhoades, MMHC, CPMSM, CPCS, FMSP

Description: 

• This session will give attendees an overview of the expectations of the CPCS and CPMSM exams, and will review study resources, as well as giving guidance on developing a study plan. Part of the presentation will also cover the different learning styles, so that attendees can identify how to best personalize their study plan to ensure success.

Learning Objectives: 

• Participants will learn an overview of exam objectives
• Participants will learn about the identification of Individual learning styles
• Participants will learn about resources for studying for certification exams
• Participants will understand how to develop a Study Plan
• Participants will learn study tips

CEs:

• This webinar has been approved for 1.0 CE credit.

Cost:

• NAMSS members: $55
• Non-NAMSS members: $75

This webinar covers the following  Core Functional Area(s) and Tomorrow's MSP Skillsets: 

Core Functional Area(s)

• Complies with Accreditation Standards and Regulatory Standards
• Manages Compliance with State and Federal Accreditation Standards and Regulatory Requirements
• Facilitates Medical Staff Functions

Skillsets:

• Analytical Thinking
• Professional Presence

Read the 2025 Synergy article, "When a Malpractice Claim Arises at the Time of Recredentialing". Then, purchase this quiz and earn 80% or higher to receive 1.0 CE credit.

CEs:

• This course has been approved for 1 CE credit

Cost: 

• Hover over the "Register" button in the top right corner to see the price

Read the 2025 Q1 Editor's Message, "NAMSS Welcomes 2025 With New Initiatives and Opportunities". Then, purchase this quiz and earn 80% or higher to receive 1.0 CE credit.

CEs:

• This course has been approved for 1 CE credit

Cost: 

• Hover over the "Register" button in the top right corner to see the price

Speakers: 

• NAMSS 2025 President: Karen Claxton, MBA, CPCS, CPMSM, FMSP
• NAMSS 2025 Immediate Past President: Lisa Goodwin, MBA, CPCS, CPMSM
• NAMSS 2025 Membership Committee Chair: Renata McConico-Demons, BS, MHRM, CPCS, CPMSM, FMSP
• NAMSS 2025 Mentoring Committee Chair: Amy Ligocki, CPCS, CPMSM

Description: 

• Join us for a Town Hall with NAMSS leaders as they review activities for 2025. NAMSS President Karen Claxton and NAMSS Immediate Past President Lisa Goodwin will provide updates on NAMSS activities, and discuss the Call for Board Nominations process. Viewers will also hear from Renata McConico-Demons, Membership Committee Chair, and Amy Ligocki, Mentoring Committee Chair, who will provide updates on their committees activities for the year including some new programs and initiatives. Don't miss this opportunity to stay informed and engaged! 

  Learning Objectives: 

• Members will learn an overview of updates on 2025 NAMSS activities
• Members will gain detailed information regarding the 2025 Call for Board Nominations process
• Members will have insight into updates on Membership and Mentoring committee activities for 2025 including some new programs and initiatives

CEs:

• This webinar is NOT eligible for CE credit.

Cost:

• NAMSS members: Free (You must be a NAMSS member to view this recording.)

This webinar covers the following Tomorrow's MSP Skillsets: 

Skillsets:

• Communication
• Flexibility/Adaptability
• Information Technology
• Strategic Planning

Watch the recording of "Provider Enrollment Revalidation & Roster Maintenance" by Emily Walker, CPC. Then, complete the quiz and earn 80% or higher to receive CE credit.

Originally presented 3/25/2025

Speakers: 

• Emily Walker, CPC

Description: 

• This presentation covers the essential processes of Provider Enrollment Revalidation and Roster Maintenance in healthcare. It highlights the importance of maintaining up-to-date provider information, ensuring compliance with regulatory requirements, and understanding the steps involved in revalidating provider enrollment. Attendees will gain insights into best practices for roster management, minimizing errors, and ensuring timely updates to support accurate healthcare delivery and reimbursement processes.

  Learning Objectives: 

• Participants will learn how to organize provider information for a streamlined process
• Participants will understand how the revalidation process works
• Participants will see examples of how to fill out a roster for roster maintenance
• Participants will have a better understanding of the roles and requirements as a provider enrollment specialist

CEs:

• This webinar has been approved for 1.0 CE credit.

Cost:

• NAMSS members: $55
• Non-NAMSS members: $75

This webinar covers the following  Core Functional Area(s) and Tomorrow's MSP Skillsets: 

Core Functional Area(s)

• Conducts, Participates In, and Maintains Credentialing and Privileging 
• Complies with Accreditation Standards and Regulatory Standards 

Skillsets:

• Analytical Thinking
• Communication
• Database Management
• Information Technology
• Performance Improvement
• Project Management
• Quality Review/Quality
• Strategic Planning