This course is designed to provide a comprehensive understanding of provider enrollment within the healthcare landscape. Participants will gain the knowledge and skills necessary to navigate the complex regulatory and accreditation requirements that govern provider enrollment. The course emphasizes maintaining compliance, conducting enrollments and ongoing monitoring, and supporting effective departmental operations. Participants will engage in case-based discussions, real-world scenarios, and practical applications designed to support both new and experienced professionals working in medical staff services, provider credentialing, and healthcare operations. The curriculum aligns with industry standards and supports compliance with accrediting bodies and regulatory agencies.

Instructors: Charlene Frail-Mcgeever, CPCS, MBA, and Tiffany Long, BA, CPMSM, CPCS, FMSP

Course Learning Objectives:

By the end of this course, participants will be able to:

1. Describe the end-to-end provider enrollment process and identify key regulatory and payer requirements.
2. Apply federal and accreditation standards to maintain compliant enrollment practices.
3. Develop and implement ongoing monitoring strategies to ensure provider compliance and mitigate risk.
4. Support efficient departmental operations through communication, data management, and collaboration with key stakeholders.
5. Identify common challenges and apply best practices for resolving enrollment-related issues.

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

Live Session Dates:

• Session 1: Tuesday, December 2, 2025 (2:00 - 4:00 pm ET)
  
• Session 2: Thursday, December 4, 2025 (2:00 - 4:00 pm ET)
• Session 3: Tuesday, December 9, 2025 (2:00 - 4:00 pm ET)
• Session 4: Thursday, December 11, 2025 (2:00 - 4:00 pm ET)

*Live sessions will be recorded and available for viewing, but make-up sessions will not be offered. Registration will be first-come, first-served. 

CE Credit Information: This course is eligible for 10 CEUs.

2025 Registration Rates: Hover over the "Register" button in the top right corner to see the pricing

This two-and-a-half week, live interactive course will present the foundational elements of credentialing in an acute care (hospital) setting with a primary focus on the CMS regulatory standards and The Joint Commission accreditation standards, as well as how and when to apply them. This course is a must-attend for anyone new to the field and is an excellent refresher for current MSPs who want to enhance their knowledge of credentialing.  Participants will work through a series of online modules supplemented with five live sessions facilitated by experienced NAMSS instructors.

Instructors: Evelyn Starr-High, CPCS, CPMSM and Veta R. Gayle, MBA, CPCS

This course 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

Skillsets:

• Clinical Competence Evaluation
• Confidentiality
• Flexibility/Adaptability
• Legal
• Medical Staff Bylaws & Policies and Procedures
• Risk Management

This course includes access to the NAMSS Comparison Grid of Accreditation Standards Grid Product, which is a downloadable digital reference tool providing “plain-language” interpretations of the credentialing standards for The Joint Commission (TJV), the National Committee for Quality Assurance (NCQA), the Accreditation Commission for Health Care (ACHC), Det Norske Veritas (DNV), Utilization Review Accreditation Commission  (URAC), the Accreditation Association for Ambulatory Health Care  (AAAHC), American Association for Accreditation of Ambulatory Surgery Facilities (Quad A), the Health Resources and Services Administration (HRSA), the Center for Improvement in Healthcare Quality (CIHQ), as well as the Medicare Conditions of Participation.  

This product includes two versions of the grid: 

• The 2024 NAMSS Comparison of Accreditation Standards Grid**
  • Current with the Fall 2025 through Summer 2025 Exam Content Outlines for CPCS®, CPES, and CPMSM®. 
  • Last updated: August 2024.
• The 2025 NAMSS Comparison of Accreditation Standards Grid**
  • Current to standards released as of July 1, 2025. This grid will not be reflected on certification examinations until Fall of 2026 for CPCS®, CPES, and CPMSM®. 
  • Last Updated: September 2025.

**IMPORTANT: Individuals preparing to take the CPCS®, CPES, and/or CPMSM® exam(s) should review the candidate handbook for standards referenced in their appropriate examination window.

Live Session Dates:

• Session 1: Online modules only (No live session)
• Session 2: Wednesday, December 3, 2025 (2pm-4pm ET) 
• Session 3: Monday, December 8, 2025 (2pm-4pm ET) 
• Session 4: Wednesday, December 10, 2025 (2pm-4pm ET) 
• Session 5: Monday, December 15, 2025 (2pm-4pm ET) 
• Session 6: Wednesday, December 17, 2025 (2pm-4pm ET)

*Live sessions will be recorded and available for viewing, but make-up sessions will not be offered. Registration will be first-come, first-served. 

CE Credit Information: This course is eligible for 16 CE credits

2025 Registration Rates: Hover over the "Register" button in the top right corner to see the pricing

The NAMSS Credentialing Specialist Certification Preparation Workshop is a live virtual two-week interactive course designed to help you assess your knowledge of the CPCS® exam content and identify areas in which additional study is necessary before you take the exam. This comprehensive workshop provides a high-level overview of the exam topics including credentialing and privileging; primary source verification; compliance with standards; and medical staff services operations reviewed from the perspective of a variety of health care settings including hospitals, managed care organizations, ambulatory care settings and CVOs.  Participants will work through a series of online modules supplemented with four live sessions facilitated by experienced NAMSS speakers. A key focus of the course is your development of a personalized study plan for post-workshop study and preparation to take the examination. The course includes comprehensive supplementary resources to help you prepare for the exam.

Instructors: Evelyn Starr-High, CPCS, CPMSM and Maritza Hodavance, MSJ, CPCS, CPMSM

This course covers the following Tomorrow's MSP® Core Functional Area(s) and 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
• Clinical Competence Evaluation
• Confidentiality
• Database Management
• Flexibility/Adaptability
• Information Technology
• Legal
• Managed Care
• Medical Staff Bylaws & Policies and Procedures
• Professional Ethics
• Risk Management

This course includes access to the NAMSS Comparison Grid of Accreditation Standards Grid Product, which is a downloadable digital reference tool providing “plain-language” interpretations of the credentialing standards for The Joint Commission (TJV), the National Committee for Quality Assurance (NCQA), the Accreditation Commission for Health Care (ACHC), Det Norske Veritas (DNV), Utilization Review Accreditation Commission  (URAC), the Accreditation Association for Ambulatory Health Care  (AAAHC), American Association for Accreditation of Ambulatory Surgery Facilities (Quad A), the Health Resources and Services Administration (HRSA), the Center for Improvement in Healthcare Quality (CIHQ), as well as the Medicare Conditions of Participation.  

This product includes two versions of the grid: 

• The 2024 NAMSS Comparison of Accreditation Standards Grid**
  • Current with the Fall 2025 through Summer 2025 Exam Content Outlines for CPCS®, CPES, and CPMSM®. 
  • Last updated: August 2024.
• The 2025 NAMSS Comparison of Accreditation Standards Grid**
  • Current to standards released as of July 1, 2025. This grid will not be reflected on certification examinations until Fall of 2026 for CPCS®, CPES, and CPMSM®. 
  • Last Updated: September 2025.

**IMPORTANT: Individuals preparing to take the CPCS®, CPES, and/or CPMSM® exam(s) should review the candidate handbook for standards referenced in their appropriate examination window.

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

Live Session Dates:

• Session 1: Monday, November 10, 2025 (2:00 - 4:00 pm ET)
  
• Session 2: Wednesday, November 12, 2025 (2:00 - 4:00 pm ET)
• Session 3: Monday, November 17, 2025 (2:00 - 4:00 pm ET)
• Session 4: Wednesday, November 19, 2025 (2:00 - 4:00 pm ET)

*Live sessions will be recorded and available for viewing, but make-up sessions will not be offered. Registration will be first-come, first-served. 

CE Credit Information: This course is eligible for 14 CEUs.

2025 Registration Rates: Hover over the "Register" button in the top right corner to see the pricing

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

Join Dawn Anderson, PESC, CPCS, CPMSM, Allison Blodgett, MSA, CPMSM, and Mallorie Merboth, MHA, CPCS, CPMSM, CPHQ, in a webinar sponsored by QGenda on Wednesday, October 29, 2025 at 1:00pm ET for their presentation, "Leading Change with Confidence: Guiding Teams Through Technology and Process Transformation"

Date/Time:

• Wednesday, October 29, 2025 from 1:00 pm - 2:00 pm ET

Speaker(s): 

• Dawn Anderson, PESC, CPCS, CPMSM
• Allison Blodgett, MSA, CPMSM
• Mallorie Merboth, MHA, CPCS, CPMSM, CPHQ

Description: 

• Join QGenda for a sponsored webinar:
• As credentialing, privileging, and payer enrollment teams face increasing demands, the tools and processes they rely on must evolve. However, adopting new technology and processes can spark fears around implementation workload, team engagement, and disruption to ongoing responsibilities. Effective change management is key — not only for leadership to set their teams up for success but also to empower credentialing specialists and medical staff professionals to advocate for modernization within their organizations.
• Join us for this dynamic webinar as we explore how leaders can create an environment that fosters confidence and innovation and equips their teams for success during times of change. We’ll also address how credentialing specialists can effectively communicate the need for updated tools and processes to their leadership, ensuring modernization is seen as a shared goal.

  Learning Objectives: 

• In this session you will learn how leaders can build a culture of trust, collaboration, and support to ensure smooth transitions when adopting new tools or processes
• In this session you will learn strategies to empower team members to confidently advocate for new technology and processes that will make them more efficient in the long-term
• In this session you will learn real-world examples of how modernization impacts efficiency, accuracy, and team satisfaction across credentialing, privileging, and payer enrollment functions
• In this session you will learn practical change management techniques and methodologies to overcome resistance and inspire organizational buy-in at all level

CEs:

• This webinar has been approved for 1.0 CE credit.

Cost:

• NAMSS members: Free
• Non-NAMSS members: Free

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

Core Functional Area(s)

• Manages the Credentialing or Privileging Process
• Manages Departmental Operations
• Facilitates Medical Staff Functions

Skillsets:

• Change Management
• Medical Staff Bylaws & Policies and Procedures
• Medical Staff Wellness

The NAMSS Certified Provider Enrollment Specialist (CPES) Study Guide is a printable reference guide designed to help MSPs prepare for the CPES exam. This comprehensive resource covers exam topics, including Enrollment, ongoing monitoring and compliance and supporting departmental operations. MSPs are able to access the full spectrum of information they will need to know for the CPES exam in one organized guide.  Provider Enrollment MSPs are able to access the full spectrum of information they will need to know for the CPES exam in one organized guide. *This resource is published as an online document. It will be available and printable from the NAMSS Online Education Center. This product will not be shipped to you.

Who Should Purchase:

• MSPs planning to take the Certified Provider Enrollment Specialist (CPES) Certification Exam. NAMSS members and non-members are welcome to purchase the guide.

Contents:

• Initial Enrollment
• Revalidation
• CMS Information Maintenance
• Commercial Payor Enrollment
• Verifying Credentials
• Checking for Quality and Safety Issues
• CAQH Provider Data Portal
• Database Management and Stakeholder Communication
• Participating in Audits
• Roster Management
• Developing your Study Strategy

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.

This product includes access to the NAMSS Comparison of Accreditation Standards Grid product.

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 Grid Product, which is a downloadable digital reference tool providing “plain-language” interpretations of the credentialing standards for The Joint Commission (TJV), the National Committee for Quality Assurance (NCQA), the Accreditation Commission for Health Care (ACHC), Det Norske Veritas (DNV), Utilization Review Accreditation Commission  (URAC), the Accreditation Association for Ambulatory Health Care  (AAAHC), American Association for Accreditation of Ambulatory Surgery Facilities (Quad A), the Health Resources and Services Administration (HRSA), the Center for Improvement in Healthcare Quality (CIHQ), as well as the Medicare Conditions of Participation.  

This product includes two versions of the grid: 

• The 2024 NAMSS Comparison of Accreditation Standards Grid**
  • Current with the Fall 2025 through Summer 2025 Exam Content Outlines for CPCS®, CPES, and CPMSM®. 
  • Last updated: August 2024.
• The 2025 NAMSS Comparison of Accreditation Standards Grid**
  • Current to standards released as of July 1, 2025. This grid will not be reflected on certification examinations until Fall of 2026 for CPCS®, CPES, and CPMSM®. 
  • Last Updated: September 2025.

**IMPORTANT: Individuals preparing to take the CPCS®, CPES, and/or CPMSM® exam(s) should review the candidate handbook for standards referenced in their appropriate examination window.

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.

This downloadable digital reference tool provides “plain-language” interpretations of the credentialing standards for The Joint Commission (TJV), the National Committee for Quality Assurance (NCQA), the Accreditation Commission for Health Care (ACHC), Det Norske Veritas (DNV), Utilization Review Accreditation Commission  (URAC), the Accreditation Association for Ambulatory Health Care  (AAAHC), American Association for Accreditation of Ambulatory Surgery Facilities (Quad A), the Health Resources and Services Administration (HRSA), the Center for Improvement in Healthcare Quality (CIHQ), as well as the Medicare Conditions of Participation. 

This product includes two versions of the Comparison Grid: 

• The 2024 NAMSS Comparison of Accreditation Standards Grid**
  • Current with the Fall 2025 through Summer 2025 Exam Content Outlines for CPCS®, CPES, and CPMSM®. 
  • Last updated: August 2024.
• The 2025 NAMSS Comparison of Accreditation Standards Grid**
  • Current to standards released as of July 1, 2025. This grid will not be reflected on certification examinations until Fall of 2026 for CPCS®, CPES, and CPMSM®. 
  • Last Updated: September 2025.

This product also includes updates that will be made by NAMSS over the next 12 months.

**IMPORTANT: Individuals preparing to take the CPCS®, CPES, and/or CPMSM® exam(s) should review the candidate handbook for standards referenced in their appropriate examination window.

Cost:

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

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.