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

Join NAMSS Past Presidents, Michelle Stultz, RN, CPMSM, CPCS, FMSP and Linda Waldorf, BS, CPMSM, CPCS, on Wednesday, November 12, 2025 at 12:00 pm ET for their presentation, "Leading A High Performing Team"

Date/Time:

• Wednesday, November 12, 2025 from 12:00 pm - 1:00 pm ET

Speaker(s): 

• Michelle Stultz, RN, CPMSM, CPCS, FMSP
• Linda Waldorf, BS, CPMSM, CPCS

Description: 

• This webinar is geared toward current and future, aspiring MSP leaders. The focus of the presentation will be on hiring, orienting, and retaining a strong team. Topics covered will include performance metrics, building effective relationships, strategic goals and plans, and more.

  Learning Objectives: 

• Participants will learn about hiring the right people.
• Participants will gain tips for orienting new employees.
• Participants will learn about inspiring high performance.
• Participants will gain key knowledge for setting performance metrics.
• Participants will increase their tools for maintaining ongoing effective relationships.

CEs:

• This webinar has been approved for 1.0 CE credit.

Cost:

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

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

Core Functional Area(s)

• Manages Departmental Operations
• Facilitates Medical Staff Functions

Skillsets:

• Analytical Thinking
• Change Management
• Communication
• Confidentiality
• Flexibility/Adaptability
• Performance Improvement
• Professional Ethics
• Professional Presence
• Project Management
• Relationship Building
• Remote People Management
• Strategic Planning
• Team Building

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

Watch the recording of "Stronger Together: Bridging OR Staff, Peer Review, and Medical Staff Office for Quality, Safety, and Compliance in Surgical Care" by Nyleen I. Flores, FMSP, CPMSM, CPCS, CPCO, CASC. Then, complete the quiz and earn 80% or higher to receive CE credit. 

Title: 

• Stronger Together: Bridging OR Staff, Peer Review, and Medical Staff Office for Quality, Safety, and Compliance in Surgical Care

Speaker(s): 

• Nyleen I. Flores, FMSP, CPMSM, CPCS, CPCO, CASC

Description: 

• Collaboration between the operating room (OR) staff, peer review team, and medical staff office is essential to ensuring high-quality, safe patient care while maintaining compliance with regulatory standards. This session will delve into the interconnected roles of these teams and how their seamless coordination impacts patient outcomes and operational success. Attendees will explore strategies for fostering effective communication, aligning workflows, and addressing challenges such as privileging, quality monitoring, and peer review processes. Through real-world examples and actionable insights, participants will learn how to create a culture of collaboration that prioritizes patient safety, meets regulatory requirements, and supports excellence in surgical care.

Learning objectives: 

• Understand the Roles and Responsibilities of Key Teams
• Identify Strategies to Foster Effective Collaboration 
• Apply Best Practices to Ensure Compliance and Improve Patient Outcomes

This course covers the following Tomorrow's MSP® Skillsets: 

• Analytical Thinking
• Relationship Building
• Risk Management
• Clinical Competence
• Quality Review/Quality

CE Credits: 

• This conference recording is eligible for 1.0 CE 

Watch the recording of "Oops or Out of Line? Practical Approaches to a Spectrum of Professionalism Challenges" by Alexis L. Angell, J.D. and Elizabeth (Beth) J. Korinek, M.P.H. Then, complete the quiz and earn 80% or higher to receive CE credit. 

Title: 

• Oops or Out of Line? Practical Approaches to a Spectrum of Professionalism Challenges

Speaker(s): 

• Alexis L. Angell, J.D.
• Elizabeth (Beth) J. Korinek, M.P.H.

Description: 

• Unprofessional conduct by clinicians isn’t always headline-worthy, but it remains a serious concern in today’s high-pressure healthcare environment. Professionalism lapses range from minor missteps to egregious offenses, including breaches of patient confidentiality on social media, inappropriate comments, falsified documentation, and improper relationships with patients or colleagues. Regardless of severity, these behaviors should not be ignored. This session will explore the wide spectrum of ethical and professionalism violations encountered by medical staff leaders and the challenges of addressing them. Presenters will discuss how bylaws and policies can be used to establish a fair, consistent approach to reporting, investigating, and managing misconduct. Attendees will gain practical strategies for structuring meaningful interventions that not only address the behavior but also equip clinicians with the tools to prevent future missteps. Through case discussions and expert guidance, participants will leave better prepared to foster a culture of professionalism and accountability in their organizations.

Learning objectives: 

• Upon completion, the participant will be able to describe current expectations regarding professionalism and the medical staff.
• Upon completion, the participant will be able to identify how to best use bylaws and policies to support effective intervention of professional lapses.
• Upon completion, the participant will be able to outline the range of options available to address professionalism lapses when they occur.

This course covers the following Tomorrow's MSP® Skillsets: 

• Relationship Building
• Legal
• Performance Improvement
• Medical Staff Professionalism
• Quality Review/Quality

CE Credits: 

• This conference recording is eligible for 1.0 CE 

Watch the recording of "I Can See Clearly Now - Fair Hearings Demystified" by Jeremy R. Morris, J.D. and Sharon Peters, J.D. Then, complete the quiz and earn 80% or higher to receive CE credit. 

Title: 

• I Can See Clearly Now - Fair Hearings Demystified

Speaker(s): 

• Jeremy R. Morris, J.D.
• Sharon Peters, J.D.

Description: 

• The fair hearing process is often viewed as a scary, cumbersome, avoid-at-all cost experience. Yet it is a vital part of the peer review system to ensure both quality assurance and due process for those involved. This presentation will break down the fair hearing process into easy-to-understand stages. The presenters will engage the audience with song titles and music clips, then address in depth the compliance, risk management, quality improvement, and legal issues raised.
  Each stage will be presented using an entertaining song title. For example, we will begin with “Into the Mystic”, which will address some common misconceptions or assumptions about the fair hearing process. “Should I Stay or Should I Go Now” will address issues related to resignation at any point during the process.

Learning objectives: 

• Upon completion, participants will be able to utilize effective strategies throughout the peer review process to help ensure a successful fair hearing.
• Upon completion, participants will be able to develop a proper preparation check list for an upcoming fair hearing.
• Upon completion, participants will be able to identify appropriate processes to utilize in the aftermath of a fair hearing to complete the process.

This course covers the following Tomorrow's MSP® Skillsets: 

• Legal
• Risk Management
• Clinical Competence
• Performance Improvement
• Quality Review/Quality

CE Credits: 

• This conference recording is eligible for 1.0 CE 

Watch the recording of "Turf Battles, Improving collaboration between MSOs, CVOs, Provider Enrollment and More" by Tammy West, MHA/ED, CPMSM, CPCS; and Julie Harrelson-Vunovich, CPMSM, CPCS. Then, complete the quiz and earn 80% or higher to receive CE credit. 

Title: 

• Turf Battles, Improving collaboration between MSOs, CVOs, Provider Enrollment and More

Speaker(s): 

• Tammy West, MHA/ED, CPMSM, CPCS
• Julie Harrelson-Vunovich, CPMSM, CPCS

Description: 

• In today's rapidly evolving healthcare landscape, fostering collaboration among Medical Staff Services, Central Verification Offices (CVOs), and Provider Enrollment is essential for delivering efficient provider credentialing and privileging. This session seeks to highlight the critical role that improved interdepartmental partnerships play in not only streamlining provider onboarding times but also enhancing overall provider satisfaction.
  Effective collaboration among these entities can significantly reduce the time it takes for providers to begin seeing patients and billing for their services, ultimately benefiting the entire healthcare organization. By breaking down silos and encouraging open lines of communication, healthcare organizations can create a more cohesive workflow that aligns all parties involved in the credentialing and privileging processes. This presentation is designed to offer attendees a multifaceted understanding of the dynamics at play within Medical Staff Services, CVOs, and Provider Enrollment. Participants will gain insights from experienced professionals who will share their perspectives on the common challenges and barriers to collaboration that often hinder operational efficiency. By fostering dialogue around these challenges, attendees will be equipped to identify areas for improvement and implement strategies that enhance teamwork. Actionable strategies discussed in this session will include best practices for communication and information sharing, the implementation of standardized workflows and protocols, and the importance of leveraging technology to streamline processes. Attendees will also explore case studies demonstrating successful collaborations and the tangible benefits realized by organizations that have made concerted efforts to improve interactions between these critical departments. By the end of the presentation, participants will leave with a renewed sense of purpose and practical tools to foster collaboration among Medical Staff Services, CVOs, and Provider Enrollment. This session aims to empower learners to take proactive steps toward establishing more efficient, synergistic processes that not only enhance the provider experience but also positively impact patient care outcomes.

Learning objectives: 

• Identify key roles and responsibilities of Medical Staff Services, CVOs, and Provider Enrollment to enhance understanding of collaboration in credentialing and privileging processes.
• Recognize common barriers to effective collaboration and develop actionable strategies to improve communication and workflows among departments for streamlined provider onboarding. 
• Apply best practices from case studies to foster interdepartmental teamwork, driving greater efficiency and satisfaction in the provider credentialing and privileging processes.

This course covers the following Tomorrow's MSP® Skillsets: 

• Analytical Thinking
• Information Technology
• Relationship Building
• Budget/Finance
• Legal
• Risk Management
• Change Management
• Managed Care
• Team Building
• Clinical Competence
• Performance Improvement
• Database Management
• Communication
• Political Savvy
• Medical Staff Professionalism
• Confidentiality
• Presentation Skills
• Medical Staff Wellness
• Contracting
• Professional Ethics
• Continuing Medical Education
• Evaluation
• Professional Presence
• Medical Staff Bylaws & Policies/Procedures
• Flexibility/Adaptability
• Project Management
• Remote People Management
• Human Resources
• Quality Review/Quality

CE Credits: 

• This conference recording is eligible for 1.0 CE