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: Roxanne Chamberlain, MBA, FACHE, FMSP, CPMSM, CPCS, CPHQ 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

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 November 12, 2024 (2:00 - 4:00 pm ET)
  
• Session 2: Thursday November 14, 2024 (2:00 - 4:00 pm ET)
• Session 3: Tuesday November 19, 2024 (2:00 - 4:00 pm ET)
• Session 4: Thursday November 21, 2024 (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.

2024 Registration Rates: Hover over the "Register" button in the top right corner to see the pricing

Join Tracey Terrell, PESC, CPC, COBGC on Tuesday, November 12, 2024 at 1:00 pm ET for the presentation, "Provider Enrollment: Biggest Mistakes, Lessons Learned and Tips & Tricks."

Date/Time:

• Tuesday, November 12, 2024. 1:00 - 2:00 pm ET

Speakers: 

• Tracey Terrell, PESC, CPC, COBGC

Description: 

• This session will cover some common misconceptions of the Provider Enrollment process, and the lessons we learn from common mistakes. We will cover the different responsibilities that accompany enrolling our providers in commercial or government plans, as well as through an Independent Practice Association (IPA). We'll discuss ways to advocate for ourselves when our providers don't really understand what we do for them, and how to evaluate and manage workflows to ensure the department overhead stays manageable.

  Learning Objectives: 

• To understand and be able to explain differences between Credentialing and Provider Enrollment.
• To explore multiple Provider Enrollment processes.
• To review and use time management and workflow evaluation tools and processes.
• To gain the confidence to advocate for ourselves with providers and leadership, and effectively communicate our knowledge base to ensure we always have a seat at the table. 

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 Provider Enrollment Process
• Manages the Credentialing or Privileging Process
• Conducts, Participates In, and Maintains Credentialing and Privileging
• Complies with Accreditation Standards and Regulatory Standards 
• Manages Compliance with State and Federal Accreditation Standards and
  Regulatory Requirements
• Manages Departmental Operations

Skillsets:

• Analytical Thinking
• Clinical Competence Evaluation
• Communication
• Database Management
• Flexibility/Adaptability
• Professional Presence
• Project Management 

Join Katie Templeton, JD on Tuesday, October 8, 2024 at 1:00 pm ET for the presentation, "Navigating the Physician Workforce and Related Legislation."

Date/Time:

• Tuesday, October 8, 2024. 1:00 - 2:00 pm ET

Speakers: 

• Katie Templeton, JD

Description: 

• To address physician workforce shortages, several states have introduced legislation for alternative models of licensure for physicians who have not completed postgraduate training in the United States. This session will include insights into the legislative efforts to address the physician workforce shortage, similarities and differences across the legislation.

  Learning Objectives: 

•  To understand the changing landscape in physician licensure, the impact it will have on the workforce shortage and access to care.

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)

• Complies with Accreditation Standards and Regulatory Standards 
• Manages Compliance with State and Federal Accreditation Standards and
  Regulatory Requirements

Skillsets:

• Legal and Regulatory

Join Cheri Lipps-Brindle and Heather Wright on Tuesday, September 10, 2024 at 3:00 pm ET for their presentation, "Managing Payor Enrollment, Roster Submissions and Audit."

Date/Time:

• Tuesday, September 10, 2024. 3:00 - 4:00 pm ET

Speakers: 

• Cheri Lipps-Brindle
• Heather Wright

Description: 

• Payer enrollment is a complex process that requires attention to data detail, multiple processes, and sometimes several sub-teams. Our comprehensive software streamlines both the credentialing and payor enrollment process to manage this information between the sub-teams. Credentialing handles the PSV and data entry for each file, and Payer Enrollments utilizes this data to begin submission to the various payors. To aid in streamlining the payor enrollment process, we are delegated with multiple health plans, and utilize an ACT Form (add, changes, terms) that is sent out twice monthly to our payers. 

  Learning Objectives: 

• Understanding the process-Familiarize yourself with the enrollment guidelines for each type of payer. 
• Utilizing software to streamline processes
• File Audits/Payer Audit
• Beginning to end processes from my team to get to an ACT Form and/or government submissions 

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 Provider Enrollment Process
• Analyzes and Manages Data Verification 
• Conducts, Participates In, and Maintains Credentialing and Privileging 
• Complies with Accreditation Standards and Regulatory Standards 
• Conducts, Participates In, and Maintains Primary Source Verification 

Skillsets:

• Database Management
• Managed Care

This product features a recording of the Accreditation Series webinar, "Navigating Accreditation: Insights and Strategies from AAAHC".

Join us for a webinar featuring where ACHC, a leading accrediting body, shares essential strategies and insights tailored specifically for Acute Care Hospitals, Critical Access Hospitals, and Group Practices/Physician Organizations. In this comprehensive session, our experts will delve into best practices, hot areas uncovered during audits, and invaluable tips for ensuring successful surveys. Whether you're gearing up for an audit or seeking to enhance your organization's compliance efforts, this webinar is a must-attend.

Speakers: 

• Madelyn Jo May
• Ginny Tutterow, CPCS

Description: 

• ACHC will provide invaluable guidance on navigating audits in the acute care and physician practice settings. From understanding critical compliance standards to optimizing your organization's audit readiness, our ACHC representatives will equip you with the knowledge needed to excel in your accreditation journey. In addition to insights from ACHC, the webinar features a medical staff and credentialing services professional's (MSP) firsthand experience in managing successful surveys. Benefit from their expertise as they share practical strategies and real-world examples for achieving compliance and streamlining the audit process. Don't miss this opportunity to gain invaluable insights from industry experts and elevate your organization's compliance efforts. Register now to secure your spot and take the next step toward audit excellence in acute care and physician practice settings.

  Learning Objectives: 

1. Learn essential strategies for preparing your organization for an audit, including documentation, staff training, and readiness assessments.
2. Recognize common areas where organizations face challenges during audits and gain insights into mitigating risks and ensuring compliance.
3. Identify practical tips and tactics for maximizing the efficiency and effectiveness of your audit process, from initial planning to post-audit follow-up.

CEs:

• This webinar has been approved for 1.0 CE credit.

Cost:

• NAMSS members: $75
• Non-NAMSS members: $125

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

Core Functional Area(s):

• Analyzes and Manages Data Verification
• Manages the Credentialing or Privileging Process 
• Manages Compliance with State and Federal Accreditation Standards and Regulatory Requirements 
• Conducts, Participates In, and Maintains Primary Source Verification
• Complies with Accreditation Standards and Regulatory Standards
• Manages Departmental Operations

Skillsets:

• Analytical Thinking
• Legal
• Medical Staff Bylaws & Policies and Procedures

This product features a recording of the Accreditation Series webinar, "Navigating Accreditation: Insights and Strategies from AAAHC".

Join us for a webinar featuring AAAHC, a leading accrediting body dedicated to advancing high-quality patient care. Discover best practices, key focus areas, and essential tips for achieving accreditation success in your healthcare organization. Whether you're gearing up for an upcoming audit or seeking to enhance your compliance efforts, this webinar is your guide to excellence.

Speakers: 

• Tess Poland, SVP Chief Clinical Officer AAAHC
• Nyleen Flores, CPMSM, CPCS, CPCO, CASC

Description: 

• AAAHC experts will share invaluable insights into the accreditation process, drawing from their extensive experience in setting rigorous standards and promoting best practices in ambulatory healthcare. From understanding critical performance metrics to implementing effective strategies for compliance, our experts will provide you with the knowledge and tools needed to excel in your accreditation journey. In addition to insights from AAAHC, the webinar also features a presentation from a medical staff and credentialing services professional (MSP) with firsthand experience in managing successful surveys. Benefit from their expertise as they share practical strategies and real-world examples for achieving compliance and optimizing the survey process. Don't miss this opportunity to gain invaluable insights from industry leaders and elevate your organization's accreditation efforts. Register now to secure your spot and take the next step toward accreditation excellence with AAAHC.

Learning Objectives: 

1. Learn essential strategies for preparing your organization for an audit, including documentation, staff training, and readiness assessments.
2. Recognize common areas where organizations face challenges during audits and gain insights into mitigating risks and ensuring compliance.
3. Identify practical tips and tactics for maximizing the efficiency and effectiveness of your audit process, from initial planning to post-audit follow-up.

CEs:

• This webinar recording has been approved for 1.0 CE credit.

Cost:

• NAMSS members: $75
• Non-NAMSS members: $125

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 Compliance with State and Federal Accreditation Standards and Regulatory Requirements 
• Conducts, Participates In, and Maintains Primary Source Verification
• Complies with Accreditation Standards and Regulatory Standards
• Manages Departmental Operations
• Analyzes and Manages Data Verification

Skillsets:

• Analytical Thinking
• Legal
• Medical Staff Bylaws & Policies and Procedures

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.

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.

This product is current with the Spring 2023 NAMSS CPCS® Exam Content Outline.

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 Wellbeing First for Healthcare – Destigmatizing Mental Health Through Credentialing Form Changes by Corey Feist, JD, MBA, Steven Reames, Drs. Nicki Chopski, Katherine Schneider, and Edward McEachern, MD. Then, complete the quiz and earn 80% or higher to receive CE credit.

Originally presented 5/23/2024

Speakers: 

• Corey Feist, JD, MBA
• Steven Reames
• Dr. Nicki Chopski
• Dr. Katherine Schneider
• Dr. Edward McEachern, MD

Description: 

• Over 50% of doctors report burnout. The pandemic, workplace violence, provider shortages, and administrative burdens are compounding factors. When clinicians are afraid to seek the care they need, they may be unable to work due to depression, or burnout. Some abuse substances; some leave medicine. Join us for a discussion of these issues, the current legal barriers and impact on health care, and the solutions healthcare institutions and many of us may take to help tackle this crisis.

  Learning Objectives: 

• Awareness of issues contributing to the burnout of the healthcare workforce
• The role questions about mental health play in prolonging stigma around mental health access among physicians and healthcare providers.
• Specific actions that boards, credentialing organizations, and physician employers can take to remove barriers to mental health access.
• Solutions to address burnout and support the professional well-being of healthcare providers.

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)

• Manages the Credentialing or Privileging Process

Skillsets:

• Communication
• Medical Staff Bylaws & Policies and Procedures
• Medical Staff Wellness

This product features a recording of the Accreditation Series webinar, "Excelling in Accreditation: Insights and Strategies from URAC".

Join us for an engaging discussion with URAC on best practices during audits, key focus areas, and essential tips for ensuring successful surveys. Whether you're preparing for an accreditation review or seeking to enhance your organization's compliance efforts, this webinar is your pathway to excellence.

Speakers: 

• Monica Dantzler-Thomas, MSN, MHA, RN, CCM, LNC
• Holly Virden, CPMSM

Description: 

• URAC experts will provide invaluable insights into navigating the accreditation process, drawing from their extensive experience in setting industry standards and promoting best practices. From understanding critical performance measures to implementing effective strategies for compliance, our experts will equip you with the knowledge and tools needed to excel in your accreditation journey. In addition to insights from URAC, the webinar features a presentation from a medical staff and credentialing services professional (MSP) with firsthand experience in managing successful surveys. Learn from their expertise as they share practical strategies and real-world examples for achieving compliance and optimizing the survey process. Don't miss this opportunity to gain invaluable insights from industry leaders and elevate your organization's accreditation efforts. Register now to secure your spot and take the next step toward accreditation excellence with URAC.

Learning Objectives: 

1. Learn essential strategies for preparing your organization for an audit, including documentation, staff training, and readiness assessments.
2. Recognize common areas where organizations face challenges during audits and gain insights into mitigating risks and ensuring compliance.
3. Identify practical tips and tactics for maximizing the efficiency and effectiveness of your audit process, from initial planning to post-audit follow-up.

CEs:

• This webinar has been approved for 1.0 CE credit.

Cost:

• NAMSS members: $75
• Non-NAMSS members: $125

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

Core Functional Area(s):

• Analyzes and Manages Data Verification
• Manages the Credentialing or Privileging Process 
• Manages Compliance with State and Federal Accreditation Standards and Regulatory Requirements 
• Conducts, Participates In, and Maintains Primary Source Verification
• Complies with Accreditation Standards and Regulatory Standards
• Manages Departmental Operations

Skillsets:

• Analytical Thinking
• Legal
• Medical Staff Bylaws & Policies and Procedures