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, CPMSM, CPCS, FMSP, CPHQ and Martiza 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 7, 2023 (2:00 - 4:00 pm ET)
  
• Session 2: Thursday, November 9, 2023 (2:00 - 4:00 pm ET)
• Session 3: Tuesday, November 14, 2023 (2:00 - 4:00 pm ET) 
• Session 4: Tuesday, November 16, 2023 (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.

2023 Registration Rates: Hover over the "Register" button in the top right corner to see the pricing

Title: 

• Positivity and Empowerment

Speakers: 

• Karen Claxton, CPCS, CPMSM, FMSP
• Stephanie D. McCoy, CPCS, CPMSM

Moderator: 

• Tawna Miles-Knight, CPCS

Description: 

• Life is filled with ebbs and flows which impacts our ability to remain positive and feel empowered to be our best. Happiness is a choice, yet we struggle especially when facing hardships and challenges in our personal and professional life. Join Karen Claxton and Stephanie McCoy as they take you through their own personal journeys that forced them to dig deep to remain positive and be encouraged to be their best self despite the odds. Explore ways to stay positive such as changing your perspective, being mindful, discovering ways to bring joy to yourself and others, and pursuing your passion. Learn how to build your confidence to achieve your goals, and help others feel empowered to perform at their best.

  Learning Objectives: 

1. Participants will examine root causes of negativity and have the tools to reignite a positive attitude to improve performance.
2. Participants will identify unhealthy factors within their environment and focus on creating a supportive network that will lead to a professional presence (respect, confidence, optimism, and passion).
3. Participants will gain confidence to empower others to be their best self and set up their team for success.

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)

• Tomorrow's MSP

Skillsets:

• Relationship Building
• Change Management
• Team Building
• Performance Improvement
• Professional Presence

Provider Enrollment has become an essential competency for Medical Service Professionals and our research has demonstrated the core function this expertise plays in the profession to become Tomorrow’s MSPs.

For the fourth year in a row, NAMSS recognizes the importance of bringing quality Provider Enrollment education to our members!  This Bundle includes access to recordings of four interactive presentations focused on topics and skills MSPs need to tackle new provider enrollment opportunities. Purchase now to learn how to enhance your visibility, value and effectiveness as gatekeepers of patient safety alongside your fellow MSPs and a panel of experts in an interactive virtual setting!

CE Credits:

• This bundle is eligible for 4.0 CE Credits.

Registration Rate: 

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

SESSIONS INCLUDED: 

I. MASTERING PROVIDER ENROLLMENT 101

• Speakers: Lynn Deaver CPCS, CPMSM; Cheryl Cisneros RN, BSN, CPCS, CPMSM; and Teresa Pequeno CPCS
• Description: In this session, we will address the various career paths that are well-suited for individuals interested in provider enrollment, highlighting the skills and qualifications required for success in this field. We will also cover the different groups that enroll in provider networks, including hospitals, clinics, private practices, and other healthcare institutions. Additionally, we will touch upon the billing aspect of provider enrollment, discussing what services and procedures are typically billed for, and how accurate enrollment plays a crucial role in ensuring timely and accurate reimbursements. Lastly, we will provide valuable insights into the best time to initiate the billing process, taking into consideration factors such as payer requirements, submission timelines, and claim processing cycles. Understanding these optimal timing strategies can significantly impact revenue cycle management and boost financial performance.
• Live Session Date and Time: Thursday, July 13, 2023, 1:00-2:00 pm ET

II. ENHANCING HEALTHCARE EFFICIENCY: UNRAVELING THE LINK BETWEEN PROVIDER ENROLLMENT AND CREDENTIALING

• Speaker: Di Hall, CPCS, CPMSM, FMSP
• Description: Join us for an insightful webinar that delves into the crucial connection between provider enrollment and credentialing in the healthcare industry. This interactive session will explore how these two vital processes align and impact the overall efficiency of healthcare organizations. In this webinar, we will begin by discussing where provider enrollment falls within the scope of credentialing and highlighting the integral role it plays in ensuring the delivery of high-quality care.  Key topics will include the significance of NCQA and URAC standards in provider enrollment and credentialing, mapping the payer enrollment process and critical skills that can elevate the role of the provider enrollment professional. 
• Live Session Date and Time: Wednesday July 19th, 1:00 - 2:00 pm ET 

III. ELEVATING PROVIDER ENROLLMENT AND CREDENTIALING: NAVIGATING A CAREER TRANSITION AND OVERSEEING COMBINED FUNCTIONS

• Speakers: Cheri Lipps-Brindle, Senior Credentialing Coordinator, Office of Medical Affairs, Centura Health; Jessica Schwalm, CPCS; Heather Wright, Senior Credentialing Coordinator, Centura Health; Nyleen Flores BA, CPCS, CPMSM; and Julie Hatley, BS, CPMSM, CPCS, FMSP 
• Description: Join us for an engaging and informative webinar designed to equip professionals like you with the critical skills needed to excel in these roles and elevate the provider enrollment specialist's position within the healthcare industry. Our expert panel of industry professionals will share their knowledge, experiences, and practical tips to empower you in your career transition or combined department oversight. 
• Live Session Date and Time: Wednesday July 26, 2023, 1:00 - 2:00 pm ET

IV. STREAMLINING PROVIDER ENROLLMENT: MAXIMIZING EFFICIENCY WITH CAQH 

• Live Session Date and Time:  Tuesday, August 8th 1:00pm-2:00pm ET 
• Description: This webinar will provide a comprehensive overview of CAQH, highlighting its purpose, functionality, and benefits for healthcare providers, payers, and other stakeholders. During this webinar, we will clarify what CAQH is and what it is not. We will dispel any misconceptions and provide a clear understanding of CAQH's role as an industry facilitator, rather than a regulatory or accrediting body. Understanding these distinctions is vital for providers and organizations seeking to leverage CAQH resources effectively. The webinar will cover CAQH ProView, a robust online platform offered by CAQH. It will also delve into the benefits of CAQH for providers, shed light on the organizations and entities that utilize CAQH, and how CAQH maintains the accuracy and security of the information stored within its systems. 
• Speaker: Debra Draheim, BS, CPCS 

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.
The 2023 NAMSS Comparison of Accreditation Standards Grid was updated in July 2023.

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 Medical Services Management (CPMSM®) Online Certification Preparation Course is an online program designed to help you assess your knowledge of the CPMSM® exam content and identify areas in which additional study is necessary before you take the exam. The on-demand online course provides a high-level overview of the exam topics, including accreditation and regulatory compliance; management of the credentialing processes; privileging; medical staff services administration; risk management; information management; and medical staff services operations reviewed from the perspective of a variety of healthcare settings—from hospitals and managed care organizations to ambulatory care settings and CVOs. Please note: This online course is designed as entirely online module. While it does include additional resources that you can print out, the course material is not printable.

This course includes access to the NAMSS Comparison Grid of Standards.

What You Will Learn:

• The five medical environments and their organizational structures;
• The legal aspects of Standards of Care;
• NCQA, The Joint Commission, AAAHC, CMS, and URAC accreditation standards;
• Staffing, budgets, database administration, and the overall management of medical services functions;
• Credentialing an Ambulatory Care medical offices and surgical centers;
• Find out more in our Frequently Asked Questions! 

Who Should Purchase:

• All MSPs who plan to take the Medical Services Management (CPMSM®) Certification Exam. NAMSS members and non-members are welcome.

CEs:

• This online course has been approved for 5.0 CE credits.

Cost:

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

Note: The NAMSS Medical Services Management (CPMSM®) Online Certification Preparation Courses is a learning tool, and does not guarantee success on the certification examinations. The 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 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
• Budget/Finance
• Change Management
• Clinical Competence Evaluation
• Confidentiality
• Database Management
• Flexibility/Adaptability
• Information Technology
• Legal
• Managed Care
• Medical Staff Bylaws & Policies and Procedures
• Medical Staff Wellness 
• 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.

This electronic reference tool 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.

Updated July 2023.

Earn 2 CE credits by receiving an 80% or higher on both corresponding standards quizzes.

*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

This electronic reference tool 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.

Updated July 2023

*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

The NAMSS Credentialing Specialist Online Certification Preparation Course is an online program 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 on-demand, online course 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 interactive activities including scenario-based exercises and case studies. 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 also supplementary resources to help you prepare for the exam. Please note: This online course is designed as entirely online module. While it does include additional resources that you can print out, the course material is not printable.

This course includes the NAMSS Comparison Grid of Standards.

What You Will Learn:

• Regulations, credentialing standards, and policies required of all medical environments;
• The credentialing application, review, and approval process;
• Primary source verification by NCQA and other accrediting bodies;
• A range of physician licensing challenges and regulations on a case-by-case basis;
• The privileging application and approval process;
• Recredentialing and accreditation policies and documentation;
• Paper and electronic file keeping and data management; and
• Find out more in our Frequently Asked Questions! 

How You Will Benefit:

• Improve your understanding of each medical environment and its patients;
• Apply problem-solving tools and strategies to face legal, staff, and patient challenges;
• Recognize the latest standards and procedures in credentialing and accreditation;
• Enforce efficient recordkeeping practices to accommodate routine auditing; and
• Enhance your communication skills with patients, physicians, and accrediting bodies. 

Who Should Purchase:

MSPs planning to take the Certified Provider Credentialing Specialist (CPCS) Certification Exam. NAMSS members and non-members are welcome.

CEs:

This online course has been approved for 3.5 CE credits.

Cost:

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

This course covers the following Tomorrow's MSP® Core Functional Area(s) and 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

Note: The NAMSS Credentialing Specialist (CPCS®) Online Certification Preparation Course is a learning tool, and does not guarantee success on the certification exam. 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.

CPCS® is registered in the U.S. Patent and Trademark Office as a service mark of National Association Medical Staff Services

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 2023 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.

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.