Managed Care Basics

Are you looking to enhance your managed care knowledge, skills and abilities? NAMSS’ Managed Care Basics online on-demand course is designed for MSPs of all skill levels, whether you are new to the profession working on provider enrollment or a more experienced manager who is now integrating managed care aspects into your credentialing department. This interactive course addresses health plan terminology, how to articulate the differences between enrollment and credentialing and dives into the standards that affect managed care. From discussing the accrediting bodies involved in managed care standards to outlining the differences in requirements between managed care and hospital-focused standards, this course will help you to move you and your organization forward.

What You Will Learn:

• The process to onboard a new practitioner
• How enrollment and credentialing impact the revenue cycle
• The benefits of delegated credentialing to the organization’s bottom line
• Identify accrediting bodies and important standards in managed care credentialing
• How to evaluate current processes to meet managed care standards

CEs:

• This course has been approved for 2 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:

Core Functional Area(s):

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

Skillsets:

• Confidentiality
• Contracting
• Database Management
• Managed Care