Thursday, March 30, 2017

Quick Tip

Familiarize yourself with the major health plan accreditors

The healthcare industry has long used credentialing processes, especially in the hospital setting, which must follow the requirements of the Centers for Medicare & Medicaid Services (CMS), The Joint Commission, and other organizations that accredit healthcare entities. In the health insurance environment, NCQA and URAC are the main accrediting bodies.

Accreditation or certification for managed care credentialing is designed to establish a minimum standard that health plans can use to identify individuals and facilities that are appropriately qualified to
participate in their networks and provide quality care to their members. The following is a high-level overview of the two accreditors recognized within the health insurance industry.

 

New Members-Only Content

Fetal intervention surgery - Procedure 230

Fetal intervention surgery refers to several techniques used to treat birth defects in the womb. These early interventions are performed to improve outcomes for fetuses with complex birth defects, including congenital diaphragmatic hernia, myelomeningocele (the most severe form of spina bifida), and twin-twin transfusion syndrome.

 

CRC Announcements

Get your daily dose of peer-to-peer insight

Did you know that Basic, Platinum, and Platinum Plus members of the Credentialing Resource Center (CRC) have all-inclusive access to the CRC Forums, a modern platform for swapping field-tested tips, tools, and lessons learned on a range of hot industry topics? This new and improved version of Medical Staff Talk—CRC’s legacy email list serv—features direct, members-only access through the CRC site; a sleek design that speeds navigation and encourages in-depth discussion; eight timely content categories that promote productive exchanges and targeted searches; and customizable options for learning about new posts.

Take our new poll!

Let us know whether your department performs tasks related to Medicare and Medicaid provider-supplier enrollment. You must be signed in with your free or paid CRC account to participate.

Have a hot medical staff or credentialing topic you’d like your peers to weigh in on? Send proposed questions to CRC Editor Delaney Rebernik at drebernik@hcpro.com, and you could see your idea showcased in a future poll.  

CRC Symposium: Sightseeing in Austin

If you’re joining us in Austin, Texas, for the 2017 CRC Symposium, why not extend your stay and check out everything the city has to offer?

 

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Product Spotlight

5 reasons to join us in Austin

The 2017 CRC Symposium, held April 6–7 in Austin, Texas, delivers two days of engaging education and training taught by the industry’s top credentialing and medical staff experts. Here are the top five reasons why you need to attend next week's event:

  1. Learn from experienced speakers in the industry on hot topics.
  2. Network and problem solve with physician leaders, medical staff committee members, chief medical officers, vice presidents of medical affairs, medical staff services directors, medical staff services managers, medical staff coordinators, medical staff professionals, credentialing professionals, quality directors, quality managers, and other passionate industry professionals.
     
  3. Earn a vast number of continuing education credits.
     
  4. Discover the newest credentialing and privileging solutions by visiting our exhibit hall.
     
  5. Experience a one-of-a-kind city. Find out why Austin, Texas, is the live music capital of the world, the destination for some of the best barbecue, and the self-proclaimed weirdest city in the country.  
 

Contact Us

Delaney Rebernik
Editor
Credentialing Resource Center
drebernik@hcpro.com

HCPro
35 Village Road, Suite 200
Middleton, MA 01949
800-650-6787
www.hcpro.com

For advertising and marketing opportunities with the Credentialing Resource Center, please email dhartley@hcpro.com.

 

 

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