WHO SHOULD ATTEND: Credentialing professionals, medical services professionals, medical staff leaders, department chiefs, credentials committee members, medical executive committee members, CEOs, VPMAs, CMOs, medical directors and QA/PI directors.
OVERVIEW: This program provides a practical, in-depth review of aspects of credentialing, recredentialing and privileging, including verifying primary sources; applying criteria for appointment; reviewing the application for completeness; identifying “red flags;” confirming roles in the review and approval process; managing meetings; credentialing telemedicine and allied health professionals; coordinating the peer-review process; and performing credentials file audits. Lecture will be reinforced with table-top exercises and other discussion-based sessions. There will be adequate time to discuss issues and answer questions.
This program is geared toward those new to these
processes, but can serve as a great refresher
for the experienced credentialing professional.
PROGRAM OBJECTIVES
Upon completion of this program, participants will be able to:
- Identify CMS regulations for credentialing and privileging;
- Discuss credentialing and privileging requirements of The Joint Commission;
- Identify and evaluate “red flags” in an application;
- Define appropriate mechanisms for primary source verification and approved secondary or equivalent sources;
- Recognize the roles of various persons involved in the review and approval process;
- Determine effective mechanisms for credentialing and privileging allied health and telemedicine providers;
- Discuss the medical services professional’s role in the peer-review and hearing processes; and
- Evaluate meeting minutes to determine appropriate documentation
AGENDA
Day 1 - Tuesday, March 3, 2020
8:00 a.m. Registration
8:30 a.m. Welcome, Introductions & Review Agenda for Day 1 and Day 2
8:45 a.m. CMS Standards & State Regulations for Credentialing
10:15 a.m. Break
10:30 a.m. Joint Commission Standards for Credentialing and Privileging
11:00 a.m. Exercise: Whose Standard Is It?
11:30 a.m. Roles and Responsibilities
12:00 p.m. Lunch
12:45 p.m. Primary Source Verification, Applying Criteria for Appointment
2:15 p.m. Break
2:30 p.m. Overview of “Red Flags”
3:30 p.m. Questions & Answers
Day 2 - Wednesday, March 4, 2020
8:30 a.m. Questions from Previous Day/Review Agenda for Day 2
8:45 a.m. Privileging (CMS Regulations/Joint Commission Standards/State Regulations)
10:15 a.m. Break
10:30 a.m. Credentialing/Privileging Telemedicine Providers & Allied Health Professionals
12:00 p.m. Lunch
12:45 p.m. Medical Staff Meeting Management, Peer Review & Due Process
2:00 p.m. Break
2:15 p.m. Credentials File Audits (Includes Exercise in Auditing a Credentials File)
3:30 p.m. Questions and Answers
MEET YOUR FACULTY
Kathy Matzka, CPMSM, CPCS, Kathy is a speaker, consultant and writer with more than 30 years of experience in credentialing, privileging and medical staff services. Kathy worked for 14 years as a hospital medical staff coordinator before venturing out on her own as a consultant, writer and speaker. She holds certification by the National Association Medical Staff Services (NAMSS) in both Medical Staff Management and Provider Credentialing. She is one of the first recipients of the NAMSS Fellow Designation. Kathy has performed extensive work with NAMSS’ Education Committee developing and editing educational materials related to the field including CPCS and CPMSM Certification Exam Preparatory Courses, and CPMSM and CPCS Professional Development Workshops. She also serves as instructor for NAMSS.
SEMINAR REGISTRATION
Log in online to register. VISA, Master Card, Discover or American Express are accepted. Email confirmations will be sent to all registrants who list an accurate email address.
CANCELLATION POLICY
Cancellations received in writing up to one week prior to a scheduled event will be charged a cancellation fee of $40 (per person, per event). Registrants who are unable to attend an LHA educational event are permitted to, and encouraged to send a substitute without incurring a cancellation fee. Please send written notice of any substitutions prior to the scheduled event. Cancellations received less than one week prior to the scheduled event, or individuals who fail to attend will result in a non-refundable registration fee.
TRANSFER POLICY
Transfer requests must be in writing and received one week prior to the event to receive a credit to use at a later date. A $40 transfer fee will be charged. The LHA will hold your credit for a period of one year following the start date of the program for which you were originally registered. Transfer requests received less than one week prior to event will result in a non-refundable registration fee.
AMERICANS WITH DISABILITIES ACT
The LHA will make every effort to provide reasonable accommodations for physically-challenged attendees who require special services. When registering, please attach a written description of needs to the application.
LHA #M2043003