Professional Development for Medical Services Management and Overview of Case Law*

Session Code: SA01
Note:This session is on both Saturday and Sunday
Time: 8 :00 p.m. – 5:00 p.m.
Total CE Credits: 16.0
Presented by Kathy Matzka, CPMSM, CPCS

This session will describe the evolution of the current healthcare system; identify the purpose and content of medical staff bylaws; report current NCQA and The Joint Commission accreditation and credentialing standards; define legal principles of credentialing; and describe key components of healthcare administration and management theories.

Professional Development for Credentialing Specialists and Overview of Case Law*

This session will review principles of credentialing and recredentialing; discuss current NCQA and Joint Commission and accreditation/recredentialing standards; and define legal principles of credentialing.

Credentialing 101

This session will describe basic credentialing processes for appointment, reappointment, and privileging; interpret CMS and The Joint Commission Standards regarding credentialing and privileging and apply these requirements to acute and ambulatory healthcare settings; describe the NCQA credentialing standards for organizations with delegated status; and identify “red flags”—basic information that requires additional research.

BONUS SESSION: Beyond the Traditional Medical Staff: Establishing Effective Hospital-Physician Relations

Medical staffs are reaching a tipping point as more physicians opt for employment, avoid the hospital completely and provide ambulatory care while referring to hospital-based colleagues and seek to balance clinical practice with family or other interests. This session will not only discuss the changes that are reshaping the staff and individual relations between physicians and the hospital, but also will provide a range of strategies that can be adapted by hospitals as they strive to fulfill their patient care missions and competitive positions.

Credentialing Specialist Certification Preparation Course

Session Code: SA05
Note: This session is on both Saturday and Sunday
Time: 8:00 a.m. – 4:00 p.m.

Are you planning to take the Certified Provider Credentialing Specialist (CPCS) Certification Exam, but are unsure of how to prepare? The NAMSS Credentialing Specialist Preparation Course is a tool to help you prepare for the certification exam by helping you review and prepare to do your best, and enable you to contribute your skills to the field.

The NAMSS Credentialing Specialist Certification Prep Course is designed to look at the application of basic knowledge to common challenges; it does not teach the basics. Similarily, the certification exam focuses on application of knowledge, not memorization. Taking the NAMSS Certifcation Prep Course does not guarantee success on the certification exam.