Fundamentals of Credentialing

On-Demand eLearning Course

New to medical staff services? Fundamentals of Credentialing is an on-demand eLearning course designed to help medical staff professionals (MSPs) understand what is meant by credentialing, privileging, and peer review, and how these three elements work in alignment to protect patients.

Fundamentals of Credentialing walks you through the basic functions of medical staff services in three easy-to-digest eLearning classes. Instructor Kathy Matzka, CPMSM, CPCS, FMSP, uses her years of experience in the industry to break down the complex terms credentialing, privileging, and peer review into easy-to-understand concepts.

These courses are also ideal for new medical staff leaders who need a better understanding of credentialing, privileging, and peer review.

Fundamentals of Credentialing includes:

• Credentialing: What is it and why do it?
• Introduction to privileging
• Understanding peer review and performance monitoring
• Plus, each class ends with a final quiz to test your knowledge!

After participating in this course, learners will be able to:

• Understand the difference between credentialing and privileging
• Define what is meant by primary source verification
• Know your role in the credentialing process
• Understand the purpose and benefits of an effective peer review process
• Create methods for obtaining medical staff support in the peer review process
• Learn the accreditors requirements for practitioner performance monitoring
• Define and list who needs to be privileged at your organization
• Demonstrate the ability to create privileging criteria

Additional learning you might be interested in:

• Provider Enrollment Boot Camp 
• National Provider Enrollment

Fundamentals of Credentialing

Agenda

Credentialing: What Is It and Why Do It?
Kathy Matzka, CPMSM, CPCS, FMSP; 60 minutes
One of the highest risk procedures in any healthcare organization is not a medical procedure itself; it is credentialing. Credentialing protects patients from incompetent practitioners. Medical staff professionals and medical staff  leaders are charged with ensuring their organization has a solid credentialing process. Yet, they are often not given the training they need to undertake this important task. In this course, expert Kathy Matzka, CPMSM, CPCS, FMSP, provides an introductory look at what credentialing is, what steps a credentialing process should include, and what everyone’s role is in credentialing. Feel confident that your new medical staff professionals and medical staff leaders will fully understand what credentialing entails after taking this course.

Learning Objectives:

• Describe the key steps in the credentialing process for both initial credentialing and recredentialing
• Identify essential elements to be verified and appropriate verification sources
• Discuss “red flags” and how to identify them
• Determine appropriate mechanisms for following up with verification sources
• Describe expedited credentialing and determine when it is acceptable to use such a process
• Define the roles and responsibilities of each person/committee participating in the credentialing process 

The Concept of Privileging
Kathy Matzka, CPMSM, CPCS, FMSP; 60 minutes
Appropriate delineation of privileges requires fair and consistent analysis of a provider’s education, training, and competence. This in turn requires medical staff professionals and medical staff leaders to have a deep knowledge of privileging. This course provides an introduction into the concept of privileging, different privileging systems, and everyone’s role in the privileging process. Feel confident that your new medical staff professionals and medical staff leaders will fully understand what privileging entails after taking this course.

Learning Objectives:

• Describe the key steps in the privileging process and the roles and responsibilities of each person/committee participating in the process
• Compare various privileging systems
• Discuss the process for development of privileging criteria
• Explain what is meant by emergency privileges, disaster privileges, and temporary privileges

Understanding Peer Review and Performance Monitoring
Kathy Matzka, CPMSM, CPCS, FMSP; 60 minutes
Peer review ensures that your practitioners continue to meet your organization’s expectations for quality care. This course will explain the basics of peer review: what it is, why it is important, which standards govern peer review, and how to make the organizational changes needed to implement effective peer review and performance monitoring. Feel confident that your new medical staff professionals and medical staff leaders will fully understand what peer review entails after taking this course.

Learning Objectives:

• Compare and contrast performance improvement and quality assurance
• Identify what is considered peer review and discuss peer review protections
• Discuss the process for development of quality indicators
• Describe the roles and responsibilities of each person/committee participating in the peer review process
• Recognize quality monitoring indicators for managed care

Fundamentals of Credentialing

Pricing

Fundamentals of Credentialing: $399

*Please call Customer Service at 1-855-225-5341 to receive discounts for Group Pricing.

Fundamentals of Credentialing

Continuing Education

ACCME
HCPro is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. HCPro designates this educational activity for a maximum of 3 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The ability to claim these credits for this webinar expires on 4/12/23.

NAMSS
This program has been approved by the National Association Medical Staff Services (NAMSS) for up to 3 continuing education units. Accreditation of this educational program in no way implies endorsement or sponsorship by NAMSS.

The ability to claim these credits for this webinar expires on 4/12/23.