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Provider Enrollment

W301 - Becoming the Best Credentialing Delegate You Can Be

Wednesday, September 13, 2023
10:00 AM – 11:00 AM ET
Location: Regency O
CE: 1 NAMSS CE Credits
Tomorrow's MSP® Skillsets: Analytical Thinking, Relationship Building, Risk Management, Change Management, Managed Care, Performance Improvement, Confidentiality, Contracting, Evaluation, Medical Staff Bylaws & Policies/Procedures, Flexibility/Adaptability, Project Management, Quality Review/Quality
Session Description: This session will explore what it takes to be a gold star delegated credentialing partner. Whether you have delegated credentialing contracts in place now, or are contemplating approaching insurance carriers to negotiate new delegated credentialing agreements, this session will give you some great tips and advice. Examples of delegation service agreements will be shared with participants, as well as auditing tools for policies and files reviews. Come see what it takes to pass your next or first delegation oversight audit with flying colors.

Learning Objectives:

  • Describe the essential elements of a delegated credentialing agreement that meets federal, state and NCQA requirements.
  • Define what a good audit tool looks like for a pre-delegation audit and/or oversight audit
  • Overcome fears related to passing an audit and prepare resolutions to corrective action plans if/when necessary