Credentialing Basics - Part 1

This program provides an in-depth overview of basic aspects of credentialing including primary source verification, applying criteria for appointment, reviewing the application for completeness, and roles in the review and approval process.

Objectives:

At the completion of this program the participant will be able to:

• Track the credentialing process from application through governing body approval
• Define what constitutes a “complete” application
• Recognize the roles of various persons involved in the review and approval process
• Discuss primary source verification and which and which sources are appropriate
• Determine sources other than primary that can be utilized

Presenter: Kathy Matzka, CPMSM, CPCS

Kathy Matzka is a consultant, speaker and writer specializing in provider credentialing and professional staff issues for hospitals, long term care facilities, managed care organizations, credentials verification organizations, and physician practices. She has over 30 years of experience in credentialing, privileging, and medical staff services.

Presented: January 23, 2024