Credentialing Basics - Part 3 Identifying Red Flags in the Credentialing and Privileging Processes

Recognizing “red flags” or any information indicating the presence of a potential problem that needs to be addressed is a crucial aspect of the application process. While some red flags are obvious, others may be more subtle. This program will guide you on how to spot potential red flags, investigate these issues further, and document your follow-up appropriately.

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

• Discuss today’s “red flags” and how they differ from those of the past
• Discuss appropriate follow-up of information received in the application process
• Determine how to document medical staff evaluation of red flags

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 30, 2024