Physician Credentialing: A Guide for Physician Office StaffPaperback, 20 July 2015

Physician Credentialing: A Guide for Physician Office Staff
Veronica L. Rosas, CPCS

Credentialing providers in a physician practice is a confusing and time-consuming process that can seem daunting to even the most seasoned professional. Between managing the credentialing of new physicians to the mandatory recredentialing that must be undertaken every few years, it is imperative that practice-based credentialing coordinators are on top of their game.

Covering the credentialing process for both hospitals and managed care organizations, Physician Credentialing: A Guide for Physician Office Staff is a must-have, practical, and easy-to-read guide for credentialing coordinators and office managers, whether they are brand-new or experienced. The book walks readers through the required forms, provides suggested timelines, details documentation requirements, and offers tips for multitasking and organizational strategies to maximize efficiency. There is even helpful professional guidance, including information on certification, networking, and education.

This resource will help you do the following:

• Utilize your time efficiently by knowing all the steps in the credentialing process

• Stay on top of credentialing in the physician practice

• Plan ahead to manage credentialing for new physicians while maintaining credentials for current providers

Table of Contents
Preface
Part 1: Introduction

• Chapter 1: Introduction to Credentialing
• Chapter 2: The Credentialing Application
• Chapter 3: The Managed Care Credentialing Process
• Chapter 4: The Hospital Credentialing Process

Part 2: Introduction

• Chapter 5: Credentialing the New Provider
• Chapter 6: Recredentialing and Reappointment
• Chapter 7: Managed Care Organization Contracts
• Chapter 8: Multitasking
• Chapter 9: Not All Healthcare Organizations Are the Same
• Chapter 10: On Your Own but Not Alone: Networking, Education, and Certification

Conclusion
Appendixes

• Appendix A: Contracting Checklist

• Appendix B: Acronym List

Who should read this book?

• Credentialing coordinator
• Credentialing professionals
• Physician practice manager
• Physician office manager
• Physician practice administrator
• Practice manager
• Office manager
• Practice administrator
• Business manager