The 5 Credentialing Risks Healthcare Organizations Are Underestimating in 2026 Credentialing sits at one of the most sensitive intersections in healthcare operations. Provider Lifecycle Professionals have understood this for decades. When credentialing works well, it fades into the background. When it fails, the consequences ripple through compliance, reimbursement, provider onboarding, and patient access. What makes
Credentialing is one of the most consequential governance functions in healthcare. Every application reviewed and every privilege granted directly impacts patient safety, regulatory compliance, payer participation, and organizational risk exposure. Yet across the industry, the identification and management of credentialing red flags remains inconsistent. Many organizations rely on historical precedent, individual interpretation, or unwritten processes
HIPAA Privacy Rule Changes Require Action Before February 16, 2026 Recent updates to the HIPAA Privacy Rule require healthcare providers across the United States to revise their Notice of Privacy Practices before February 16, 2026. As required under HIPAA, a Notice of Privacy Practices must be provided to patients before or on the date healthcare
A Career Aligned Approach to Provider Lifecycle Education Provider Lifecycle Professionals do not build careers through a single class or a single exam window. Strong careers are built intentionally over time through foundational knowledge, applied experience, professional validation, and continued growth. That understanding shapes TMG University. TMGU does not offer disconnected courses or short term
Over the past several years, the scope of work performed by Provider Lifecycle Professionals (PLPs) has grown dramatically. The role of PLPs continues to evolve, encompassing not only detailed process management but also strategic coordination, cross-functional collaboration, and system-wide impact. At TMG, we recognized that the competencies driving our profession needed to be updated to
As the healthcare industry evolves, Provider Lifecycle Professionals (PLPs) are increasingly tasked with navigating complex regulatory landscapes. One area that continues to grow in importance is interstate licensure. At the heart of that landscape are interstate compacts—agreements that streamline the process for healthcare providers to practice across state lines. For PLPs, understanding these compacts isn’t
When it comes to job interviews, Provider Lifecycle Professionals know that no two organizations are exactly alike. A hospital might focus on quality metrics, while a CVO could zero in on turnaround times or delegated agreements. You can’t predict every question you’ll be asked—but you can prepare in a way that helps you show up
Lately, a troubling pattern has emerged in many healthcare organizations—heightened tensions among colleagues, particularly among women in the workforce. More Provider Lifecycle Professionals (PLPs) are reporting incidents of workplace conflict, including name-calling, accusations, and escalating disputes. As the landscape of professional communication evolves, how can PLPs ensure that respect remains at the center of workplace
Nicole Keller, MSHM, CPHQ, CPHIT, CSM, is a recognized leader in medical staff services, with a wealth of expertise in credentialing, compliance, and healthcare quality. In a career spanning more than a decade, Nicole has successfully guided hospitals, health systems, and managed care organizations in optimizing their credentialing processes, ensuring accreditation compliance, and enhancing physician
Department culture is the invisible force that shapes the behaviors, attitudes, and interactions of a team. Navigating department culture is critical to the Medical Services Professional (MSP) role. A strong, positive culture fosters collaboration and efficiency, while a stagnant or misaligned culture can hinder progress and create unnecessary friction. Changing department culture is notoriously difficult,
In healthcare administration, every smooth interaction, efficient workflow, and clearly defined role contributes to high-quality patient care. As Medical Services Professionals (MSPs), you play a vital role in keeping these administrative gears turning smoothly by reducing potential points of friction. Whether you’re involved in credentialing, licensing, provider enrollment, or compliance, your actions can directly impact
In the quiet corners of the healthcare industry, where the spotlight seldom shines, Medical Services Professionals (MSPs) are facing a growing burden. Dedicated MSPs are contending with challenges far removed from their core expertise. The rise of IT-related responsibilities has introduced unexpected obstacles, pushing MSPs to navigate uncharted territory. Clinical Informatics Training: A Daunting Responsibility
The pressures of career advancement can be immense for Medical Services Professionals (MSPs). In a role where precision and responsibility are paramount, it's easy to let career considerations consume your entire life. However, prioritizing your career above all else can lead to burnout and missed opportunities in other fulfilling aspects of life. Here’s why and
In the demanding and dynamic healthcare environment, Medical Services Professionals (MSPs) face unique stressors that can challenge their well-being and job satisfaction. The TMG 2024 MSP Well-Being Survey offers insightful data on how MSPs are managing stress, revealing a variety of strategies employed to maintain balance and well-being. Here’s a deeper look at each strategy,
MSPs are at the vanguard of patient safety, but the responsibilities we shoulder can come with significant stress and emotional burden. The quest to stay positive, while essential, is not without its challenges. Why Strive for Positivity? Positivity in the workplace, especially in high-stress environments like healthcare, is more than just feeling good. It's about
