WEBINAR WATCH

Managed Care Magic On Demand

MSPs in the managed care environment face unique challenges in credentialing, monitoring, compliance, controls, and delegation. Managed Care Magic provides participants with the key to unlocking basic and advanced skills.

Scroll down to browse Managed Care Magic on-demand webinars.

Managed Care Magic Season 2
  • Guiding Star: Navigating NCQA Revisions
  • Anchoring Success: Delegated Credentialing Mastery (available 1/19/25)
  • Strengthening the Guardrails: Minimizing Credentialing Liability (available 3/30/25)

$35 each or $85 for 3-part series

Managed Care Magic Season 1
  • Completing the Puzzle: Who’s Who in Managed Care Credentialing
  • Building the Guardrails: Managed Care Governance & Policy
  • Verification Station: Managed Care Compliance Across Accreditors
  • Emerging Issues: Ongoing Monitoring & System Controls
  • Diving Deep: The Ins & Outs of Delegated Credentialing
  • Acing the Audit: Avoiding Common Deficiencies

$35 each or $175 for 6-part series

MANAGED CARE MAGIC SEASON 2

Season 2
Episode 1

Guiding Star: Navigating NCQA Revisions

Keeping up with NCQA accreditation standards is vital for successful enrollment with managed care organizations, especially in light of the latest revisions. Join TMG and explore the newest changes to the NCQA credentialing standards and their potential impact on your operations. Gain insights into how these revisions reflect current healthcare trends and learn strategies to stay compliant while enhancing your organization’s quality of care.

Presented by Rachelle Silva and Sarah Berglass. Recorded 11/20/24. 1.5 Hours.

MANAGED CARE MAGIC SEASON 1

Season 1
Episode 6

Acing the Audit: Avoiding Common Deficiencies

Stellar managed care credentialing helps ensure quality care, patient and physician satisfaction, and cost management, but mistakes can happen. Join TMG in examining steps to take before, during and after an audit, recognizing the most common deficiencies in the audit process, and identifying corrective actions.

Presented by Rachelle Silva and Andrea Nyman. 1 Hour. Recorded 1/30/24.

Season 1
Episode 5

Diving Deep: The Ins & Outs of Delegated Credentialing

Delegated credentialing can feel intimidating to both new and seasoned MSPs in the managed care environment. Join TMG in exploring the foundations of the delegated credentialing process, the elements of the delegation agreement, and the requirements for annual delegation oversight.

Presented by Rachelle Silva. 1 Hour. Recorded 11/28/23.

Season 1
Episode 4

Emerging Issues: Ongoing Monitoring & System Controls

Ongoing monitoring and credentialing system controls are increasingly important in the managed care environment. Join TMG in exploring requirements for the frequency of monitoring, acceptable sources, and credentialing system controls monitoring and reporting requirements to ensure the accuracy, completeness, and confidentiality of credentialing information.

Presented by Donna Goestenkors and Rachelle Silva. 1 Hour. Recorded 10/31/23.

Season 1
Episode 3

Building the Guardrails: Managed Care Governance & Policy

There are subtle and not-so-subtle differences among CMS, NCQA, and URAC verification standards. Join TMG to understand the nuances of the information that needs to be verified, acceptable sources outside of the primary source, required documentation, and verification/attestation time frames.

Presented by Rachelle Silva and Andrea Nyman. 1 Hour. Recorded 9/26/23.

Season 1
Episode 2

Building the Guardrails: Managed Care Governance & Policy

Regulators and accrediting bodies are prescriptive about managed care committee responsibilities and governance policy language. Join TMG in exploring the necessary governance structure needed to successfully navigate the managed care landscape.

Presented by Rachelle Silva and Ivonne Oladunni. 1 Hour. Recorded 8/29/23.

Season 1
Episode 1

Completing the Puzzle: Who’s Who in Managed Care Credentialing

It’s crucial to have a solid grasp of the basics before diving into the deeper issues surrounding managed care credentialing. Join TMG in exploring the roles and responsibilities of stakeholders in managed care and how the pieces of managed care fit together.

Presented by Donna Goestenkors and Ivonne Oladunni. 1 Hour. Recorded 7/25/23.