Reflection & Momentum

Description

Threading the Needle
Merging Credentialing and Payer Enrollment: Challenges and Opportunities

The trend toward integrating payer enrollment and credentialing functions continues to gain momentum, leaving many MSPs in the dark. Team Med Global’s Donna Goestenkors, CPMSM®, EMSP, and Yesenia Servin, CPMSM®, PESC, explain this new frontier and the implications for the Medical Staff Services Professional. Then, follow the industry’s only Payer Enrollment Process Model to begin to build or validate the efficiency of your practice when enrolling practitioners in federal, state, and commercial plans.

Objectives:

• Explain the parallels between payer enrollment and credentialing processes
• Describe the benefits of payer enrollment and credentialing collaboration
• Identify the steps involved in payer enrollment

Compliance
Oh, That’s What You Mean!

Credentialing practices and operational functions vary by environment, and it can be hard to sort out the alphabet soup of accreditation bodies. Team Med Global’s Donna Goestenkors, CPMSM®, EMSP, and Rachelle Silva, BS, CPCS®, CPMSM®, decipher credentialing terminology and reveal credentialing differences in hospitals, managed care, practice management, and credentials verification organizations.

Objectives:

• Explain the reach of each of the primary accreditation bodies
• Describe the primary steps of the credentialing verification process among the various accreditation organizations
• Identify the industry changes that are impacting credentialing systems

Looking Deeper
Quality Data Matters

Practitioner performance is increasingly tied to healthcare quality data and both impact an organization’s revenue streams. This means that physician performance metrics are more than a credentialing tool. Team Med Global’s Donna Goestenkors, CPMSM®, EMSP, and Nicole Keller, MSHM, CPHQ, CPHIT, explore how the management of performance information is being used to advance patient care and increase reimbursements.

Objectives:

• Explain the parallels between healthcare quality data and physician performance tracking
• Describe the link between practitioner effectiveness and an organization’s performance ranking
• Identify the role of the MSP in tracking and reporting on practitioner performance

Bouncing Back
Cultivating Your Resilience

Setbacks are difficult, but you can bounce back – sometimes in unexpected ways. Team Med Global’s Donna Goestenkors, CPMSM®, EMSP, and Jennifer Froemel, MS, LCPC, CMHIMP, explore how to develop resilience, the skill that prevents you from getting stuck and propels you to the next opportunity. Then, learn how to create your personal plan for thriving in the face of workplace stressors.

Objectives:

• Identify 5 characteristics of workplace resilience
• Explain 3 strategies for developing resilience
• Describe the relationship between resilience and change management

Emotional Intelligence in Leadership
Why it Matters

Great leadership is built on a foundation of authenticity, compassion, and strong boundaries. Navigating your emotional landscape is fundamental to your leadership success. Team Med Global’s Donna Goestenkors, CPMSM®, EMSP, and Stephanie Russell, BS, CPCS®, CPMSM®, explain how to develop the skills that help you connect with others, improve your communication, and maintain your resilience.

Objectives:

• Explain the indicators of emotional intelligence
• Describe how raising your EQ can improve your leadership skills
• Identify habits that grow emotional intelligence