Credentialing Services

Educational Resources

Upcoming Webinar

Medical Group Peer Review: Legal Issues and Possible Protections

Wednesday, October 5, 2022, 12 p.m. CDT

Presented by Elizabeth A. (Libby) Snelson, Esq., President, Legal Counsel for the Medical Staff, PLLC

Peer review is a key aspect of professionalism in medicine, promoting quality improvement through analysis and discussion of clinical problems. Hospital medical staffs have long been the primary organ for the peer review process. But as medical groups increasingly provide more complicated care in greater volume, as more physicians practice exclusively outpatient medicine, and as third-party payers demand quality improvement processes, medical groups need to conduct peer review in-house. Legal concerns about antitrust liability, liability for negative reviews and disciplining physicians, with fairness for all involved, can be mitigated by processes that maximize federal and state legal protections.

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This webinar does not offer a certificate for continuing education. For those associations that may accept alternative forms of continuing education, please consider saving a copy of your webinar registration email as proof of your attendance.

The information shared in this webinar does not, and is not intended to, constitute legal advice; instead, the information, content, and materials presented are for general informational purposes only. Webinar participants should contact their attorney to obtain advice with respect to any particular legal matter. No one should act or refrain from acting on the basis of information presented without first seeking legal advice from counsel in the relevant jurisdiction. Only your individual attorney can provide assurances that the information contained herein – and your interpretation of it – is applicable or appropriate to your particular situation. Your participation in this webinar does not create an attorney-client relationship between the webinar participant and the presenter.

 

Recorded Webinars

NCQA Credentialing Standards and Associated 2022 Updates

June 23, 2022

Presented by Amy Niehaus, MBA, CPMSM, CPCS, President and Consultant, AMN Consulting, LLC

Using leading practices and real-life applications in the workplace, attendees will learn key concepts applicable to NCQA standards, including policies and procedures, initial credentialing and recredentialing requirements, acceptable verification sources and timelines, ongoing monitoring, and delegation, as well as address new credentialing system control standards going into effect in July 2022.

Download the slide handout from this presentation

Read the questions and answers from the webinar

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Medical Staff Bylaws Updates 2022

March 2022

Presented by Elizabeth Snelson, Esq., President, Legal Counsel to the Medical Staff, PLLC

The American Medical Association (AMA) Physicians’ Guide to Medical Staff Organization Bylaws has been updated again to address changes in the Joint Commission accreditation, legal developments and new AMA policy affecting hospital medical staffs.

In this webinar, you will learn about:

  • The AMA Physicians' Guide to Medical Staff Organization Bylaws
  • The most recent changes to the Guide
  • Potential solutions for current problems experienced by physicians and medical staff organizations

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Meeting and Exceeding Industry Credentialing Standards with the AMA Physician Profile

November 2021

Presented by Amy Niehaus, MBA, CPMSM, CPCS, President and Consultant, AMN Consulting, LLC

You have probably seen an AMA Physician Profile. But have you ever wondered how the information complies with industry credentialing standards, such as CMS, The Joint Commission, NCQA and AAAHC? In many areas, the Profile exceeds regulatory and accreditation requirements allowing your organization to enhance its credentialing process and further reduce risk to your patients.

During this session, attendees will learn the background behind the AMA Standards Table that guides the data published in the Physician Profile. In addition, key credentialing elements will be reviewed to demonstrate the level of compliance with CMS regulations and accreditation standards.

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Courses

Available through the AMA Ed Hub

 

Documents

Preparation Guide for the Physician Credentialing Process (PDF)

How Credentialing Staff Can Better Prepare for Emergency Situations (PDF)

 

Infographics

COVID-19 Physician Mortality Report

U.S. Physicians and Students Workforce Statistics

 

Videos

Physician Credentialing Demystified