Medical Credentialing Schools

A medical credentialist is a medical office personnel worker who works in the health care industry in hospitals, insurance groups or other medical groups. The purpose of a medical credentialist is to maintain quality control and insurance compliance with existing regulations within the group. The credentialing specialist verifies medical credentials of all personnel or contracted medical workers. A certificate should be obtained for those working in this field.
  1. Credentialing 100 and 101

    • An introductory course is offered by the leading organization in the field of training medical credentialists, National Association of Medical Staff Services (NAMSS). This is an interactive online course. It is a precursor to the Credentialing 101 professional development book and is for medical staff new to the field of credentialing.

      Credentialing 101 is a professional development book published by the NAMSS, which provides the reader with the basics as well as more detailed information for the professional credentialing field.

      Contact:

      NAMSS

      2025 M Street,

      NW Washington, DC 20036

      phone: 202-367-1196

      fax: 202-367-2196

      email: [email protected]

    NAMSS Certificate

    • It is recommended that those interested in working as medical credentialists achieve certification. Certification is through NAMSS. A Certified Provider Credentialing Specialist (CPCS) certificate is awarded after passing a four hour test consisting of 200 multiple-choice questions. Members of NAMSS receive a discounted rate for the certicate test and courses.

    Credentialing Specialist (CPCS) Certification Preparation Course

    • The NAMSS offers a preparatory course for the certification exam. The two-day weekend course can be taken in-person at several locations in the United States during the year, or can be taken online. The in-person course obviously has some advantages in the nature of the interactive teaching methods and personal instructors. The course includes both pre-workshop study assignments and post-workshop assignments in preparation for certificate testing.

      Those who take the course and pass the exam are eligible for continuing education (CE) credits.

    Edge-U-Cate Credentialing School

    • Some physicians might not be as high quality as they say; this is one reason medical credentialing personnel are in demand.

      Edge-U-Cate offers two five-day courses on medical credentialing that also yield a certificate from NAMSS. The first course covers basic information and the second course is more advanced.

      Edge-U-Cate states that it is estimated that 5% of all physicians in the United States have "significant quality, behavioral, or substance abuse issues that adversely affect patient care; and negligent credentialing claims against healthcare organizations are on the rise." For this reason, credentialing personnel are of importance for both hospital personnel and insurance companies.

      Contact:

      2345 Academy Place

      Colorado Springs, CO 80909

      Telephone: (719) 574-6016

      Fax: (719) 325-7034

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