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| certified professional in medical services management: Certified Professional in Medical Services Management National Learning Corporation, 2019 The Certified Professional in Medical Services Management (CPMSM) Passbook(R) prepares you by sharpening the skills and abilities necessary to succeed on your upcoming entrance exam. |
| certified professional in medical services management: CPHIMS Review Guide Himss, 2016-07-27 Whether you're taking the CPHIMS exam, or simply want the most current and comprehensive overview in healthcare information and management systems today - this completely revised and updated third edition has it all. But for those preparing for the CPHIMS exam, this book is an ideal study partner. The content reflects the exam content outline covering healthcare and technology environments; systems analysis, design, selection, implementation, support, maintenance, testing, evaluation, privacy and security; and administration leadership management. Candidates can challenge themselves with the sample multiple choice questions at the end of the book. |
| certified professional in medical services management: Health Professions Education Institute of Medicine, Board on Health Care Services, Committee on the Health Professions Education Summit, 2003-07-01 The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system. |
| certified professional in medical services management: Cphrm Exam Secrets Study Guide: Cphrm Test Review for the Certified Professional in Healthcare Risk Management Exam Cphrm Exam Secrets Test Prep, 2018-04-12 ***Includes Practice Test Questions*** CPHRM Exam Secrets helps you ace the Certified Professional in Healthcare Risk Management Exam without weeks and months of endless studying. Our comprehensive CPHRM Exam Secrets study guide is written by our exam experts, who painstakingly researched every topic and concept that you need to know to ace your test. Our original research reveals specific weaknesses that you can exploit to increase your exam score more than you've ever imagined. CPHRM Exam Secrets includes: The 5 Secret Keys to CPHRM Exam Success: Time is Your Greatest Enemy, Guessing is Not Guesswork, Practice Smarter, Not Harder, Prepare, Don't Procrastinate, Test Yourself; A comprehensive General Strategy review including: Make Predictions, Answer the Question, Benchmark, Valid Information, Avoid Fact Traps, Milk the Question, The Trap of Familiarity, Eliminate Answers, Tough Questions, Brainstorm, Read Carefully, Face Value, Prefixes, Hedge Phrases, Switchback Words, New Information, Time Management, Contextual Clues, Don't Panic, Pace Yourself, Answer Selection, Check Your Work, Beware of Directly Quoted Answers, Slang, Extreme Statements, Answer Choice Families; A comprehensive Content review including: Hindsight Bias, Situational Briefing Model (SBAR), System's Thinking, Joint Commission, Communication Protocols, Drug Labeling, Drug Nomenclature, PCA by Proxy, Medication Confusion, PCA Pump, Environmental Stressors, Incident Reports, Common Obstacles, Formal Self-Insurance Techniques, Insurance, Risk Retention, Soft Insurance Markets, All-Risk Coverage, Time Element Coverage, Third-Party Insurance, Excess Umbrella Liability Insurance, Automobile Liability Insurance, Officers' Liability Insurance, Employee Benefit Insurance, Workers' Compensation Insurance, Negligence, Contractual Negotiation, Patient Confidentiality, Attorney-Client Privilege, American Medical Association, Impaired Professional, and much more... |
| certified professional in medical services management: Certification in Public Health (CPH) Q&A Exam Review Oladele A. Ogunseitan, PhD, MPH, 2020-01-20 Contains more than 600 practice questions and answers! Certification in Public Health (CPH) Q&A Exam Review provides the ultimate resource for all students and practitioners seeking the professional credential and committed to lifelong learning and career growth in public health. Chapters are organized by all ten core competency domain areas, beginning with Evidence-Based Approaches to Public Health and including chapters on Communication, Leadership, Law and Ethics, Public Health Biology and Human Disease Risk, Collaboration and Partnerships, Program Planning and Evaluation, Program Management, and Policy in Public Health before concluding with Health Equity and Social Justice. Covering over 150 topic areas, each chapter introduces the core objectives of each domain area to frame the goals of the CPH exam and highlight the complete content outline featured on the exam. Chapters include the fundamental information public health professionals must learn to be effective workers in the field followed by approximately 600 practice questions with detailed rationales for correct answers at the end of each chapter. Using this method, the number of practice questions are divided equally among each domain area for comprehensive study and exam preparation. Written by a CPH certified educational leader in public health and containing over three exams’ worth of questions, this book is the most useful and thorough exam review resource on the market, great for on-the-go study and preparation. KEY FEATURES: Over 600 multiple choice, single-best answer questions with answers and detailed rationales Full coverage of all 10 competency domain areas featured on the exam Written by a CPH certified and leading educator in public health Includes downloadable interactive eBook for anytime access This book is an independent publication and is not endorsed, sponsored, or otherwise approved by the National Board of Public Health Examiners. The NBPHE is not liable or responsible for any errors, omissions, or timeliness of the information or data available in this book, any individual’s negligence in connection with the book, or any other liability resulting from the use or misuse of the book. |
| certified professional in medical services management: Practice Management Reference Guide - First Edition AAPC, 2020-03-16 Effectively manage the business side of medicine. Profit margin, collections, cash flow, compliance, human resources, health information, efficient business processes—the broad responsibilities and complex requirements of practice management are endless. Drop one ball in the daily juggle and the fallout can be costly. There’s never enough time, which makes it tough to stay on top of regulations and best practices. That’s where AAPC’s Practice Management Reference Guide becomes vital to your organization, providing you with one-stop access to the latest and best in practice management. From office operations to financial oversight, the Practice Management Reference Guide lays out essential guidance to help you optimize efficiency, security, and profitability. Benefit from actionable steps to streamline accounts receivable. Discover how to bring in new patients and keep the ones you have happy. Leverage real-world strategies to command payer relations, recruitment, training, employee evaluations, HIPAA, MACRA, Medicare, CDI, EHR … everything you need to ensure bountiful operations in 2020 and beyond. With the Practice Management Reference Guide, you’ll gain working knowledge covering the spectrum of practice management issues, including: Negotiating favorable payer contracts Preventing an appeals backlog Remaining audit-ready Correctly applying incident-to billing rules to maximize reimbursement Using assessment tools to evaluate your risk Preparing a risk plan and know what questions to ask Knowing how and why you should implement policies and protocols Complying with state and federal patient privacy rules |
| certified professional in medical services management: Cphims Exam Secrets Study Guide: Cphims Test Review for the Certified Professional in Healthcare Information and Management Systems Exam Cphims Exam Secrets Test Prep, 2018-04-12 ***Includes Practice Test Questions*** CPHIMS Exam Secrets helps you ace the Certified Professional in Healthcare Information and Management Systems Exam, without weeks and months of endless studying. Our comprehensive CPHIMS Exam Secrets study guide is written by our exam experts, who painstakingly researched every topic and concept that you need to know to ace your test. Our original research reveals specific weaknesses that you can exploit to increase your exam score more than you've ever imagined. CPHIMS Exam Secrets includes: The 5 Secret Keys to CPHIMS Exam Success: Time is Your Greatest Enemy, Guessing is Not Guesswork, Practice Smarter, Not Harder, Prepare, Don't Procrastinate, Test Yourself; Comprehensive sections including: Testing Tips, Why Certify?, Cost, Communications, Key Acronyms, Definitions, Business and Its Environment, Professional Education, Skills Demonstrated, Office Procedures, Management, Employability Skills, Accounting, Marketing, Computer Management, Microeconomics/Macroeconomics, and much more... |
| certified professional in medical services management: Certified Professional in Medical Services Management (CPMSM) National Learning Corporation, 2019-02 The Certified Professional in Medical Services Management (CPMSM) Passbook(R) prepares you by sharpening the skills and abilities necessary to succeed on your upcoming entrance exam. |
| certified professional in medical services management: Risk Management Handbook for Health Care Organizations American Society for Healthcare Risk Management (ASHRM), 2009-03-27 Risk Management Handbook for Health Care Organizations, Student Edition This comprehensive textbook provides a complete introduction to risk management in health care. Risk Management Handbook, Student Edition, covers general risk management techniques; standards of health care risk management administration; federal, state and local laws; and methods for integrating patient safety and enterprise risk management into a comprehensive risk management program. The Student Edition is applicable to all health care settings including acute care hospital to hospice, and long term care. Written for students and those new to the topic, each chapter highlights key points and learning objectives, lists key terms, and offers questions for discussion. An instructor's supplement with cases and other material is also available. American Society for Healthcare Risk Management (ASHRM) is a personal membership group of the American Hospital Association with more than 5,000 members representing health care, insurance, law, and other related professions. ASHRM promotes effective and innovative risk management strategies and professional leadership through education, recognition, advocacy, publications, networking, and interactions with leading health care organizations and government agencies. ASHRM initiatives focus on developing and implementing safe and effective patient care practices, preserving financial resources, and maintaining safe working environments. |
| certified professional in medical services management: Health Services Management Zachary Pruitt, PhD, MHA, FACHE, 2024-11-15 Health Services Management: Competencies and Careers provides students in healthcare administration and management, public health, and other healthcare sectors with the necessary knowledge, practical understanding, and fundamental skills to become successful, confident, and empathetic health services managers in this exciting and growing field. The text incorporates fundamental management competencies in every chapter and supplies relevant examples of managerial decision-making and problem-solving in various health service delivery settings. Written with Generation Z students in mind, this book takes on a straightforward approach to planning, organizing, directing, and leading, and imparts important knowledge on the science of evidence-based management. Health Services Management covers the roles and functions of health services managers and breaks down the variety of subjects they must understand to be thoughtful and effective. Chapters cover the dynamic challenges in managing interpersonal relationships, navigating leadership and change, and balancing professionalism and ethics to prepare future leaders for the obstacles ahead. Students are also given a better understanding of population health management and community collaboration, healthcare governance, strategic planning and marketing, human resource management, organizational design, project management, financial management, and much more. Health Services Management is a foundational textbook for anyone seeking a challenging and enriching career as a health services manager. Key Features: Provides an easy-to-read text with an engaging style that will appeal to current and future health services managers Listen to more than 30 informational interviews with health services management professionals discussing career topics including roles, responsibilities, and the value of the health service management profession to clinicians and patients Features engaging professional development reflections and career boxes that provide guidance on the technical skills and professional insights needed to succeed in health services management careers Students have access to a glossary featuring more than 700 key terms Qualified instructors have access to expanded Instructor Resources featuring chapter PowerPoints, Test Banks, an Instructor Manual with learning activities, discussion and essay questions for each chapter, and additional resources to supplement students' dynamic learning and interaction with the text |
| certified professional in medical services management: Cphq Study Guide 2020 and 2021 - Chpq Exam Secrets Study Guide, Full-Length Practice Exam, Detailed Answer Explanations Mometrix Test Prep, 2020-07-28 Mometrix Test Preparation's CPHQ Study Guide 2020 and 2021 - CHPQ Exam Secrets Study Guide is the ideal prep solution for anyone who wants to pass their Certified Professional in Healthcare Quality Exam. The exam is extremely challenging, and thorough test preparation is essential for success. Our study guide includes: * Practice test questions with detailed answer explanations * Tips and strategies to help you get your best test performance * A complete review of all CPHQ test sections * Management and Leadership * Information Management * Performance Measurement and Improvement * Patient Safety Mometrix Test Preparation is not affiliated with or endorsed by any official testing organization. All organizational and test names are trademarks of their respective owners. The Mometrix guide is filled with the critical information you will need in order to do well on your CPHQ exam: the concepts, procedures, principles, and vocabulary that the Healthcare Quality Certification Board (HQCB) expects you to have mastered before sitting for your exam. The Management and Leadership section covers: * Certified Professional in Healthcare Quality * Leadership values * Organizational culture * Voluntary accreditation processes * Facilitating change within the healthcare system The Information Management section covers: * Design and Data Collection * Measurement * Analysis * Communication The Performance Measurement and Improvement section covers: * Planning * Implementation * Education and Training * Evaluation and Integration The Patient Safety section covers: * Integrating patient safety concepts * Written hospital safety plans * Patient safety technology * Integrating safety into organizational activities * Risk management ...and much more! Our guide is full of specific and detailed information that will be key to passing your exam. Concepts and principles aren't simply named or described in passing, but are explained in detail. The Mometrix CPHQ study guide is laid out in a logical and organized fashion so that one section naturally flows from the one preceding it. Because it's written with an eye for both technical accuracy and accessibility, you will not have to worry about getting lost in dense academic language. Any test prep guide is only as good as its practice questions and answer explanations, and that's another area where our guide stands out. The Mometrix test prep team has provided plenty of CPHQ practice test questions to prepare you for what to expect on the actual exam. Each answer is explained in depth, in order to make the principles and reasoning behind it crystal clear. We've helped hundreds of thousands of people pass standardized tests and achieve their education and career goals. We've done this by setting high standards for Mometrix Test Preparation guides, and our CPHQ Study Guide 2020 and 2021 - CHPQ Exam Secrets Study Guide is no exception. It's an excellent investment in your future. Get the CPHQ review you need to be successful on your exam. |
| certified professional in medical services management: The Executive Medical Services Professional Donna Goestenkors, Georgia Day, 2020-02-20 Medical Services Professionals (MSPs) hold a unique place in the healthcare industry. Medical Staff leaders, practitioners and providers rely on MSPs to ensure qualitative regulatory compliance, performance improvement, accreditation, credentialing and governance for physicians, practitioners, and other healthcare providers. MSPs ensure the design, implementation, and maintenance of current industry practices to promote quality patient care. Their roles are rapidly changing due to competition, increased government influence, and vast changes in technology that demand for service delivery improvements worldwide. The successful MSP will require a formal professional development plan, comprised of skills and knowledge for both personal and career choices as the industry moves into the future. This book is presented in an easy to read format and contains a series of building blocks, points to navigate career progression logically. Each point highlights solutions for MSPs to test and apply with real-life stories interspersed to illustrate points. This book contains a helpful glossary, sample job descriptions, and terms specific to the MSP. |
| certified professional in medical services management: Medical Record Chart Analyzer Deborah J. Grider, 2002 The quality of coding is an important factor in determining the financial health of a practice. When problems occur they must be solved quickly. But before they can be solved, they must be found. Medical Record Chart Analyzer includes medical record documentation with a systematic guide to the medical record review process for the physician's or outpatient office. Learning objectives are included at the beginning of most chapters to overview chapter content and help measure progress. Medical chart review and coding tips are located throughout the book. The application exercises allow the reader to master each topic one chapter at a time. Also included is a final examination to test documentation and auditing skills. By the end of the book, the reader will be able to conduct reviews independently. Authored by Deborah J. Grider, CPC, CPC-H, CCS-P, CCP, an experienced professional in the fields of reimbursement, procedural and diagnostic coding, medical practice management and compliance. Readers can earn up to 10 CEU credits from AAPC. |
| certified professional in medical services management: Managed Care Credentialing Amy N. Niehaus, 2019 The role of the MSP is expanding to include payer enrollment and delegated credentialing responsibilities for managed care organizations. Traditionally siloed, MSPs are now beginning to take on both responsibilities, which means they must learn the nuances of managed care credentialing as well as the regulatory and accreditation requirements of NCQA, CMS, and URAC. Managed Care Credentialing: Compliance Strategies for Health Plans, CVOs, and Delegated Entities provides the answers to MSPs' inevitable questions as they begin to manage the tasks of payer enrollment and delegated credentialing. Author Amy M. Niehaus guides readers through each payer's requirements, the differences between hospital and managed care credentialing, and how to help their organization establish delegated credentialing agreements and prepare for audits. As new and existing MSP responsibilities begin to collide, this resource also outlines ways MSPs can modify their current processes to reduce duplication of efforts and develop a comprehensive and compliant managed care credentialing program. Whether you are new to managed care credentialing or are taking on delegated credentialing responsibilities, this book will help you: Learn the regulatory and accreditation requirements related to managed care credentialing Streamline the provider enrollment process through delegation Meet your organizational goals of compliance, operational efficiency, cost savings, and practitioner satisfaction Identify the differences between hospital and managed care credentialing |
| certified professional in medical services management: Slee's Health Care Terms Debora Slee, Vergil Slee, Joachim Schmidt, 2008 This healthcare dictionary contains more than 8,000 nonmedical words, phrases, and acronyms related to the healthcare industry. |
| certified professional in medical services management: Denials Management & Appeals Reference Guide - First Edition AAPC, 2020-03-17 Recoup lost time and revenue with denials management and appeals know-how. Claim denials can sink a profit margin. And given the cost of appeals, roughly $118 per claim, not all denials can be reworked. A practice submitting 50 claims a day at an average reimbursement rate of $200 per claim should bring in $10,000 in daily revenue. But if 10% of those claims are denied, and the practice can only appeal one, they lose $800 per day—upwards of $200K annually. Your medical claims are the lifeblood of operations. Don’t compromise your financial health. Learn how to preempt denials with the Denials Management & Appeals Reference Guide. This vital resource will equip you to get ahead of payers by simplifying the leading causes of denials and showing you how to address insufficient documentation, failing to establish medical necessity, coding and billing errors, coverage stipulations, and untimely filing. Rely on AAPC to walk you through the appeal process. We’ll help you establish protocols to avoid an appeals backlog and teach you how to identify and prioritize denials likely to win an appeal. What’s more, you’ll learn when a claim can be “reopened” to fix a problem. Collect the revenue your practice deserves with effective denials and appeals solutions: Know how to analyze your denials Defeat documentation and compliance issues for successful claims success Utilize payer policy for coverage clues Lock in revenue with face-to-face reimbursement guidance Refine efforts to avoid E/M claim denials Ace ICD-10 coding for optimum reimbursement Put an end to modifier confusion Stave off denials with CCI edits advice Navigate the appeals process like a pro And much more! |
| certified professional in medical services management: CERTIFIED PROFESSIONAL IN MEDICAL SERVICES MANAGEMENT National Learning Corporation, 2019 |
| certified professional in medical services management: The Medical Services Professional Career Guidebook Donna K. Goestenkors, Georgia Day, 2011-09-13 In addition to processing new applications, requesting clinical privileges, preparing ER call schedules, negotiating contracts, verifying credentials, and conducting meetings and audits, Medical Services Professionals (MSPs) must find time to keep up with evolving regulations and credentialing requirements. Presented in an easy-to-read format, The Medical Services Professional Career Guidebook: Charting a Development Plan for Success details a series of building blocks to help MSPs fulfill job requirements and successfully navigate career progression. The authors capture and address the questions most frequently asked by MSPs. They illustrate valuable lessons with actual stories and supply readers with systematic assessment tools, planning techniques, and strategies for achieving world-class performance. Complete with sample job descriptions, a sample performance profile, a glossary, the Medical Services Professional Creed, and a wealth of reference material, the text will help MSPs answer key questions, including: How do I assess my skills? What are my career options? Are my communication skills what they need to be? How do my boss and I come to agreement on my progress? How do I define, document, and measure my competencies? The book addresses twelve specific points of consideration. Each point is a working exercise to help readers perform honest self-appraisals of where they are in their careers. The Medical Services Professional Career Guidebook details a solid course of action to help you confront the fear of the unknown and meet the future with the confidence required for success. It provides the tools and understanding you will need to ensure patient safety, achieve personal and professional goals, and take your career to levels you have never imagined. |
| certified professional in medical services management: Ask a Manager Alison Green, 2018-05-01 From the creator of the popular website Ask a Manager and New York’s work-advice columnist comes a witty, practical guide to 200 difficult professional conversations—featuring all-new advice! There’s a reason Alison Green has been called “the Dear Abby of the work world.” Ten years as a workplace-advice columnist have taught her that people avoid awkward conversations in the office because they simply don’t know what to say. Thankfully, Green does—and in this incredibly helpful book, she tackles the tough discussions you may need to have during your career. You’ll learn what to say when • coworkers push their work on you—then take credit for it • you accidentally trash-talk someone in an email then hit “reply all” • you’re being micromanaged—or not being managed at all • you catch a colleague in a lie • your boss seems unhappy with your work • your cubemate’s loud speakerphone is making you homicidal • you got drunk at the holiday party Praise for Ask a Manager “A must-read for anyone who works . . . [Alison Green’s] advice boils down to the idea that you should be professional (even when others are not) and that communicating in a straightforward manner with candor and kindness will get you far, no matter where you work.”—Booklist (starred review) “The author’s friendly, warm, no-nonsense writing is a pleasure to read, and her advice can be widely applied to relationships in all areas of readers’ lives. Ideal for anyone new to the job market or new to management, or anyone hoping to improve their work experience.”—Library Journal (starred review) “I am a huge fan of Alison Green’s Ask a Manager column. This book is even better. It teaches us how to deal with many of the most vexing big and little problems in our workplaces—and to do so with grace, confidence, and a sense of humor.”—Robert Sutton, Stanford professor and author of The No Asshole Rule and The Asshole Survival Guide “Ask a Manager is the ultimate playbook for navigating the traditional workforce in a diplomatic but firm way.”—Erin Lowry, author of Broke Millennial: Stop Scraping By and Get Your Financial Life Together |
| certified professional in medical services management: Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies OECD, World Health Organization, 2019-10-17 This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies. |
| certified professional in medical services management: Safe Work in the 21st Century Institute of Medicine, Board on Health Sciences Policy, Committee to Assess Training Needs for Occupational Safety and Health Personnel in the United States, 2000-09-01 Despite many advances, 20 American workers die each day as a result of occupational injuries. And occupational safety and health (OSH) is becoming even more complex as workers move away from the long-term, fixed-site, employer relationship. This book looks at worker safety in the changing workplace and the challenge of ensuring a supply of top-notch OSH professionals. Recommendations are addressed to federal and state agencies, OSH organizations, educational institutions, employers, unions, and other stakeholders. The committee reviews trends in workforce demographics, the nature of work in the information age, globalization of work, and the revolution in health care deliveryâ€exploring the implications for OSH education and training in the decade ahead. The core professions of OSH (occupational safety, industrial hygiene, and occupational medicine and nursing) and key related roles (employee assistance professional, ergonomist, and occupational health psychologist) are profiled-how many people are in the field, where they work, and what they do. The book reviews in detail the education, training, and education grants available to OSH professionals from public and private sources. |
| certified professional in medical services management: Certified in Public Health Karen DeSafey Liller, Jaime A. Corvin, Hari H. Venkatachalam, 2018 |
| certified professional in medical services management: Health Care Facilities Code Handbook National Fire Protection Association, 2017-12-22 |
| certified professional in medical services management: Credentialing, Privileging, and Medical Staff Governance Sheri Patterson, 2018 |
| certified professional in medical services management: Credentialing for Managed Care Amy M. Niehaus, 2016-08-17 Credentialing for Managed Care: Compliant Processes for Health Plan and Delegated Entities Amy M. Niehaus, CPMSM, CPCS, MBA New to managed care credentialing? Whether you work for a health plan or a hospital medical staff services department, this how-to guide answers all of your health plan credentialing and enrollment questions. Learn the regulatory and accreditation requirements related to managed care credentialing, including those from CMS, NCQA, and URAC. Author Amy M. Niehaus, CPMSM, CPCS, MBA, provides readers with the guidance to create a comprehensive and compliant credentialing program to support your health plan or to streamline your hospital's provider enrollment process through delegation. MSPs in all healthcare environments can benefit from understanding credentialing in the managed care world to support their organizational goals of compliance, operational efficiency, cost savings, and practitioner satisfaction. This book will help you: - Understand NCQA, URAC, and CMS requirements for health plans - Develop a comprehensive and compliant managed care credentialing program - Establish delegated credentialing agreements - Audit credentials files - Recognize how payer credentialing requirements impact other healthcare organizations - Streamline provider enrollment through delegation - Identify the differences between hospital and managed care credentialing - Evaluate whether a credentials verification organization is right for your organization About the author: Amy M. Niehaus, CPMSM, CPCS, MBA, is a consultant with The Greeley Company, an industry-leading healthcare consulting firm. She has over 25 years' experience in the medical services and credentialing profession. In her current role, she advises clients in the areas of accreditation, regulatory compliance, credentialing, process simplification and redesign, credentialing technology, and credentials verification organizations (CVO) development and delegation. Niehaus has worked in multiple environments throughout her career, including acute care hospitals, CVOs, and managed care organizations (MCO). She has been a member of the National Association Medical Staff Services (NAMSS) since 1991 and achieved her CPMSM certification in 1992 and her CPCS certification in 2002. Niehaus is a NAMSS instructor and previously served as chair of its MCO Task Force, as well as chair and member of the NAMSS Education Committee. She is a former president of the Missouri Association Medical Staff Services and its greater St. Louis area chapter. Niehaus holds a bachelor's degree from the University of Missouri and a master's degree in business administration from Maryville University in St. Louis. Niehaus has developed and presented various programs to local and national audiences on topics such as credentialing and privileging processes; Joint Commission, National Committee for Quality Assurance (NCQA), and URAC accreditation standards; and delegation. |
| certified professional in medical services management: 2022 Hospital Compliance Assessment Workbook Joint Commission Resources, 2021-12-30 |
| certified professional in medical services management: CSSM® Exam Prep Competency & Credentialing Institute, 2018-04 Created by the organization that administers the CSSM exam, the CSSM® Exam Prep is the go-to resource for practicing professionals. Featuring 200 exam-formatted practice questions, case studies, exam tips, and a comprehensive review of all seven subject areas, this guide makes exam prep easy and efficient. |
| certified professional in medical services management: The Medical Staff Services Handbook Cindy Gassiot, Vicki Searcy, Christina Giles, 2011-08-24 Rev. ed. of: The medical staff services handbook / [edited by] Cindy A. Gassiot, Vicki L. Searcy, Christina W. Giles. c2007. |
| certified professional in medical services management: Fundamentals of Contract and Commercial Management Jane Chittenden, 2014-01-01 This ground-breaking title from the world s leading authority on contemporary contracting best practices, the IACCM (International Association for Contract and Commercial Management) delivers a lively and practical complete insight into the contracting process which is useful in both business and personal life. Contracts are the language of business, and this book gives readers the essentials that can make a difference to any deal, no matter how big or small. Designed for the non-contract business professional, this book takes project managers and other professionals through the basic process and gives them a road map to improved results, increased value, and successful outcomes In this book you ll find sensible guidance and approaches to ensure business success. Case studies showing you what can go wrong and what can go right -- bring theory into the real world. Checklists give confidence and enable you to be certain that you have asked and answered the right questions as you go through any deal. This real-world approach demonstrates the value of effective contracting. This is not dry, academic prose. It is compelling and dynamic advice and tools to manage business relationships for both buyers and sellers. |
| certified professional in medical services management: Risk Management Handbook for Health Care Organizations, 3 Volume Set , 2011-01-06 Continuing its superiority in the health care risk management field, this sixth edition of The Risk Management Handbook for Health Care Organizations is written by the key practitioners and consultant in the field. It contains more practical chapters and health care examples and additional material on methods and techniques of risk reduction and management. It also revises the structure of the previous edition, and focuses on operational and organizational structure rather than risk areas and functions. The three volumes are written using a practical and user-friendly approach. |
| certified professional in medical services management: AHP Competencies John Rosing, 2005 |
| certified professional in medical services management: Code of Ethics for Nurses with Interpretive Statements American Nurses Association, 2001 Pamphlet is a succinct statement of the ethical obligations and duties of individuals who enter the nursing profession, the profession's nonnegotiable ethical standard, and an expression of nursing's own understanding of its commitment to society. Provides a framework for nurses to use in ethical analysis and decision-making. |
| certified professional in medical services management: Business Process Management in Healthcare Organizations Margaret Kilduff, 2020-06 |
| certified professional in medical services management: CPT Professional 2022 American Medical Association, 2021-09-17 CPT(R) 2022 Professional Edition is the definitive AMA-authored resource to help healthcare professionals correctly report and bill medical procedures and services. |
| certified professional in medical services management: The Management Body of Knowledge , 2019-11-15 The Management Body of Knowledge is the American Management Association's flagship publication that sets the bar in management excellence. It outlines the right mix of knowledge, skills and abilities needed for managers to succeed in today's complex work environment. This resource guide provides the tools and key competencies managers need to excel in management and prosper in today's market. Mastering the best practices outlined in this book will ensure you have a foundational set of skills to succeed as a Manager. |
| certified professional in medical services management: The Quick-and-Easy Web Site Paula Peters, 2008-05-01 Forget the complicated instructions and baffling techspeak found in other guides, The Quick-and-Easy Web Site gives you straightforward instruction on how to build a Web page that really delivers. It's simple. It's fast. And it's certain to take your small business to the next level. Written for the small-business owner on the go, this book gets your Web site up and running in just one day. It walks you through the five easy steps that will get your company the Internet attention it deserves. Learn how to: Purchase your domain name Write powerful Web content Design your page's layout Find a Web host Publish your site Once your new site goes active, you'll attract new customers in no time. This fast and effective guide puts you and your company where you belong-on the Web! Paula Peters is the owner of Peters Writing Services, Inc., a firm that specializes in writing and designing marketing materials, including Web sites. She has written marketing materials for a variety of Fortune 500 companies across the globe and has published more than 50 articles, essays, and stories. The author of The Ultimate Marketing Toolkit, Peters also has taught thousands of entrepreneurs, leaders, and managers over the past 12 years. |
| certified professional in medical services management: Cancer Registry Management Herman R. Menck, 2011 |
| certified professional in medical services management: Healthcare Information Technology Exam Guide for CHTS and CAHIMS Certifications Kathleen A. McCormick, Brian Gugerty, John E. Mattison, 2017-09-15 The Complete Healthcare Information Technology Reference and Exam Guide Gain the skills and knowledge required to implement and support healthcare IT (HIT) systems in various clinical and healthcare business settings. Health Information Technology Exam Guide for CHTS and CAHIMS Certifications prepares IT professionals to transition into HIT with coverage of topics ranging from health data standards to project management. This new edition includes broadened security content in addition to coverage of disruptive innovations such as complex platforms that support big data, genomics, telemedicine, mobile devices, and consumers. Learn about achieving true interoperability, updates to HIPAA rules, and FHIR and SMART standards. “This book is an invaluable reference for understanding what has come before and what trends are likely to shape the future. The world of big data, precision medicine, genomics, and telehealth require us to break old paradigms of architecture and functionality while not interrupting existing care processes and revenue cycles... We’re dealing with state sponsored cyberterrorism, hacktivism, and organized crime. I describe healthcare IT security as a cold war... You’ll hear from the experts who created many of the regulations and best practices we’re using today to keep information private. I hope you enjoy this book as much as I have and that it finds a place of importance on your book shelf.” From the Foreword by John D. Halamka, MD, Chief Information Officer, CAREGROUP, Boston, MA Coverage includes: • Healthcare and Information Technology in the United States • Fundamentals of Healthcare Information Science • Healthcare Information Standards and Regulation • Implementing, Managing, and Maintaining Healthcare Information Technology • Optimizing Healthcare Information Technology • Making Healthcare Information Technology Private, Secure, and Confidential Electronic content includes: • Practice exams for CHTS and CAHIMS • Secure PDF copy of the book |
| certified professional in medical services management: Medical Credentialing Specialist - The Comprehensive Guide VIRUTI SHIVAN, In the rapidly evolving world of healthcare, the role of a Medical Credentialing Specialist has never been more critical. Medical Credentialing Specialist - The Comprehensive Guide is the quintessential resource for professionals aiming to master the intricate processes of medical credentialing and privileging. This book distills complex regulations and procedures into an accessible format, ensuring readers not only comprehend the foundational principles but also excel in applying them within any healthcare setting. With a focus on practical strategies and real-world scenarios, this guide demystifies the credentialing process, making it an indispensable tool for both novices and seasoned professionals. Understanding the high stakes involved in credentialing for patient safety and organizational integrity, this comprehensive guide emphasizes the importance of accuracy, efficiency, and compliance. It navigates through the myriad of standards and legal requirements with precision, offering up-to-date insights into industry best practices. Note, to respect copyright laws and ensure universal accessibility, this book does not include images or illustrations. Instead, it enriches the reader's understanding through detailed explanations, case studies, and hypothetical scenarios that bring the credentialing world to life. By prioritizing clarity and practicality, this guide stands as an essential read for anyone looking to thrive in the healthcare credentialing field. |
| certified professional in medical services management: Registered Health Information Administrator (RHIA) Patricia Shaw, Darcy Carter, Heather Merkley, 2010-01-01 |
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