Essential Data Elements for Payer Credentialing

Credentialing and enrollment are critical processes that impact many facets of the healthcare industry. When not managed properly they can negatively impact a healthcare organization’s revenue. With regulatory requirements becoming more and more complex, incorrectly and poorly managed credentialing and enrollment processes also put hospitals at risk of compliance violations.

NAMSS (National Organization Medical Staff Services) has identified the essential data elements to recognize where standardization would create a more efficient and effective process. Check out the table below for the essential elements.

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