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Meeting and Exceeding Industry Credentialing Standards with the AMA Physician Profile

Start Date:11/4/2021

Start Time:12:00 PM CDT


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.

By the end of the webinar, participants will be able to:
1. Outline the key components of the AMA Standards Table
2. Describe the annual process to review and update the AMA Standards Table to maintain compliance
3. Identify credentialing elements that exceed regulatory and accreditation requirements

Participants are encouraged to bring their questions for the closing Q&A session.


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Speakers:

Amy Niehaus, MBA, CPMSM, CPCS

President and Consultant

AMN Consulting, LLC

Amy M. Niehaus, MBA, CPMSM, CPCS, is a credentialing and medical staff services consultant with more than 30 years of experience. She advises clients in the areas of accreditation, regulatory compliance, credentialing, privileging, credentialing technology, CVO certification and CR accreditation, enrollment and delegation. Amy has worked in multiple environments, including hospitals, CVOs, and health plans, providing her with a diverse insight into all facets of the profession. Amy has authored and contributed to a variety of industry-related publications. She develops and presents various programs to state and national audiences and is also a NAMSS instructor.


Disclaimer: Information provided by the AMA contained within this resource is for medical coding guidance purposes only. It does not (i) supersede or replace the AMA’s Current Procedural Terminology manual (“CPT® Manual”) or other coding authority, (ii) constitute clinical advice, (iii) address or dictate payer coverage or reimbursement policy, and (iv) substitute for the professional judgement of the practitioner performing a procedure, who remains responsible for correct coding.

 

Copyright 2021 American Medical Association (AMA). All rights reserved. CPT is copyrighted and trademarked by the AMA.

Speakers:

Amy Niehaus, MBA, CPMSM, CPCS

President and Consultant

AMN Consulting, LLC

Amy M. Niehaus, MBA, CPMSM, CPCS, is a credentialing and medical staff services consultant with more than 30 years of experience. She advises clients in the areas of accreditation, regulatory compliance, credentialing, privileging, credentialing technology, CVO certification and CR accreditation, enrollment and delegation. Amy has worked in multiple environments, including hospitals, CVOs, and health plans, providing her with a diverse insight into all facets of the profession. Amy has authored and contributed to a variety of industry-related publications. She develops and presents various programs to state and national audiences and is also a NAMSS instructor.


Disclaimer: Information provided by the AMA contained within this resource is for medical coding guidance purposes only. It does not (i) supersede or replace the AMA’s Current Procedural Terminology manual (“CPT® Manual”) or other coding authority, (ii) constitute clinical advice, (iii) address or dictate payer coverage or reimbursement policy, and (iv) substitute for the professional judgement of the practitioner performing a procedure, who remains responsible for correct coding.

 

Copyright 2021 American Medical Association (AMA). All rights reserved. CPT is copyrighted and trademarked by the AMA.

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