The Medical Staff Services Department is the tactical department that supports medical staff organization activities. Medical staff organization activities include credentialing, privileging, quality improvement activities (OPPE/FPPE), medical staff organization governance, Scope and Scalpel, and MEC and Medical Staff meeting minutes recording and retention.
This includes maintaining complete and current credentialing files for all members of the Medical Staff and coordinates reappointment activities, reviews each staff member’s privileges, provides appropriate credentialing information to hospitals and institutions as requested, initiates reports to governmental agencies when required, serves as a liaison for physician administrative interactions, store departmental meeting minutes, and serves as a resource for interpretation of bylaws and department rules and regulations. Our group also monitors expiring licenses, Certifications, OIG sanctions, and Federal sites such as DEA, ATF, DHS, FBI, SSA, DOT, FDA, and the DOC.
The Medical Services Department also provides managed care enrollment for those providers who are part of the PHO. We work cohesively with departments, medical offices, and /or billing offices to identify and resolve provider, network and contractual issues as they arise.
We also oversee your CAQH profile, which is an online profile that maintains all of the provider’s information to be accessed for enrollment into the insurance plans in addition to monitoring your Medicare revalidations.
Our department can also assist you with your renewal of licenses, certifications, and other issues/concerns you may need support with.
Please think of us as your Provider Concierge’s Service, we are willing to help you maintain your work-life balance by making it our mission to ease your burden.
Your peace of mind is our success!
Bree Grossman, Extension 5684
Terri Spurr, Extension 6245
Paula Hume, Extension 5723