Course Description
This course will focus on the basic steps in the provider credentialing process and the responsibilities of a provider credentialing specialist. The purpose and use of medical staff bylaws will also be covered along with an introduction to the peer review process. (3 credits)
Prerequisites
- None
Student Learning Outcomes (SLOs)
Students who successfully complete this course will be able to:
- Discuss the provider credentialing process and standards.
- Describe the credentialing application, review, and approval process.
- Apply legal and ethical considerations to the provider credentialing process.
- Describe the functions of ongoing monitoring in a provider credentialing department.
- Explain the purpose and use of medical staff bylaws.
- Outline the peer review process.
Course Activities and Grading
| Assignments | Weight |
|---|---|
Discussions (Weeks 1-8) | 20% |
Midterm Project (Week 4) | 10% |
Quiz (Week 3 & Week 5) | 10% |
Assignments (Weeks 1-7) | 40% |
Final Exam (Week 8) | 20% |
Total | 100% |
Required Textbooks
Available through Charter Oak State College's Book Bundle
- Russell. Verify & Comply: Credentialing, Medical Staff, and Ambulatory Care Standards. 10th ed. HCPro, Inc., 2022. ISBN-13: 9781645351986
Additional Required Textbook
Not available through Charter Oak State College's book bundle or bookstore
- NAMSS. Certified Provider Credentialing Specialist Study Guide. NAMSS.
- This is an electronic copy that is not available through the Charter Oak bookstore. It must be purchased directly through NAMSS and price will depend on NAMSS membership vs. non-membership. This will be used in both Provider Credentialing courses so there will be no textbook cost for Provider Credentialing 2.
Course Schedule
| Week | SLOs | Readings and Exercises | Assignments |
|---|---|---|---|
1 | 1 | Topic: Provider Credentialing Introduction
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2 | 2,5 | Topic: Application & Standards
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3 | 1,2 | Topic: Staff Categories and Staff Status
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4 | 4 | Topics: Ongoing Monitoring
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5 | 2,6 | Topic: Ongoing Monitoring (Continued)
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6 | 1.6 | Topic: Peer Review Process
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7 | 3,6 | Topic: Peer Review Recommendation
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8 | 5 | Topic: Medical Staff Bylaws & Final Exam
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COSC Accessibility Statement
Charter Oak State College encourages students with disabilities, including non-visible disabilities such as chronic diseases, learning disabilities, head injury, attention deficit/hyperactive disorder, or psychiatric disabilities, to discuss appropriate accommodations with the Office of Accessibility Services at OAS@charteroak.edu.
COSC Policies, Course Policies, Academic Support Services and Resources
Students are responsible for knowing all Charter Oak State College (COSC) institutional policies, course-specific policies, procedures, and available academic support services and resources. Please see COSC Policies for COSC institutional policies, and see also specific policies related to this course. See COSC Resources for information regarding available academic support services and resources.