Transcription of Understanding CMS Requriements for Credentialing and ...
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Understanding CMS Requriements for Credentialing and ...
Understanding CMS Requriements for Credentialing and Privileging Understanding CMS. Requirements for Credentialing , Recredentialing, and Privileging in Hospitals and Managed Care Kathy Matzka, CPMSM, CPCS. 1304 Scott Troy Rd, Lebanon, IL 62254. (618) 624-8124. CMS Hospital CoPs All Interpretative guidelines and manuals are on website Rev. 137, 04-01-15 (most recent hospital). Guidance/Guidance/Manuals/downloads/som1 07ap_a_hos Rev. 110, 10-10-14 most recent CAH. Guidance/Guidance/Manuals/ Most recent rule changes for MS posted in Federal Register May 12, 2014. 2. CMS Hospital Page 3.
• CoPs require criteria for determining privileges and for applying the criteria: –Individual character –Individual competence –Individual training –Individual experience –Individual judgment (c) Kathy Matzka, CPMSM, CPCS www.kathymatzka.com 6
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