Credentialing Corner

Welcome to the Credentialing Corner where we aim to provide monthly information and support!

Highlights!
April’s 2025 annual conference brought us a wide array of educational topics and networking along with the opportunity to earn CE’s (9.25). Our keynote speaker, April Lewis, had a meaningful message with a powerful affirmation that recognizes each of you as a vital part of your organization as a medical staff services professional. Thank you to the committee members and volunteers for all that you do to make this conference a success and all who attended!

Please utilize our website for MAMSS resources, current/historical documents, popular links and the member directory! Reach out to any board member with any questions or suggestions!

Tips and Tricks!
• MSO Directory or NAMSS Pass are great resources for MSO contacts to obtain verifications.
• Ask your IT department to add your contact information or portal links to your facility website if able.
• If you are newer (or older) make sure to utilize your regional representative or members to help answer questions that may come up or if you prefer ask a questions on our Facebook group. These can be a wonderful resource no matter how long you have been a MSP!

Elections!
Below are the 2025 Slate of Candidates who have been officially elected by MAMSS membership and will assume their roles 7/1/2025! Congratulations to you all!

Vice President: Danielle Larson, Aspirus St. Luke’s
Treasurer: Theresa Winter, Hennepin Healthcare (re-elected)
Secretary: Marissa Callender, HealthPartners
In addition, the following member has been appointed to the Board effective July 1, 2025:

Northern Regional Representative: Lynette Tahtinen, Fairview Range Medical Center

**If you would like to volunteer for any of our committees please reach out to any board member or your regional representative

Certifications and Scholarships!
Congratulations to the following members for winning a scholarship or achieving NAMSS certification(s) in 2025.

CPCS
Lisa Powers
Angela Dugas

CPMSM – n/a

MAMSS Certification Scholarship
Kathryn Westman

MAMSS Conference Scholarship (2025)
no applicants

NAMSS Conference Scholarship (2025)
Becky Kessler

In the News!

• CVO Credentialing Services Market Set to Grow at 10.2 Percent CAGR by 2032: Simplifying Provider Validation and Strengthening Healthcare Quality. June 2025

• Legislation introduced to speed up medical credentialing for military providers. June 2025

• Predictions for the Future of Provider Credentialing – AI-powered credentialing systems will reduce the average credentialing time from months to days for most providers. A national provider credential passport will emerge, allowing verified credentials to be accepted across most healthcare organizations. Feb 27, 2025

• Lawsuit claims MVHS fired whistleblower for exposing credentialing lapses. Dec 6, 2024- romesentinel.com

• NCQA Updates:

Shortened Timeframes:
NCQA has reduced the timeframes for credentialing and recredentialing for both accredited and certified organizations.
Verification Requirements:
Organizations now need to verify Medicare and Medicaid exclusions, in addition to sanctions, within the shorter timeframes.
Focus on Efficiency:
These changes emphasize the need for efficient credentialing workflows and automated solutions to manage verifications and deadlines.

• CMS Updates:

Enhanced Telehealth Credentialing:
Changes to streamline telehealth credentialing, including standardized multi-state verification and expedited onboarding.
Emphasis on Compliance:
These updates aim to ensure providers are licensed and authorized across state lines, and that the credentialing process is efficient for telehealth services.

• Key Trends:

Real-time Data Sharing:
New rules require real-time data sharing to keep credentialing databases accurate and current.
Uniform Credentialing Criteria:
States are adopting uniform credentialing criteria and centralized platforms to reduce redundancy and expedite onboarding.
Focus on Patient Safety:
These changes are driven by a need to improve patient safety and provider accountability.

Looking Ahead!
CPCS Certification course planning
2025 Fall Virtual Conference planning will start soon!

If you have a topic, tip or trick you would like to share on this page email it to [email protected]

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