November 6, 2018 @ 8:00 am – 5:00 pm
Ramkota Hotel & Conference Center
800 S 3rd St, Bismarck, ND 58504



Presented by: Kathy Matzka, CPMSM, CPCS

Roll up your sleeves and get ready to go to work! Through a series of “hands on” activities, this program provides an practical, in-depth review of aspects of credentialing, recredentialing and privileging including primary source verification, applying criteria for appointment, reviewing the application for completeness, identifying “red flags”, roles in the review and approval process, meeting management, credentialing telemedicine and allied health professionals, coordinating the peer review process, performing credentials file audits, and understanding negligence in credentialing. This program is geared toward those new to these processes, but can serve as a great refresher for the experienced credentialing professional. Lecture will be reinforced with table top exercises and other discussion-based sessions. There will be adequate time to discuss issues and answer questions.


Identify CMS regulations for credentialing and privileging
Discuss credentialing and privileging requirements of The Joint Commission
Identify and evaluate “red flags” in an application
Define appropriate mechanisms for primary source verification and approved secondary or equivalent sources
Recognize the roles of various persons involved in the review and approval process
Determine effective mechanisms for credentialing and privileging allied health and telemedicine providers
Discuss the medical services professional’s role in the Peer Review and Hearing processes
Evaluate meeting minutes to determine appropriate documentation
Identify issues that could lead to a finding of negligence in credentialing practices