1. NATIONAL CREDENTIALING FORUM FEBRUARY 20, 2004
NAMSS CREDENTIALING ELEMENTS TASK FORCE
POSITION PAPER
PRESENTED BY:
CHRISTINA GILES
MEDICAL STAFF SOLUTIONS & EDGE-U-CATE LLC

2. NAMSS CREDENTIALING ELEMENTS TASK FORCE
Commissioned June, 2003 by NAMSS Board of Directors
Charge: Develop a position paper recommending the critical data elements to be included in all application processes.
Members: Variety of backgrounds and experience; all were CMSC or CPCS certified; knowledgeable of NCQA, JCAHO, CMS and URAC standards and legislative mandates
February 20, 2004
Prepared by: Medical Staff Solutions and Edge-U-Cate, LLC.

3. NAMSS CREDENTIALING ELEMENTS TASK FORCE
NAMSS members have been encouraged to utilize the position paper as a tool to evaluate credentialing applications.
Tool may not meet individual state laws or statutes regarding credentialing. Legal counsel should be contacted by each organization prior to finalizing a credentialing document.
February 20, 2004
Prepared by: Medical Staff Solutions and Edge-U-Cate, LLC.

4. NAMSS CREDENTIALING ELEMENTS TASK FORCE
Position paper was forwarded for review and comment to NCQA and JCAHO:
JCAHO: “….the position paper includes a comprehensive list of information required by the JCAHO standards to credential and privilege applicants.”
February 20, 2004
Prepared by: Medical Staff Solutions and Edge-U-Cate, LLC.

5. NAMSS CREDENTIALING ELEMENTS TASK FORCE
NCQA:
“….NCQA supports efforts to standardize the credentialing process and align requirements. As an organization whose members are experts in the areas of practitioner credentialing and member services, it certainly makes sense for NAMSS to participate in such efforts.”
February 20, 2004
Prepared by: Medical Staff Solutions and Edge-U-Cate, LLC.

6. Prepared by: Medical Staff Solutions and Edge-U-Cate, LLC.
Common Approach
NAMSS
Credentialing Elements Task Force
September, 2003
Revised 1/7/04
Participants from NAMSS – various experience backgrounds
Reviewed and endorsed by NCQA and JCAHO
NCF
Core credentialing elements – 1996
Revised June, 2003
Participants from 23 different organizations including NAMSS, JCAHO and NCQA, among others
February 20, 2004
Prepared by: Medical Staff Solutions and Edge-U-Cate, LLC.

7. Prepared by: Medical Staff Solutions and Edge-U-Cate, LLC.
SOME DIFFERENCES
NAMSS
Fifth Pathway
Additional Training or Experience related to privileges requested
Malpractice Carriers- Past 10 years
Past Medical Practices or Clinical Employment
NCF
Gender
Military Service
Specialty Certification – Date Qualified – Date Qualification Expires
Malpractice Carriers – Past 5 years
Office Billing Information
Academic Appointments
References
February 20, 2004
Prepared by: Medical Staff Solutions and Edge-U-Cate, LLC.

8. Prepared by: Medical Staff Solutions and Edge-U-Cate, LLC.
OPTIONS
Continue revising and maintaining NCF Core Credentialing Data Form OR
Endorse the elements proposed by NAMSS
Work with NAMSS Task Force to include specific items on the NCF form not currently included in NAMSS list
February 20, 2004
Prepared by: Medical Staff Solutions and Edge-U-Cate, LLC.

9. Prepared by: Medical Staff Solutions and Edge-U-Cate, LLC.
NCF Annual Meeting
February 20, 2004
THE FUTURE
Whatever decision is made ……
NCF could endorse the idea of publicizing
the acceptable product
February 20, 2004
Prepared by: Medical Staff Solutions and Edge-U-Cate, LLC.
Prepared by: Medical Staff Solutions & Edge-U-Cate, LLC