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Credentialing professionals who are Certified in Professional Medical Services Management (CPMSM) are at the top of the field. Those who have paired the CPMSM certification with credentialing software are likely transforming their healthcare organizations with increased revenue, improved provider satisfaction, and the insight executives need to make critical business decisions.
If you’re a credentialing specialist looking to take your career (and organization) to the next level, this blog post will provide all the details you need to decide if a CPMSM certification is right for you. You’ll get the benefits and also why combining the certification with credentialing software is the secret sauce.
What Is Certified Professional Medical Services Management?
The CPMSM certification is awarded by the National Association Medical Staff Services (NAMSS). It signifies a professional’s expertise in medical services management, particularly in the areas of credentialing and privileging. To obtain this certification, candidates must demonstrate proficiency in various core competencies, including maintaining compliance with regulatory and accrediting bodies, developing and implementing credentialing processes, and overseeing the adherence to governance bylaws.
Candidates are required to pass a rigorous exam that tests their knowledge and skills in these areas. In order to be eligible for the exam, the candidate must be currently employed in the medical service profession for at least 12 consecutive months within the last 24 AND have a total of five years’ experience in the medical services profession within the past eight years.
NAMSS also offers a Certified Professional Credentialing Specialist (CPCS) certification that is designed for credentialers who are earlier in their career.
Benefits of a CPMSM Certification
Obtaining a CPMSM certification offers significant benefits to both the credentialing professional and the organization that employs them. For credentialers, this certification enhances their professional stature, opening doors to advanced career opportunities and increased earning potential. It equips them with the latest knowledge and skills to navigate the complexities of credentialing, ensuring they can effectively manage processes and maintain compliance. It also reflects a professional’s dedication to ongoing development, ensuring they are equipped to handle the evolving challenges and regulatory requirements within the healthcare sector.
For organizations, employing certified professionals leads to streamlined credentialing processes, reduced errors, and improved compliance with regulatory standards. A CPMSM-certified credentialer brings expertise that can lead to enhanced operational efficiency, ultimately boosting provider satisfaction and building a positive work environment.
The CPMSM designation not only validates a credentialer’s expertise but also enhances the credibility of the organization they represent. Having a CPMSM-certified credentialer in your organization adds an extra layer of trust and professionalism. External parties, such as insurance payers, recognize the value of working with experienced credentialing professionals, which can improve relationships and reduce the risk of errors or delays in the credentialing process. This can ultimately lead to smoother operations and more efficient provider onboarding.
Expand the Impact of CPMSM Designation With Credentialing Software
While a CPMSM certification is invaluable, experienced credentialers know the real impact comes when their experience is combined with credentialing software to take the process to the next level. When combined, professionals with a CPMSM can eliminate delays, become more productive, and draw conclusions from the organization’s data.
Eliminate Delays
A professional with the CPMSM certification has the experience and education needed to enhance credentialing processes and quickly identify areas of improvement. Combining this knowledge with credentialing software will create efficiencies that result in providers being ready to practice sooner — increasing the organization’s revenue. For example, being able to identify a missing part of the enrollment application before submittal can save weeks of waiting for the payer to realize the missing piece — and then ask for it. Automated reminders ensure consistent follow up with insurance payers and faster turnaround, rather than working on their schedule.
Be More Productive
When a CPMSM-certified professional uses credentialing software, productivity increases for the entire organization. The credentialer can take advantage of automations that provide a better, faster document collection experience for providers.. Verifying documents, automate license verification, and exclusion monitoring are all repetitive processes that can be streamlined. When a credentialer is more efficient, then the credentialing process can be completed faster so every provider is earning and billing.
Gain Insights
A CPMSM credentialing professional will be skilled at using data to analyze processes and solve problems. The data and reporting available in credentialing software far surpasses what can be done with a manual process, making the CPMSM certification even more valuable. Look for credentialing software with customizable dashboards that offer insight into the payer’s process, your organization’s credentialing workload, and more.
Additionally, advanced credentialing software offers dashboards that allow credentialers to visualize data, track progress, and identify obstacles in their workflows. This functionality empowers credentialers to make quick and informed decisions, ultimately improving the overall efficiency of the credentialing process.
Download this guide to better understand the essential credentialing data you need.
Collaborate Across Teams
With centralized platforms, multiple users can access and update provider records in real time, ensuring that everyone is on the same page. This reduces the risk of miscommunication or missed information, especially in larger organizations with multiple departments involved in the credentialing process.
Make the Most of Your CPMSM Certification With MedTrainer
The experience and knowledge of credentialers who are Certified in Professional Medical Services Management is unmatched. They know that pairing this expertise with credentialing software, such as MedTrainer, will shorten the length of the process, increase efficiency, and offer providers a better experience. It’s why thousands of healthcare organizations use MedTrainer Credentialing Software.
When you’re ready to fully leverage the value of your CPMSM certification — learn more about MedTrainer.