Course Description
This course will focus on the intermediate steps in the healthcare provider credentialing process and the responsibilities of a provider credentialing specialist. The purpose and use of medical staff bylaws will also be covered along with healthcare law, terminology and cases. (3 credits)
Prerequisite
- HCA 265: Provider Credentialing 1
Student Learning Outcomes (SLOs)
Students who successfully complete this course will be able to:
- Define the healthcare provider credentialing process and standards.
- Describe the credentialing standards through the regulatory and accrediting bodies.
- Apply clinical privileges according to the provider specialty.
- Describe staff management, operations and information management.
- Examine the implementation of medical staff bylaws.
- Outline healthcare law, legal cases, legal terminology and the Healthcare Quality Improvement Act (HCQIA).
- Explain departmental operations required by a CPCS MSP.
Course Activities and Grading
| Assignments | Weight |
|---|---|
Discussions (Weeks 1-7) | 15% |
Assignments (Week 1-3) | 20% |
Midterm Project (Week 4) | 20% |
Final Essay (Week 7) | 30% |
Final Exam (Week 8) | 15% |
Total | 100% |
Required Textbook
Available through Charter Oak State College's Book Bundle
- Russell. (2022). Verify & Comply: Credentialing, Medical Staff, and Ambulatory Care Standards. 10th ed. HCPro, Inc. ISBN-10: 1-64535-198-X or ISBN-13: 978-1-64535-198-6
Additional Required Textbook
Not available through bookstore
- NAMSS. Certified Provider Credentialing Specialist Study Guide. NAMSS.
- This is an electronic copy that is not available through the Charter Oak bookstore. It must be purchased directly through NAMSS and price will depend on NAMSS membership vs. non-membership. This will be used in both Provider Credentialing courses so there will be no textbook cost for Provider Credentialing 2 as you should have purchased it for Provider Credentialing 1.
Additional Resource
Course Schedule
| Week | SLOs | Readings and Exercises | Assignments |
|---|---|---|---|
1 | 1-3 | Topics: Healthcare Provider Credentialing II Defined, CPCS Exam Information
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2 | 1-5 | Topics: Accrediting Standards and Regulatory Guidelines
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3 | 1-5 | Topic: Clinical Privileges and Provider Specialty
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4 | 3,4,5 | Topic: Midterm Project
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5 | 2,7 | Topic: Credentialing Specialist Operations
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6 | 5,6 | Topics: Law and Legal Cases
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7 | 3,6,7 | Topic: Final Essay
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8 | 5 | Topic: Final Exam
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Final Exam HcPro Verify & Comply 10th Edition: Chapters 1-10 CPCS Study Guide pgs. 3, 6-64, 71, 104,113-144 SLOs 1-7 | |||
COSC Accessibility Statement
Charter Oak State College encourages students with disabilities, including non-visible disabilities such as chronic diseases, learning disabilities, head injury, attention deficit/hyperactive disorder, or psychiatric disabilities, to discuss appropriate accommodations with the Office of Accessibility Services at OAS@charteroak.edu.
COSC Policies, Course Policies, Academic Support Services and Resources
Students are responsible for knowing all Charter Oak State College (COSC) institutional policies, course-specific policies, procedures, and available academic support services and resources. Please see COSC Policies for COSC institutional policies, and see also specific policies related to this course. See COSC Resources for information regarding available academic support services and resources.