Credentialing Corner

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

Highlights!

2025 Fall Virtual Conference – November 4th & 5th, 2025 – Registration is open and brochure has been emailed to members! Fall Brochure 2025

Membership Renewal – was due 9/1/2025 – information had been sent out and you can renew by going to Join – Member Registration on this site. If you renewed during the conference we do have that noted but feel free to reach out to [email protected] with any questions.

**Word versions of the MCUA and MUCAR applications are available in addition to the PDF due to software variances.

**MCC/Verisys/CredentialSmart have updated the 2025 MUCA applications.

**CAQH Application Update!

**Please utilize our website for MAMSS resources, current/historical documents, popular links and the member directory!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 2025-2027 members who have been officially elected by MAMSS membership and assumed their roles 7/1/2025!

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

NAMSS 2026 Board of Directors have been elected! Visit https://www.namss.org/

2026 Certifications and Scholarships!
Congratulations to the following members for winning a scholarship or achieving NAMSS certification(s)

CPCS – Applications for the Spring testing window TBD, go to NAMSS.org for more information

CPMSM – Applications for the Spring testing window TBD, go to NAMSS.org for more information

CPES – Applications for the testing window TBD, go to NAMSS.org for more information

MAMSS Certification Scholarship (2026)
MAMSS Conference Scholarship (2026)
NAMSS Conference Scholarship (2026)

2025 Winner’s Circle!

NAMSS 49^TH Educational Conference & Exhibition Portland, Oregon

Becky Kessler, CPCS

I cannot thank the MAMSS Board of Directors enough for the educational scholarship to attend the NAMSS conference. As I had indicated in my application letter, attending the NAMSS Conference was my biggest educational goal. Having never attended the national conference, I wasn’t sure what to expect. The conference was much more than I had envisioned. The opportunity to meet with vendors, network with others in the field, and obtain new insights into credentialing was a great experience. Meeting up with several others from Minnesota was a real treat, too.

The conference included general sessions, skill booster sessions, pop-up networking opportunities, and keynote speakers that were motivating and uplifting. For those that have not attended a national conference before, I highly recommend going. It’s an experience that I will never forget. After the conference, I took the time to review my notes and summarize everything learned and some of the important takeaways for me were that AI is here to stay, and we should be using it. Assume that your facility will be hit by a data breach and/or cybersecurity issue and plan for it. Regulatory and Government politics are driving healthcare in 2025.

Some vendors invited me to their events/dinners throughout the conference, too. I was able to attend the MD Staff Training Session on Sunday afternoon, the MD Staff 80’s Prom Party on Monday night, and the AMA Private Dinner on Tuesday night. Having never been to Portland, it was wonderful being able to see the city from my hotel room and with the convention center next to the hotel, it made attending the event very easy and convenient.

Thanks to the MAMSS leaders and members (Keri, Dani, Lexi, Jodi, Sherri, Cheri) who included me in the vendor scavenger hunt and dinner on Sunday night in the hotel.

This was truly an amazing experience, and I am so very thankful to the MAMSS board for awarding me the scholarship to attend.

In the News!

• Minnesota offers a pathway to a limited license for foreign medical graduates through recent legislation that requires an ECFMG certificate, passing parts of the USMLE, practicing medicine outside the U.S. for at least 60 months in the last 12 years, and having a job offer in a rural or underserved area under a collaborative agreement with a licensed physician. This limited license allows practice in designated areas, with the goal of eventually obtaining a full, unrestricted license after two years of practice and periodic reviews.

• 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

• Health systems react to White House pledge to build a digital health ecosystem. July, 2025 beckershospitalreview.com

JC Updates:

Standards Receive Significant Updates

Joint Commission (JC) announced on June 30, 2025, that it is making significant updates to its standards used by hospitals and critical access hospitals to guide compliance with JC accreditation requirements and the Centers for Medicare & Medicaid Services’ (CMS) Conditions of Participation.
The change, which consolidates and revises JC’s Life Safety and Environment of Care standards to enhance alignment with the Conditions of Participation, will necessitate careful review by EVS leaders as they strive to maintain compliance with JC accreditation requirements.

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/CPMSM certification in person course – Dates will be April 21st & 22nd at the Crowne Plaza prior to the annual conference! Watch your email and FB for more information.

– Refer a new member and receive a $10 gift certificate!

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

Standards Receive Significant Updates

Recent Updates!