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Amy Niehaus, MBA, CPMSM, CPCS

President, AMN Consulting, LLC

Amy M. Niehaus is an independent healthcare consultant with more than 30 years of experience in the medical services and credentialing profession advising clients in the areas of accreditation, regulatory compliance, credentialing, privileging, operational efficiency, technology, credentialing policies and procedures, enrollment, and delegation. Niehaus has worked in multiple environments throughout her career, including acute care hospitals, CVOs, health plans, and consulting firms. She has been a member of NAMSS since 1991, is currently a NAMSS instructor and subject matter expert, and previously served as chair and member of the association’s education committee. She is a former president of the Missouri Association Medical Staff Services and its Greater St. Louis Area chapter. Niehaus is a frequent speaker and educator and has authored and contributed to a variety of industry-related publications. She is the author of Managed Care Credentialing: Compliance Strategies for Health Plans, CVOs, and Delegated Entities (HCPro, 2019).

  • National Provider Enrollment Forum

    • Payer Credentialing & Provider Enrollment: Two Sides of the Same Coin

      Monday, September 20, 2021, 10:40 a.m. – 11:40 p.m.

      Timely provider enrollment with payers is a critical function to enable provision of care and business success. This session will look at both sides of the credentialing process in the commercial payer world. Understanding a health plan’s requirements under NCQA and CMS can help a provider organization develop an efficient enrollment process for its employed or contracted healthcare practitioners, including the potential for achieving delegation status.

    • Achieving NCQA Recognition in Credentialing

      Monday, September 20, 2021, 8:00 a.m. – 9:00 a.m.

      Attaining NCQA recognition as a credentialing organization demonstrates compliance with specific industry credentialing requirements and provides opportunities for significant efficiencies and marketability, including delegation status with payers and streamlined enrollment. This session will outline the NCQA requirements for CR accreditation and CVO certification to help organizations determine eligibility and achieve success through proven survey management tools and techniques.

    • Use Delegated Credentialing to Eliminate Enrollment Delays

      Monday, September 20, 2021, 12:40 p.m. – 1:40 p.m.

      Waiting for payers to complete their credentialing process takes time and can result in lost or delayed revenue. An efficient enrollment process is critical to a healthcare organization's revenue cycle, and attaining delegated status with commercial payers allows organizations to enroll new providers faster and eliminate enrollment delays. Attendees of this session will learn the steps to achieve delegation status, including determining eligibility and establishing a compliant credentialing program.

    • Master Ongoing Credentialing Monitoring Requirements

      Tuesday, September 21, 2021, 8:00 a.m. – 9:00 a.m.

      Once practitioners are credentialed, they are immediately subject to ongoing monitoring for continued compliance and potential issues. This function is critical to ensure quality patient care, but also to ensure that the organization is in compliance with accreditation and regulatory requirements and not subject to fines or other corrective action. This session will provide a focused review of the CMS, Joint Commission, and NCQA credentialing requirements for ongoing monitoring, including implementation tips and leading practices to ensure compliance and reduce risk.

  • NPE & CRC Virtual Experience

    • Eliminate Enrollment Delays Through Delegated Credentialing

      Wednesday, April 21, 2021, 3:05 p.m. – 4:05 p.m.

      An efficient enrollment process is critical for any healthcare organization's revenue cycle but waiting for payers to complete their credentialing process takes time, and this can come at a significant cost to the organization in terms of lost or delayed revenue. Attaining delegated status with commercial payers provides the opportunity for organizations to enroll new providers faster and eliminate enrollment delays. This session will provide attendees with the steps to achieve delegation status, including determining eligibility and approaches to establishing a compliant credentialing program

    • LIVE Q&A Session

      Wednesday, April 21, 2021, 4:15 p.m. – 4:45 p.m.

    • Making the Case for Integrating Credentialing and Enrollment

      Thursday, April 22, 2021, 3:05 p.m. – 4:05 p.m.

      Hospitals continually seek opportunities to improve efficiency, eliminate redundancies, and increase quality. Integrating credentialing and enrollment provides the opportunity to achieve these goals, as there is significant overlap with the two processes. This session will demonstrate how integrating these functions can achieve greater operational efficiency and enhance revenue for your organization.

    • LIVE Q&A Session

      Thursday, April 22, 2021, 4:15 p.m. – 4:45 p.m.