The CPCS and CPMSM examinations are the standard in the medical services profession and are a symbol of excellence within the industry. Earning the credential signifies that an individual has demonstrated the knowledge and skills required to perform competently in today's complex medical credentialing enviroment.
The Certified Professional Medical Services Management (CPMSM) is typically employed or contracted by a health care organization including, but not limited to, health plans, group practices, credentialing verification organizations or hospitals (health systems).
A CPMSM is an integral part of the team that manages key systems and is responsible for maintaining compliance with regulatory and accrediting bodies, developing and implementing credentialing processes and procedures, and overseeing development of and adherence to governance bylaws, department rules and regulations, and medical staff, organizational, and/or practitioner/provider policies. The CPMSM may also be responsible for overall management of medical services functions (i.e. staffing, budgets, database administration, etc.), continuing medical education, and provider recruitment/relations.
CPMSM Examination:
1. At the time of application, candidate must be currently employed in the
medical services profession for at least the past 12 consecutive months and have
a total of five years of experience within the past eight years, OR
2. Be a CPCS in good standing and be employed for at least the past twelve (12)
consecutive months in the medical services profession.
The Certified Provider Credentialing Specialist (CPCS) is typically employed or contracted by a health care organization including, but not limited to, health plans, group practices, credentialing verification organizations or hospitals (health systems).
A CPCS is an integral part of a credentialing team and may be responsible for maintaining compliance with regulatory and accrediting bodies, participating in the development and implementation of credentialing processes and procedures, governance bylaws, department rules and regulations, medical staff, organizational, and/or practitioner/provider policies, maintaining an accurate practitioner database, and collecting and analyzing verification information.
CPCS Examination:
1. At the time of application, candidate must be currently employed in the
medical services profession for at least the past 12 consecutive months and have
a total of three years of experience within the past five years, OR
2. Be a CPMSM in good standing and be employed for at least the past twelve (12)
consecutive months in the medical services profession.