Board certification is a voluntary achievement by a practitioner to further demonstrate his or her knowledge and skills in a particular specialty. Although it is not required by any accrediting or regulatory body, many health plans do require as part of their credentialing criteria either board...
Fundamentally, there should be no difference between how employed practitioners and independent practitioners are credentialed. Verifying the information and evaluating current clinical competence should be the same regardless of whether the applicant internist is an employed hospitalist or an...
Who can be a credentials committee member? CMS and accrediting bodies only refer to the general function of a credentials committee. They do not specify the committee structure or provide requirements for membership on the committee. Your organization’s medical staff bylaws and/or credentialing...
The Credentialing Resource Center’s annual MSP Salary Survey will be closing soon! This is your last chance to complete the survey and to be entered into a raffle for a chance to win a $25Amazon gift card. Remember, the more responses we have, the more meaningful (and actionable) the...
There should be very few times when a medical staff needs to deny an application for privileges. For the most part, the physician and other LIP applicants are practitioners who have excellent records and will continue to deliver high quality in their ongoing patient care.
Potential concerns about an applicant, often called red flags, should be identified and documented. With time and practice, you’ll learn to discern signs of trouble. Examples of red flags include the following: