This tool facilitates a complete application submission. It serves as a quick and complete reference regarding membership and privileging requirements/criteria, saving practitioners and MSPs the headache of resolving incomplete and/or unqualified applications.

Reviewed by CRC's ...

This form can be used to document a practitioner’s level of engagement at a facility by assessing not only clinical activity—or lack thereof—but other general competency elements such as patient care (NPDB query) and professionalism (participation in continuing medical education).

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Many APPs—especially those who are employed by hospitals—practice across specialty lines. This form spans multiple areas of practice and the potential privileges associated with each. The state-specific information and privileges listed in each category can easily be modified by state/medical...

If a practitioner loses privileges or membership because the hospital offers an exclusive contract to another practitioner or specialty group, most institutions will not offer a fair hearing, and the action is not reported to the NPDB. Most hospitals have one or more exclusive contracts with ...

As telemedicine solutions gain ground, having an effective way to confirm the identity of applicants—some of whom may never step foot in your facility—is more important than ever. Download this sample form from The...

Facilities seeking competency data may need to amend their policies or medical staff bylaws. These samples can be customized for most facilities, but consult with counsel first.

CMS and The Joint Commission require individuals other than licensed physicians who provide a “medical level of care” in the hospital to be credentialed and privileged in the same fashion as physicians. As advanced practice professionals (APP) have a greater presence in medical centers, some...

This free resource is a sample reappointment OPPE scorecard courtesy of Beebe Healthcare, a nonprofit community hospital in Lewes, Delaware, that upholds professional practice evaluation as one landmark in the greater quality landscape. 

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Download a sample telemedicine policy.

The employed physician applicant receives one standardized application package that requests all of the information required by the parties as outlined in the policy and allows the MSSD, human resources, and payer credentialing to simultaneously receive the same information so that each can...

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