The CRC team hears it often—dollars for education continue to dwindle. We know that often those in provider enrollment have to choose only one conference a year to attend, or have to submit a budget and proposal to attend educational opportunities in the upcoming year. Let us make your job a...
A health plan must designate a credentialing committee that uses a peer review process to make credentialing and recredentialing decisions. Members of the committee must include participating practitioners who can review and provide input on applicants for initial credentialing and...
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This table illustrates sample credentialing requirements that a health system’s various facilities and payers may hold for a general surgeon. Adapt this resource to fit your organization’s specific circumstances, and use it to educate recruiters about the qualifications candidates must possess....
Upon receipt of a completed application for membership and/or privileges, the medical staff services department (MSSD) will verify current licensure, education, relevant training, and current competence from the primary source whenever feasible, or from a credentials verification organization.
Many MSPs have questions regarding what information to keep and how long to store it. This policy outlines the requirements of documents that must be present in each medical staff credentialing and privileging file, as well as a control process for logging when those files are checked in and out...
Regulators continue to put pressure on hospitals to ensure physician competence through an effective peer review process. Medical staff leaders are charged with organizing and managing a robust approach to peer review. This policy outlines one approach to the challenge of medical staff peer...
