Corporate Compliance

How to audit credentialing and privileging practices

Healthcare Auditing Weekly, November 8, 2005

In this issue, we'll continue our discussion of auditing your organization's credentialing and privileging practices.

After you've reviewed credentialing files, determine whether your facility's credentialing office verifies the following for new physician applicants:

  • Medical-school degree

  • Residency

  • Previous healthcare organization affiliations-at a minimum, the file should contain a 10-year practice history for each applicant

  • Personal references

  • Contacts with former employers' human resources' departments about performance issues

      The above tip is an excerpt from the book "Hospital Auditing and Monitoring: Sample Programs for Key Risk Areas." Copyright 2004 by HCPro, Inc. This book is a step-by-step, practical manual that offers sample audit programs for the most troublesome areas that a hospital must audit. The binder and CD-ROM are filled with actual audit programs used by auditors and compliance officers in the field. Click here for more information or to order your copy today.

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