How to gather credentialing information from closed facilities
Credentialing and Peer Review Legal Insider, February 1, 2010
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Credentialing professionals work under the assumption that the facilities they query are open for business and have practitioners’ records. However, it’s common for MSPs to find that a verification trail has gone cold. Perhaps the medical staff applicant is older and his medical school closed in the years since graduation. Or perhaps the applicant spent several decades working at a facility that experienced a devastating fire and her paper credentialing file was lost. How does the MSP obtain primary source verifications in these situations?
“Joint Commission requires that you do these [verifications], but there are lots of situations where you just can’t get your hands on the information and that is the reality of the practice,” says Judith Giorlando, a lawyer based in Baton Rouge, LA. “There are many reasons why we might not be able to get the information, and we’re having to come up with alternative plans of how are we going to combat that in the world of evidence-based credentialing.”
This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Credentialing and Peer Review Legal Insider.
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