Credentialing & Privileging

Tip of the week: Primary and secondary source verifications

Credentialing Resource Center Connection, August 30, 2007

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The following is a list of some of the application items which require source (or issuer) verification:

  • Information from all prior and current professional liability insurance carriers concerning claims, suits, and settlements, and restrictions or limitations of coverage during the past five years
  • The applicant's clinical work experience during the past six to 12 months
  • Licensure status in all current or past states of practice (available online)
  • Federal Drug Enforcement Administration (DEA)/ State Controlled Dangerous Substance (CDS) certificate (if needed)
  • The Office of Inspector General's list of individuals/entities excluded from Medicare, Medicaid, and other federal payment programs (available online)

A complete list can be found in The Comprehensive Guide to Credentialing and Privileging for Ambulatory Surgery, by Laura Harrington, RN, BS, MHA, CPHQ; Beverly E. Pybus, CPMSM; and Dawn Q. McLane RN, MSA, CASC, CNOR.



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