Credentialing & Privileging

Credentialing & Privileging Articles by Topic: Primary Source Verification

Ask the expert: What should a APP credentialing policy include?

  • Credentialing Resource Center Insider, Issue 34, September 2, 2011

    Some organizations address the credentialing and privileging of advanced practice professionals...

Connecticut Department of Public Health’s Web site missing physician malpractice information

  • Credentialing Resource Center Insider, Issue 2, January 14, 2011

    Physicians with less-than-stellar medical malpractice records appear to have clean slates...

News brief: Background check fails to turn up manslaughter conviction

  • Credentialing Resource Center Insider, Issue 1, January 7, 2011

    A Tampa (FL) certified nursing assistant (CNA) practiced in the James A. Haley Medical Center for...

Ask the expert: What do medical staffs do with the results of a criminal background check?

  • Credentialing Resource Center Insider, Issue 1, January 7, 2011

    Some healthcare facilities prohibit healthcare professionals from joining their medical staffs if...

Tip of the week: Revise your credentialing applications that ask for irrelevant information

  • Credentialing Resource Center Insider, Issue 47, December 9, 2010

    One surefire way of determining when to redesign a credentialing application is when the medical...

Ask the expert: What do organizations evaluate prior to granting privileges?

  • Credentialing Resource Center Insider, Issue 47, December 9, 2010

    Prior to granting privileges, organizations evaluate: Challenges to licensure registration...

Ask the expert: What are the incentives for creating a quality credentialing and privileging system?

  • Credentialing Resource Center Insider, Issue 46, December 2, 2010

    The prospect of creating effective, efficient credentialing and privileging systems is intimidating...

Free Form Friday:Sample authorize, release, and absolute waiver for references language

  • Credentialing Resource Center Insider, Issue 46, December 2, 2010

    Individuals and institutions providing references may be afraid of providing honest feedback for...

Poll question: Who’s shadowing practitioners at your facility?

  • Credentialing Resource Center Insider, Issue 44, November 11, 2010

    Have you ever received a request at your organization from a person interested in shadowing or...

Healthcare reform law phases out HIPDB

  • Credentialing Resource Center Insider, Issue 43, November 4, 2010

    It’s not quite time to say good-bye to the HIPDB, but it’s important for medical staffs...

Briefings on Credentialing, November 2010

  • Credentialing Resource Center, Issue 11, November 1, 2010

    Briefings on Credentialing, November 2010

Tip of the week: Use cost codes to track budget expenses

  • Credentialing Resource Center Insider, Issue 40, October 14, 2010

    If you’re having difficulty determining how much money out of your general medical staff...

Tip of the week: Collect clinical data and references during the credentialing process

  • Credentialing Resource Center Insider, Issue 38, September 30, 2010

    Hospitals are changing the way they do business and collecting more information. In the past, many...

Similarities and differences between hospital and managed care credentialing

  • Credentialing Resource Center Insider, Issue 37, September 23, 2010

    In this week’s column, Anne R. Buss CPMSM, CPCS, a medical staff consultant based in...

Ask the expert: What credentialing information will be available from the AOA under the new OCC program?

  • Credentialing Resource Center Insider, Issue 35, September 9, 2010

    Note: This week’s Q & A was answered by Cheryl Gross, MA, CAE, director of the Division...

Ask the expert: Why are hospitals responsible for negligent credentialing?

  • Credentialing Resource Center Insider, Issue 33, August 19, 2010

    A majority of courts in the United States have recognized expressly that a hospital has a duty to...

How much does credentialing cost?

  • Credentialing Resource Center Insider, Issue 33, August 19, 2010

    Does your medical staff services department track how much it costs to credential each individual...

Apply to speak at the 2011 CRC Symposium

  • Credentialing Resource Center Insider, Issue 28, July 15, 2010

    Let your voice be heard. We’re now accepting applications to present at the 2011...

Free Form Friday: Credentialing checklist

  • Credentialing Resource Center Insider, Issue 26, July 1, 2010

    This week’s free form was submitted by reader Christine Lollar, administrative project...

Doctors cheat on ABIM certification exam

  • Credentialing Resource Center Insider, Issue 23, June 10, 2010

    The American Board of Internal Medicine (ABIM) claims that about 140 practitioners cheated on...

Q & A: Medversant speaks about its role in Washington’s credentialing database

  • Credentialing Resource Center Insider, Issue 23, June 10, 2010

    The credentialing conversation is moving in a new direction in Washington State where Senate Bill...

Briefings on Credentialing, June 2010 (pdf)

  • Credentialing Resource Center, Issue 6, June 1, 2010

    Briefings on Credentialing, June 2010 (pdf)

The value of hospital verifications

  • Credentialing Resource Center Insider, Issue 20, May 20, 2010

    In this week’s column, Anne R. Buss, CPMSM, CPCS discusses some of the benefits and...

Multi-level failure in pediatrician pedophile case, report says

  • Credentialing Resource Center Insider, Issue 20, May 20, 2010

    Multiple agencies are faulted for not stopping the doctor at the center of a large-scale abuse...

Participate in a Briefings on Credentialing article about confidentiality

  • Credentialing Resource Center Insider, Issue 19, May 13, 2010

    How does your medical staff keep confidential information under wraps? Do you make medical staff...

Many fast-tracked doctors in Texas trained internationally

  • Credentialing Resource Center Insider, Issue 19, May 13, 2010

    Nearly 40 percent of the doctors who’ve received fast-tracked Texas medical licenses in the...

Featured blog post: CRC Symposium photo slideshow

  • Credentialing Resource Center Insider, Issue 19, May 13, 2010

    Thank you to everyone who helped make our 13th Annual Credentialing Resource Center Symposium a...

Dos and don’ts for credentialing and assessing locum tenens providers

  • Credentialing and Peer Review Legal Insider, Issue 5, May 1, 2010

    As the physician shortage increases, locum tenens physicians often are the saving grace of...

Ask the expert: How long does it take to process a credentialing application?

  • Credentialing Resource Center Insider, Issue 17, April 29, 2010

    The credentialing process takes as long as required to compile a complete application file, verify...

Tip of the week: Credential nonstaff volunteer practitioners for disaster responsibilities

  • Credentialing Resource Center Insider, Issue 17, April 29, 2010

    Natural disasters, traffic accidents with multiple injuries, attacks—all of these events can...

Ask the expert: What is a designated equivalent source?

  • Credentialing Resource Center Insider, Issue 15, April 15, 2010

    Designated equivalent sources are selected agencies that have been determined to maintain...

Another Veterans Affairs hospital faces accusations of poor credentialing and privileging practices

  • Credentialing Resource Center Insider, Issue 15, April 15, 2010

    The Department of Veterans Affairs (VA) Office of the Inspector General (OIG) found that some, but...

Reminding practitioners to take responsibility

  • Credentialing Resource Center Insider, Issue 15, April 15, 2010

    In this week’s column, Anne R. Buss, CPMSM, CPCS advises MSPs to clearly set apart their...

Ask the expert: Can an ambulatory care facility delegate credentialing?

  • Credentialing Resource Center Insider, Issue 14, April 8, 2010

    If the ambulatory care facility (ACF) is affiliated with a hospital or health system network, it...

April contest winner: Sample exit reference tool

  • Credentialing Resource Center Insider, Issue 14, April 8, 2010

    Congratulations to Becky J. Peitz RN, CPCS, CPMSM, our April contest winner! Her sample exit...

Don’t forget to ask "Why?"

  • Credentialing Resource Center Insider, Issue 13, April 1, 2010

    In this week’s column, Emily Berry, associate editor, reminds MSPs to ask what the medical...

Tip of the week: Learn residency key words to help with verification requests

  • Credentialing Resource Center Insider, Issue 12, March 25, 2010

    The following are helpful vocabulary words to know to ensure your verification requests collect the...

HHS replaces NPDB management team

  • Credentialing Resource Center Insider, Issue 9, March 4, 2010

    Following a newspaper exposé that revealed inaccuracies in the National Practitioner Data...

Poll Results: 43% not very confident NPDB contains up-to-date information

  • Credentialing Resource Center Insider, Issue 8, February 25, 2010

    Last week’s poll question asked “How confident are you that the NPDB contains up to...

Enter to win a free registration to the 2010 Credentialing Resource Center Symposium

  • Credentialing Resource Center Insider, Issue 4, February 4, 2010

    Each month, we will give away one free registration to the upcoming Credentialing Resource Center...

How to gather credentialing information from closed facilities

  • Credentialing and Peer Review Legal Insider, Issue 2, February 1, 2010

    Learn about alternative plans for gathering verification information when a practitioner’s...

Featured blog post: Implementation of NPDB’s Section 1921

  • Credentialing Resource Center Insider, Issue 4, January 27, 2010

    The National Practitioner Data Bank (NPDB) issued a press release earlier this week about the...

Training and proctoring advance practice professionals

  • Credentialing Resource Center, Issue 1, January 1, 2010

    Medical staffs should determine the criteria for APP privileges prior to accepting applications so...

What’s the harm in  disclosing privilege lists?

  • Credentialing Resource Center, Issue 1, January 1, 2010

    If you are the medical staff on the receiving end of a request for a practitioner’s privilege...

Ask the expert: What information should the medical staff services department send prospective applicants?

  • Credentialing Resource Center Insider, Issue 47, December 10, 2009

    On request, the medical staff services department should provide prospective applicants an...

Acting on negative peer or clinical evaluations

  • Credentialing Resource Center Insider, Issue 46, December 3, 2009

    In this week’s column, Anne Roberts, CPMSM, CPCS, discusses what happens when a department...

Case study: Lean Six Sigma redesign streamlines credentialing and reappointment processes

  • Credentialing Resource Center, Issue 12, December 1, 2009

    Holland Hospital worked with a Lean Six Sigma consulting team to improve the work flow in their...

ABP launches child abuse pediatrics certification

  • Credentialing Resource Center, Issue 12, December 1, 2009

    The American Board of Medical Specialties (ABMS) approved the new child abuse pediatrics specialty...

Credentialing year-in-review quiz

  • Credentialing Resource Center, Issue 12, December 1, 2009

    The American Board of Medical Specialties (ABMS) approved the new child abuse pediatrics specialty...

California's licensing delays offer learning opportunities for medical staffs

  • Credentialing Resource Center Insider, Issue 44, November 12, 2009

    In this week’s column, Emily Berry, associate editor, explores the link between the work of...

How to navigate National Practitioner Data Bank reports effectively: Legal experts offer tips for medical staffs and practitioners

  • Credentialing and Peer Review Legal Insider, Issue 11, November 1, 2009

    Nothing grabs a credentials committee’s attention like a National Practitioner Data Bank...

Credentialing & Peer Review Legal Insider, November 2009

  • Credentialing and Peer Review Legal Insider, Issue 11, November 1, 2009

    The latest 'how-to' techniques, and practical 'working tools' to help you credential and conduct...

Identifying never events in credentialing helps enforce existing policies

  • Credentialing Resource Center, Issue 10, October 1, 2009

    Identifying never events in credentialing emphasizes existing policies and rules and can...

Poll results: Does your medical staff use preapplications?

  • Credentialing Resource Center Insider, Issue 39, October 1, 2009

    Last week we asked how many of you use preapplications. Over 150 of you took our poll and the...

Featured blog post: Poll question: Does your medical staff use pre-applications?

  • Credentialing Resource Center Insider, Issue 38, September 24, 2009

    In the November issue of Briefings on Credentialing we examine the current use of pre-applications...

Before the holidays hit, make sure your locum tenens policies are in order

  • Credentialing Resource Center Insider, Issue 38, September 24, 2009

    In this week’s column, Emily Berry, associate editor, offers tips for improving your locum...

Featured blog post: Platinum CRC subscribers now have access to the Credentialing and Privileging Desktop Reference

  • Credentialing Resource Center Insider, Issue 37, September 17, 2009

    Attention all Platinum CRC subscribers: you’ve just been upgraded! Your subscription now...

Ask the expert: Is it acceptable to use the phrase "board eligible" in credentialing documents?

  • Credentialing Resource Center Insider, Issue 34, August 27, 2009

    The American Board of Medical Specialties (ABMS) has issued a policy statement advising its member...

Ask the expert: Where can I learn more about the Federation Credentials Verification Service (FCVS)?

  • Credentialing Resource Center Insider, Issue 33, August 20, 2009

    FCVS fact sheets are available on the Federation of State Medical Boards’ (FSMB) Web site...

Applicants beware: MSPs will evaluate how well you follow directions

  • Credentialing Resource Center Insider, Issue 33, August 20, 2009

    In this week’s column, Anne R. Buss, CPMSM, CPCS stresses the importance for practitioners to...

When credentialing outside proctors, consider using monetary incentives

  • Credentialing Resource Center, Issue 8, August 1, 2009

    Bringing in an outside proctor to work with your medical staff may be a rare circumstance, which is...

Most credentialing applications make it over the first hurdle

  • Credentialing Resource Center Insider, Issue 30, July 30, 2009

    In this week’s column, Emily Berry, associate editor, shares findings from a recent poll...

Featured blog post: How many applications don’t make it to the credentials committee?

  • Credentialing Resource Center Insider, Issue 29, July 23, 2009

    The credentialing process has many steps, and sometimes practitioners don’t advance very far...

The last word by Becky Cochran, CPMSM, CPCS: How to handle the receipt of anonymous information

  • Credentialing Resource Center, Issue 7, July 1, 2009

    In this month’s column, Becky Cochran, CPMSM, CPCS, tells readers what to do with information...

What's in your file? Fill credentials files with organized essentials

  • Credentialing Resource Center, Issue 7, July 1, 2009

    It’s important to keep credentials files organized because that is the first impression many...

Money talks: Credentialing fees help applicants meet deadlines

  • Credentialing Resource Center, Issue 7, July 1, 2009

    Charging credentialing fees for processing applications is not a new concept. However, more medical...

Tip of the week: When ordering criminal background checks exclude duplicate data

  • Credentialing Resource Center Insider, Issue 25, June 25, 2009

    You should review in detail which elements of a background check you want to include in your...

Tip of the week: Affiliation letter safeguards allow you to disclose more information

  • Credentialing Resource Center Insider, Issue 23, June 11, 2009

    “If there is a reason why a disclosing party does not want to provide information [in a...

Poll results: Has your department reported a practitioner to the NPDB?

  • Credentialing Resource Center Insider, Issue 22, June 4, 2009

    Last week, we wrote about a new study that claims that hospitals are not reporting practitioners to...

Background Checks

  • Credentialing Resource Center Insider, Issue 19, May 8, 2009

    In this week’s column, Anne R. Buss, CPMSM, CPCS asks how familiar you are with your...

Participate in a Briefings on Credentialing article about medical staff fees

  • Credentialing Resource Center Insider, Issue 17, April 30, 2009

    Does your organization charge practitioners an application or reapplication fee? What about fees...

Poll results: Work gap verifications

  • Credentialing Resource Center Insider, Issue 17, April 30, 2009

    The results are in from last week’s poll. We asked readers what work gap length does your...

Featured blog post: Take our work gap verifications poll

  • Credentialing Resource Center Insider, Issue 16, April 23, 2009

    Most organizations require practitioners to provide a written statement explaining gaps in work...

Featured blog post: Sales of fake medical certifications under investigation

  • Credentialing Resource Center Insider, Issue 15, April 16, 2009

    The Connecticut Attorney General is investigating complaints from the American Board of Internal...

Featured blog post: The verifications department at a locum tenens firm

  • Credentialing Resource Center Insider, Issue 10, March 5, 2009

    A locum tenens firm’s verification department is integral in verifying the quality of...

Ask the expert: What are the differences among managed care accrediting agencies regarding credentialing requirements?

  • Credentialing Resource Center Insider, Issue 10, March 5, 2009

    Although accrediting standards often change, there have been no recent significant differences...

Tip of the week: Best sources for verifying nursing home affiliations

  • Credentialing Resource Center Insider, Issue 9, February 26, 2009

    Many practitioners have longstanding affiliations with nursing homes, but nursing homes rarely have...

Credentials of chief medical officer in doubt

  • Credentialing Resource Center Insider, Issue 7, February 12, 2009

    A chief medical officer responsible for checking the credentials other practitioners at the...

There's a time and place for expedited credentialing

  • Credentialing Resource Center Insider, Issue 6, February 5, 2009

    In this week’s column, Anne Roberts, CPMSM, CPCS outlines the Joint Commission’s...

Free Form Friday: Audit tool for reappointment applicants

  • Credentialing Resource Center Insider, Issue 3, January 15, 2009

    Welcome back to the third week of Free Form Friday – and the first week featuring the new...

Tip of the week: Outline your application process in bylaws or associated documents

  • Credentialing Resource Center Insider, Issue 2, January 8, 2009

    Medical staff bylaws or associated documents should contain a provision for how applications are...

Ask the expert: What are the five basic rules of credentialing?

  • Credentialing Resource Center Insider, Issue 2, January 8, 2009

    The following are the five basic rules of credentialing:

Solve confidentiality challenges in physician peer review and credentialing data

  • Credentialing and Peer Review Legal Insider, Issue 1, January 1, 2009

    Like all of us, physicians worry about their privacy and reputations. And no one has access to as...

Happy New Year from HCPro!

  • Credentialing & Verification Update, Issue 39, December 30, 2008

    Today, New Year's Eve, we remember the year that has past and preapre for new...

Q&A: Can I verify osteopathic physicians' (DO) credentials online?

  • Credentialing & Verification Update, Issue 36, December 9, 2008

    Yes. The American Osteopathic Association (AOA) provides online credentials verification profiles...

FSMB to provide residency verification for closed programs

  • Credentialing & Verification Update, Issue 36, December 9, 2008

    The Federation of State Medical Boards (FSMB) has announced it will permanently store the physician...

The 2009 Credentials Verification Desk Reference (CVDR) is now available

  • Credentialing & Verification Update, Issue 35, December 2, 2008

    The 2009 Credentials Verification Desk Reference (CVDR) is now available; order your copy...

Joint Commission FAQ clarifies need for primary source verification

  • Credentialing & Verification Update, Issue 34, November 25, 2008

    In a new “frequently asked questions” (FAQ) about its 2009 healthcare accreditation...

Q&A: How do I verify military service longer than 10 years ago?

  • Credentialing & Verification Update, Issue 33, November 18, 2008

    Military service can often be especially challenging to verify, especially if the service occurred...

Editor's pick: Get ready for the 2009 CVDR

  • Credentialing Resource Center Insider, Issue 43, November 13, 2008

    The 2009 Credentials Verification Desk Reference (CVDR) is now available for pre-orders and will be...

From the CRC Blog: Identity theft

  • Credentialing & Verification Update, Issue 32, November 11, 2008

    I was curious about the FTC’s and other federal agencies regulations requiring compliance...

Pre-order the 2009 Credentials Verification Desk Reference

  • Credentialing & Verification Update, Issue 31, November 4, 2008

    The 2009 Credentials Verification Desk Reference (CVDR) is now available for pre-orders and will be...

Verification horror stories

  • Credentialing & Verification Update, Issue 30, October 28, 2008

    Earlier this month, we asked Credentialing & Verification Update readers to submit your...

Register now for next week’s free verification Webcast

  • Credentialing & Verification Update, Issue 30, October 28, 2008

    HCPro is pleased to announce an encore presentation of our free Webcast about how you can use the...

Ask the expert: Will The Joint Commission take a closer look at credentials files in the future?

  • Credentialing Resource Center Insider, Issue 40, October 23, 2008

    I asked Paul M. Schyve, MD., Senior Vice President for Joint Commission a question at the NAMSS...

Save the date: Encore presentation of free verification Webcast

  • Credentialing & Verification Update, Issue 29, October 21, 2008

    HCPro is pleased to announce an encore presentation of our free Webcast on using the Credentialing...

Montana court rules licensure alone is not enough to verify credentials

  • Credentialing & Verification Update, Issue 29, October 21, 2008

    The Montana Supreme Court has ruled that the Montana State Board of Medical Examiners is not...

Tip of the week: Obtain, verify, and document licensure history

  • Credentialing Resource Center Insider, Issue 39, October 16, 2008

    The initial application for physician and allied health applicants should request information about...

Editor's pick: Try CPDR Online free!

  • Credentialing Resource Center Insider, Issue 39, October 16, 2008

    The Credentialing and Privileging Desktop Reference Online is a searchable directory of primary...

ECFMG issues advisory on fraudulent letters of recommendation

  • Credentialing & Verification Update, Issue 28, October 14, 2008

    The Educational Commission for Foreign Medical Graduates (ECFMG) has issued an advisory to...

One week left to submit your verification horror story

  • Credentialing & Verification Update, Issue 28, October 14, 2008

    This is your last reminder to submit a verification horror story to Credentialing &...

Q&A: What does The Joint Commission say about verifying applicant health status?

  • Credentialing & Verification Update, Issue 28, October 14, 2008

    For Joint Commission-accredited organizations, standards require the organization to not only...

Ask the expert: What is the NCQA requirement for checking medical staff membership?

  • Credentialing Resource Center Insider, Issue 38, October 9, 2008

    The NCQA requires applications to include a dated attestation statement from the applicant...

Tip of the week: Send reference requests with a checklist

  • Credentialing Resource Center Insider, Issue 38, October 9, 2008

    One way to ensure that a practitioner providing a peer review includes relevant information is to...

Q&A: Do CMS and Joint Commission standards ever vary?

  • Credentialing & Verification Update, Issue 27, October 7, 2008

    Yes. One example of a topic where Joint Commission and Centers for Medicare and Medicaide Services...

Visit HCPro next week in Milwaukee at the annual NAMSS conference

  • Credentialing & Verification Update, Issue 27, October 7, 2008

    Will you be attending the annual conference of the National Association Medical Staff Services...

Editor’s Pick: Use CertiFACTS On-Line to verify board certification data

  • Credentialing Resource Center Insider, Issue 37, October 2, 2008

    CertiFACTS On-Line is your direct link to the most current board certification data for all 24 ABMS...

NCQA to prohibit pencil in certification documentation

  • Credentialing & Verification Update, Issue 25, September 30, 2008

    The National Committee for Quality Assurance (NCQA) has announced that effective January 1, 2009...

A useful resource for verifying postgraduate PA training programs

  • Credentialing & Verification Update, Issue 24, September 23, 2008

    The Association of Postgraduate Physician Assistant Programs (APPAP) provides a list of...

Reminder: Submit your verification horror stories

  • Credentialing & Verification Update, Issue 24, September 23, 2008

    Credentialing & Verification Update wants to know: Have you experienced a verification...

U.S. Passport Card provides new way to verify identity

  • Credentialing Resource Center Insider, Issue 25, September 18, 2008

    U.S. Citizenship and Immigration Services created a new form of identification for use in the...

Editor's Pick: Free Core Privileging Plus demo at NAMSS conference

  • Credentialing Resource Center Insider, Issue 35, September 18, 2008

    Planning to attend the NAMSS conference on October 13-15 and need to purchase a new or improved...

Submit your verification horror stories for a chance to win!

  • Credentialing & Verification Update, Issue 23, September 16, 2008

    Have you experienced a verification nightmare? This Halloween, HCPro wants to hear your...

Quick tip: Verifying practitioner liability insurance

  • Credentialing & Verification Update, Issue 23, September 16, 2008

    Every hospital sets unique policies specifying the level of malpractice insurance coverage...

New sample form available on CPDR Online

  • Credentialing & Verification Update, Issue 22, September 9, 2008

    A new credentialing form is available for download at the Credentialing and Privileging Desk...

From the CRC Blog: What is in your hospital’s future?

  • Credentialing & Verification Update, Issue 22, September 8, 2008

    A recent MedScape article by Emily Friedman entitled Hospitals We Can't Afford to Lose stated that...

Download verification tips from last week’s free Webcast

  • Credentialing & Verification Update, Issue 21, September 3, 2008

    If you missed last week's free Webcast, Overcoming verification frustration: Tips and tricks for...

From the CRC Blog: Nosy staff get the boot!

  • Credentialing & Verification Update, Issue 21, September 3, 2008

    Michigan's Governor Janet Granholm was informed on August 6 that there was a breach of the...

Enter the CRC Blog name contest

  • Credentialing & Verification Update, Issue 21, September 3, 2008

    Informational, insightful, and inspirational; the Credentialing Resource Center (CRC) Blog is all...