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Essential Data for a Credentialing Tracking Worksheet

MedTrainer

Traditionally, credentialers call the appropriate entities to verify transcripts, licenses, etc. They also conduct background checks, which require calling law enforcement and other regulatory agencies for criminal records and malpractice history. WEBINAR: Credentialing Is Evolving.

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Quick Guide to the National Practitioner Data Bank (NPDB)

Provider Trust

A holistic approach to exclusion monitoring and license verifications must include monitoring of disciplinary databases such as the National Practitioner Data Bank (NPDB). Department of Health and Human Services (HHS) and contains medical malpractice payments and adverse action reports on healthcare professionals.

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Are Provider Enrollment and Credentialing the Same?

MedTrainer

This process typically involves submitting an application with detailed information regarding the provider’s qualifications and licenses. Watch this on-demand webinar to get tips to speed up your enrollment process. The employer may also review any pending and past medical malpractice cases or disciplinary actions.

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Spotlight on the Importance of Medical Credentialing

MedTrainer

View this on-demand webinar to learn how credentialing specialists are strategizing for the future: Credentialing Is Evolving. Credentialing organizations verify that healthcare providers hold valid and unrestricted licenses to practice medicine and any additional certifications relevant to their specialties. Review and evaluation.

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Privileges and Credentialing Aren’t the Same

MedTrainer

The specialist authenticates the provider’s education, work history, licenses, and other information during provider credentialing. Additionally, the credentialing specialist may request a record of any pending and past medical malpractice cases and disciplinary actions from the appropriate authority.

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Getting Credentialed with Insurance Companies

MedTrainer

WEBINAR: Internal Credentialing: Best Practices To Keep Pace Watch Now 8 Steps to Getting Credentialed with Insurance Companies Again, there are several steps to the insurance credentialing process. Some examples of required information include the provider’s education, work history, licenses, and references.

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HRSA Credentialing: Master the Operational Site Visit

MedTrainer

Credentialing Requirements for the HRSA OSV HRSA splits required documentation between two categories: licensed independent practitioner ( LIP ) and other licensed or certified practitioner ( OLCP ) and clinical staff. Primary source verification (PSV) directly from the state licensing or certification agency/body.