Provider Credentialing

Simplifying Provider Credentialing Process

Provider Credentialing is a critical compliance issue, but once it is done correctly medical practitioners can focus on serving patients

The faster your credentialing issues are taken care of, the sooner you can focus on the day to day issues of serving patients and receiving timely payments. Ignore the significance of provider credentialing at your own risk – it is certainly one of the most important compliance issues that a medical practice encounters. For the last 6 years, Joint Commission surveyors report that around 45% of healthcare organizations were non-compliant with Joint Commission Human Resources (HR) Standard HR.02.01.03

Provider Credentialing Common Errors:

  • Missing required supporting documentations
  • Missing training details
  • Not following up on education/work “gaps”
  • Incomplete application
  • Incorrect info on application
  • Peer recommendations missing

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