Category Archives: Education

The NPDB and HIPDB Have Merged

On May 6, 2013, The National Practitioner Data Bank (NPDB) and the Healthcare Integrity and Protection Data Bank (HIPDB) merged into one Data Bank. Like any merger, this created a new look and more questions about what was included in … Continue reading

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Medicare Enrollment Revocation Occurring for Providers Reasons May Catch Most By Surprise

When it comes to Medicare, no provider wants to hear revocation.  The term revocation has a direct impact on reimbursement and hence the bottom line.  In a world where federal funds are always in jeopardy, the idea of having stumbling … Continue reading

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Foreign Graduates and Documentation Requirements

The initial appointment process requires specific documents to meet accreditation and licensing standards. One of those requirements is a government-issued photo ID. MPR receives this documentation in a variety of different documents including driver’s license, passport and military IDs. Foreign … Continue reading

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Allied Health Providers – Changing the Dynamics of Healthcare

I’m often asked credentialing questions about allied health providers and the questions are valid because allied health providers have come onto the healthcare scene with a prominent presence.  Every state has different laws and parameters for the scope of practice … Continue reading

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ECFMG – What is it? Why do we need it?

Physicians who received their basic medical degree from a school outside the United States and Canada (international medical graduates or IMGs) make up roughly 25% of physicians in training and practice in the United States. Certification by the Education Council … Continue reading

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What is a CME Listing and Why is it Necessary?

CME (another acronym in our credentialing world) stands for Continuing Medical Education and is used to qualify/determine current clinical competency of the provider.  Different providers require different levels of CME activity. For new physician graduates we typically get this information … Continue reading

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Verification of Hospital Affiliations

Have you ever walked through the grocery store and spied that piece of chocolate you have been craving?  Then comes the internal conversation…”do I want this piece of chocolate or do I need this piece of chocolate? After all chocolate … Continue reading

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Required Documents (Part 2) Why are they important?

Specialty Board Certificate(s) – Several MPR participating health care facilities require board certification or eligibility to be considered for staff membership/clinical privileges.  These documents provide the basic information needed to primary source verify a provider’s specialty board certification. Line Listing … Continue reading

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Different Credentialing Models for Different Cultures

Sometimes it is hard to admit how long you’ve been doing credentialing.  For me personally, it dates back 20+ years.  Through the years, I’ve seen several credentialing models.  Some have been effective and others have failed.  Credentialing models are primarily … Continue reading

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MPR is Launching an Educational Blog Series!

Education and communication are the keys to success. I’m convinced this is a true statement and it has become a mantra in the MPR office. We often receive questions….Why do we ask for the things we ask for?  What do … Continue reading

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