Provider credentialing is the process of obtaining, verifying, and analyzing a practitioner’s qualifications to provide care or services at a facility. Medical Staff Professionals (MSPs) must verify a practitioner’s professional credentials per their organization’s policies and hospital accreditation standards.
Why do MSPs need to verify credentials?
1. Validate that the information provided by the applicant is true and accurate.
2. Ensure patients are safe from fraudulence.
3. Meet the licensing and accreditation requirements.
What type of information do MSPs verify?
An MSP verifies information such as education, training, licensure, ability to perform privileges requested, current competence, peer references, hospital affiliations, malpractice and licensure history,
board certification, National Practitioner Databank, Medicare Sanction Screening, and others.
What are the consequences of not correctly verifying a practitioner’s credentials?
Primary Source Verification (PSV) is verifying a healthcare provider’s credentials directly from the source to ensure the accuracy of a qualification reported by the applicant. Sometimes individuals use illegal methods to acquire degree certificates, document fake work experience, imitate licenses, and lie on resumes to gain employment. There have been previous instances in which people have provided
medical care and performed privileges despite no real qualifications. Ultimately, this harbors a
significant liability risk for the healthcare organization.
Medical Provider Resources is one of the top provider credentialing companies with credentialing services including provider source credentialing, medical insurance credentialing, licensure credentialing, medical background checks, initial and reappointment credentialing services, and more.
We offer free consultations, so please reach out to us with your questions by calling 316-683-0178 or contacting us online. We’re happy to help handle the hassle of the time-consuming credentialing process and verification of credentialing documents for you!
