As a physician, you already know how important the credentialing process and privileging is. These are two aspects that ensure patient safety and high-quality service, but do you know how to apply for it?
Step one - collecting necessary documents
All physicians work hard to become who they are and credentialing (a complicated process of confirming the qualifications of the practitioner) is the most important part of your ability to perform quality services to your patients. Credentialing simply means the verification process that confirms that you, as a physician, have all qualifications, credentials and background for membership in a healthcare organization (such as a hospital).
The credentialing process includes the confirmation of all professional degrees, licensures, clinical training, training certificates, residence certificates, continuing education credits and many more. All these documents are needed to confirm whether or not you meet the latest standards of practice and regulations set by each institution.
The most common documents that you will need:
• Proof of identification
• Proof of DEA licensure
• Proof of education and training
• Work experience
• Military service
• Board Certifications
• Letters of Reference
• Health Status
• Hospital affiliations
• Criminal check
• Malpractice insurance
• Claims history
• Sanctions disclosures
Unfortunately, there is no centralized credentialing process, so it can get quite complicated and time- and money consuming. You have to create different submissions for every entity, have to keep off the records and make sure that everything is error-free.
Step two -applying for privileges
When you're done with credentialing, it's a perfect time to apply for privileges. It's a process that grants you with an authorization to provide specific services or treatments at a certain healthcare facility. Privileging can be divided into three main categories:
• Admitting privilege that allows you to admit patients to the hospital
• Courtesy privilege that allows you occasionally to admit and treat patients at the hospital
• Surgical privilege that allows you to operate room surgeries
This is an important step in physician credentialing since it ensures the healthcare facility that you have the experience, skills and competencies necessary for the services you're going to provide. Once the privilege is approved, you can conduct certain services in a certain facility. For example, a doctor in private practice may want to apply for privileges to perform surgeries, and can even get privileges from more than one facility. Moreover, hospitals are also obliged to answer regulatory entities like Accreditation of Healthcare Organization or The Joint Commission on Accreditation to ensure all physicians are properly privileged at the facility.
Record-keeping is an important part of successful credentialing process
Just as credentialing, the privileging process is long and complex. You will have to provide a lot of details, prove your education, competency, fellowships, residence, licensure, insurance and many more - and get ready to different interviews with the committee and a board of directors: that is an essential part of any investigation process. Both credentialing and privileging are documented, formal procedures that require adherence to every rule and regulation for granting clinical privileges and admission. This means they are the key parts of delivering patients the highest standard of care.
Premier Credentialing Solutions, LLC has the best credentialing and licensing solutions for you and your business; We proudly offer Provider Enrollment & Physician Credentialing, Medicare – Provider Enrollment & Revalidation, Medical Licensure Services, and Full-Service Credentialing For Billers / Billing Companies. Call (800) 455-4773 for a free, no-obligation consultation.
© Premier Credentialing Solutions, LLC. An Illinois-Registered LLC. 2017. All Rights Reserved
The credentialing process includes the confirmation of all professional degrees, licensures, clinical training, training certificates, residence certificates, continuing education credits and many more. All these documents are needed to confirm whether or not you meet the latest standards of practice and regulations set by each institution.
The most common documents that you will need:
• Proof of identification
• Proof of DEA licensure
• Proof of education and training
• Work experience
• Military service
• Board Certifications
• Letters of Reference
• Health Status
• Hospital affiliations
• Criminal check
• Malpractice insurance
• Claims history
• Sanctions disclosures
Unfortunately, there is no centralized credentialing process, so it can get quite complicated and time- and money consuming. You have to create different submissions for every entity, have to keep off the records and make sure that everything is error-free.
Step two -applying for privileges
When you're done with credentialing, it's a perfect time to apply for privileges. It's a process that grants you with an authorization to provide specific services or treatments at a certain healthcare facility. Privileging can be divided into three main categories:
• Admitting privilege that allows you to admit patients to the hospital
• Courtesy privilege that allows you occasionally to admit and treat patients at the hospital
• Surgical privilege that allows you to operate room surgeries
This is an important step in physician credentialing since it ensures the healthcare facility that you have the experience, skills and competencies necessary for the services you're going to provide. Once the privilege is approved, you can conduct certain services in a certain facility. For example, a doctor in private practice may want to apply for privileges to perform surgeries, and can even get privileges from more than one facility. Moreover, hospitals are also obliged to answer regulatory entities like Accreditation of Healthcare Organization or The Joint Commission on Accreditation to ensure all physicians are properly privileged at the facility.
Record-keeping is an important part of successful credentialing process
Just as credentialing, the privileging process is long and complex. You will have to provide a lot of details, prove your education, competency, fellowships, residence, licensure, insurance and many more - and get ready to different interviews with the committee and a board of directors: that is an essential part of any investigation process. Both credentialing and privileging are documented, formal procedures that require adherence to every rule and regulation for granting clinical privileges and admission. This means they are the key parts of delivering patients the highest standard of care.
Premier Credentialing Solutions, LLC has the best credentialing and licensing solutions for you and your business; We proudly offer Provider Enrollment & Physician Credentialing, Medicare – Provider Enrollment & Revalidation, Medical Licensure Services, and Full-Service Credentialing For Billers / Billing Companies. Call (800) 455-4773 for a free, no-obligation consultation.
© Premier Credentialing Solutions, LLC. An Illinois-Registered LLC. 2017. All Rights Reserved
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