Category: Press Room

In this age of limited physicians and expanding technologies, the utilization of telemedicine services (also known as telehealth services) has grown exponentially to address the health care needs of urban and rural communities, specifically those with large geographic expanses, in which access to care is limited. Historically, diagnostic medical specialties were at the helm of […]

What do you think of when you hear the term ‘credentialing’? Even for those who have worked in the health care industry for years, the process and definition of ‘credentialing’ can have different meanings to different individuals based on the health care delivery setting they work in or their personal perspective. According to The Joint […]

Recently, the National Association of Medical Staff Services (NAMSS) held a roundtable meeting entitled ‘The Future of Digital Credentialing’, which focused on the wide range of new and emerging technologies, including blockchain technology, which could potentially be used to streamline the credentialing process and build in more efficiencies. As promising as blockchain technology appears to […]

Recently, the National Association of Medical Staff Services (NAMSS) published best practice standards for clinical practitioner credentialing related to all healthcare delivery settings charged with facilitation of a credentialing program.  One of the largest opportunities identified by NAMSS was industry-wide standardization of primary source verifications. Whenever possible, organizations should make it a priority to verify […]

Hospitals, health systems, managed care organizations, clinically integrated networks (CINs), accountable care organizations (ACOs), ambulatory surgery centers, large medical groups, and a variety of other organizations charged with performing provider credentialing activities are often limited on staff, time, credentialing expertise or experiencing inordinate credentialing volume that may prompt them to consider delegating part or all […]

Many organizations tasked with practitioner credentialing struggle with shrinking budgets, staffing limitations, and credentialing volume that far exceeds their ability to process in a timely and compliant manner. These challenges often result in improperly performed credentialing and significant delays in practitioners being approved by various peer review bodies for enrollment, membership, privileges, and general ‘participation’ […]

While the function of credentialing clinical practitioners is characterized by some in the health care industry as a burdensome, bureaucratic administrative process, it is a mechanism to protect society from clinical imposters, assure a relative level of patient safety, and mitigate organizational risk. To this end, the principles that guide credentialing activities have long been […]

Credentialing is defined as the act of verifying a clinical practitioner is who they say they are, obtained the education and training they say they received, and through obtaining confirmation of the presence or absence of current or historical adverse actions against licensure, clinical privileges, board certification, and professional society affiliations or other professional practice […]

Managing credentialing functions can be challenging when there are a high volume of applicants and reapplicants, your internal staffing is in fluctuation, or your organization simply does not have the internal expertise to ensure a quality-driven and compliant credentialing program. Credentials Verification Organizations (CVOs) can assist in meeting the need to get things back on […]

Credentialing, defined as primary source verification of an applicant is who they say they are, have the education they state they do, and are free from various state, federal, or other sanctions, is highly regulated in the health care industry by federal law, accreditation standards, risk management practices and organizational policies. When performed efficiently, consistently […]