Checklist for Hospital Credentialing

Here’s a checklist to help compliance officers monitor the provider credentialing and enrollment processes,[1] said Christa Bernacchia, director of credentialing services at VantagePoint HealthCare Advisors in Hamden, Connecticut. “The impact of providers not being properly credentialed has a lot of far-reaching implications,” she noted. If they aren’t enrolled in Medicare, for example, providers are unable to receive payments for services. But the credentialing process also identifies Medicare exclusions, licensure revocations and other problems, and if providers have had their privileges revoked by another hospital, that will show up on the National Practitioner Data Bank, Bernacchia said. Contact her at cbernacchia@vantagepointconsult.com.

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