Facility Service

Hospital Credentialing & Privileging

Comprehensive hospital credentialing and privileging solutions for acute care, critical access, specialty, and rehabilitation hospitals. Streamline provider onboarding and maintain continuous compliance.

150+ Hospitals Served

5000+ Providers Credentialed

100% TJC Compliant

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TJC & DNV Compliant

Complete Hospital Privileging

From initial appointment to ongoing reappointment cycles

Our Process

Hospital Credentialing Made Efficient

Our comprehensive 3-step process ensures your medical staff office operates efficiently and maintains continuous compliance.

Initial Appointment & Privileging

Complete processing of initial applications, primary source verification, and privileges delineation for new providers.

Medical Staff Committee Support

Preparation of credentials files, committee packets, and board meeting materials for approval processes.

Reappointment & Ongoing Monitoring

Biennial reappointment processing, OPPE/FPPE support, and continuous compliance monitoring.

Hospital Types We Serve

Comprehensive Hospital Credentialing

We provide specialized credentialing services for all types of hospitals and healthcare systems.

Acute Care Hospitals

Full-service general medical and surgical hospitals

Critical Access Hospitals

Rural hospitals with Medicare CAH designation

Specialty Hospitals

Cardiac, orthopedic, surgical, and rehabilitation hospitals

Teaching Hospitals

Academic medical centers and university-affiliated hospitals

Children's Hospitals

Pediatric specialty hospitals and medical centers

Psychiatric Hospitals

Behavioral health and mental health facilities

Long-Term Acute Care

LTACH facilities for extended recovery patients

VA & Government Hospitals

Veterans Affairs and federal healthcare facilities

Core Components

Hospital Credentialing Essentials

We manage all critical components of hospital medical staff credentialing.

Initial Applications

Complete processing and verification of new provider applications

Primary Source Verification

Direct verification of all credentials from original sources

Privileges Delineation

Core and specialty-specific clinical privileges forms

Peer Reference Collection

Professional references and peer evaluations

Background Screening

Criminal background, OIG, and SAM checks

NPDB Query & Reporting

National Practitioner Data Bank queries and reports

Committee Meeting Prep

Credentials committee and MEC packet preparation

Expiration Tracking

Automated monitoring of all expiring credentials

Why Choose Us

Hospital Credentialing Excellence

We understand the unique requirements and regulatory standards of hospital medical staff services.

TJC & DNV Compliance

Complete adherence to Joint Commission and DNV GL medical staff standards and requirements.

Primary Source Verification

Thorough verification of education, training, licenses, certifications, and professional history.

Credentials File Management

Complete organization and maintenance of provider credentials files for audits and surveys.

OPPE & FPPE Support

Ongoing and focused professional practice evaluation data collection and reporting.

FAQ

Hospital Credentialing Questions Answered

Clear answers to common questions about hospital credentialing and privileging.

What is hospital credentialing?

Hospital credentialing is the process of verifying a provider's qualifications and granting clinical privileges to practice at a hospital. This includes primary source verification of education, training, licensure, and professional history.

How long does hospital credentialing take?

Initial hospital credentialing typically takes 60-120 days from application submission to board approval. Expedited processes may be available for urgent needs. Reappointment credentialing takes 30-60 days.

What is the difference between credentialing and privileging?

Credentialing is the verification of qualifications. Privileging is the authorization granted to a provider to perform specific procedures or services based on their verified credentials and competency.

What documents are required for hospital credentialing?

Required documents include: completed application, CV, medical license, DEA certificate, board certifications, malpractice insurance, professional references, health records, and background check authorization.

What is OPPE and FPPE?

OPPE (Ongoing Professional Practice Evaluation) is continuous monitoring of provider performance. FPPE (Focused Professional Practice Evaluation) is a time-limited evaluation for new providers or when performance concerns arise.

How often is reappointment required?

Most hospitals require reappointment every 2 years (biennial). The reappointment process includes re-verification of credentials and review of professional performance.

What is a focused review or investigation?

A focused review is triggered by performance concerns, sentinel events, or patient complaints. We assist with documentation, peer review coordination, and fair hearing processes if required.

Do you handle temporary privileges?

Yes, we process temporary privileges for urgent patient care needs while full credentialing is completed, following all regulatory and accreditation requirements.

What is the NPDB and why is it important?

The National Practitioner Data Bank (NPDB) is a federal database of medical malpractice payments and adverse actions. Hospitals must query NPDB during credentialing and report certain actions.

Can you help with medical staff bylaws?

Yes, we provide consulting on medical staff bylaws, rules and regulations, and policies to ensure compliance with accreditation standards and regulatory requirements.

Streamline Your Hospital Credentialing Today

From initial appointment to ongoing reappointment, our experts ensure your medical staff office operates efficiently and maintains continuous compliance.

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