Medical credentialing verifies the nurses’ and doctors’ certifications. It checks if they are qualified with the required professional expertise.

The staff in your hospital has to be verified by a credential verification organization. Only then are you able to provide health care services to patients. Every hospital wants to maintain high standards in the medical profession.

Medical credentialing is the process of reviewing all qualifications like career history, training, residency, licenses, education, specialty certificates and police records.

This process is done before the healthcare professional is hired.

What is the need for medical credentialing?

  1. Instils patient confidence

    Most patients are expected to be a bit disgruntled because of their illnesses. Knowing that they are in good hands can put their minds at ease. They will also find it easier to follow doctor’s instructions if they trust their expertise.

    Along the course of the treatment, the medication and the diagnosis may change multiple times. Patients will be more diligent in following up with their doctor when they place their trust in the professionals.

  2. Professionalism

    You must demonstrate your professionalism in a healthcare setting. The more professional you are, the more the patients are more likely to choose you. When your paperwork is in place, patients feel at ease.

    It takes time to do all the paperwork, but it is worth it in the long run. Modern methods provide for most of the paperwork to be done online. Ensure that you complete all your paperwork, even though it may be tedious and time consuming.

  3. Compensation

    Compensation from insurance companies is only possible when all your credentials are verified. Private insurance companies, Medicaid and Medicare want to see your credentials before they start processing insurance.

    Only verified staff can engage with patients. If you set the paperwork in motion promptly, you can ensure that the new member starts work as soon as possible. The verification process can take time depending on the state. It can take anywhere from 1 to 3 months.

  4. Low medical errors

    Medical errors are responsible for about 98,000 deaths each year in the US. This makes it even more important to get healthcare professionals verified. It supports the security and safety of the entire healthcare system as a whole.

    Patients have the right to know that they are entrusting themselves into the hands of professionals who are qualified to treat them.

  5. Staff levels

    Some medical establishments face a challenge in employing verified medical staff. But now you have the option of verifying your employees yourself with the help of credentialing verification services.

    Medical professionals that aren’t from a job placement company need to be verified by the established hiring them. Job placement companies usually verify credentials and then place individuals. It takes anywhere between 1 to 3 months to get credentials verified, depending on the state.

    If you’re having trouble staffing your establishment adequately, you can have some credentialing processes in place.

What documents are needed for medical credentialing?

Your medical credentialing company will need some documents to carry out the verification process.

  • Proof of Identity – Photo identification, NPI number, I-9 documentation as defined on form, VISA or Employment verification card.
  • Education and Training – Course completion certificates, fellowship and clinical degrees, time gap explanations, Fifth Pathway certification, ECFMG validation.
  • Military Service – DD214, list of military experience, enlistment dates, applicable details.
  • Professional Licenses – Complete list of copies of professional licenses.
  • DEA, DPS, and CDS certifications
  • Board Certification
  • Affiliate and Work History
  • Criminal background check
  • Malpractice Insurance
  • Professional References

Medical credentialing is a very tedious and time consuming process. It is next to impossible for hospitals to conduct this themselves, which is why it is mostly outsourced.

The LCVO Process

LCVO verifies the credentials of your physicians, nurses and other healthcare professionals. It is very cost effective and time efficient. You only need to enrol once with us, and submit the details of your team. Every time you need to get a new member verified, just send their details to us.

We have a multi step verification process that ensures that the credentials are checked at least twice.

You may choose from our flexible packages for credentialing verification services. You have options according to the number of employees in your organisation.