Physician Credentialing Process Improvements Workflow

Verify Physician Information

Type: Fill Checklist

Business Workflow Step: Verify Physician Information In this critical step of the credentialing process, the healthcare organization verifies the professional information of the physician. This involves confirming the doctor's licensure status with the state medical board, checking for any disciplinary actions or complaints filed against them, and verifying their malpractice insurance coverage. The verification team ensures that all required documentation is obtained from the physician, including certifications, diplomas, and proof of residency. They also verify the accuracy of the information provided by cross-checking it with other reputable sources. A thorough review of the physician's credentials is conducted to ensure compliance with regulatory requirements and standards set by accrediting agencies, such as The Joint Commission or the National Committee for Quality Assurance (NCQA).