Credentialing

First-rate patient care involves unquestioned patient confidence in your clinicians. MedHQ compiles credentials information on clinical staff based upon requirements from Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the National Committee for Quality Assurance (NCQA) and the Utilization Review Accreditation Committee (URAC). Or we can customize the credentialing criteria based on your facility’s specific need.

Among the credentialing components MedHQ reviews and confirms include:

  • Current and valid license to practice medicine
  • Graduation from medical school or the professional equivalent
  • Possession of malpractice insurance
  • Current DEA and CDS certificates
  • Medicare and/or Medicaid sanctions
  • Claims and/or sanctions reports in the National Practitioner Data Bank (NPDB)
  • Place of residence
  • Employment history
  • Designated hospital privileges
  • Pending malpractice and/or civil actions
  • Valid driver’s license and driving record
  • Arrest/conviction records