The credentialing process begins with the collection of information about an individual's qualifications. This information is then verified and evaluated to determine if the individual possesses the necessary credentials. Credentials include degrees, licenses and certificates that show that an individual has particular medical training or skills.

As a metric determining whether an individual is qualified to perform a medical procedure or patient service, it is essential that all medical staff maintain their credentials through the CVO (Credentialing Verification Organization.) The practice of certifying credentials protects patients by ensuring that only qualified individuals are allowed to provide medical care.

If a healthcare facility does not maintain its credentialing requirements, it may be subject to penalties from the Centers for Medicare and Medicaid Services (CMS). In some cases, a healthcare facility may even lose its ability to participate in the Medicare and Medicaid programs.

It is therefore important for all healthcare facilities to have credentialing processes in place that meet or exceed the credentialing requirements of CMS.

The credentialing process is also important for credentialed providers, who are credentialed on a state-by-state basis. Credentialing requirements vary by state, which means that some states require credentialing while others do not. Expanding the credentialing requirements of the individual states may be something that legislators consider in order to improve patient care across the United States.

CRS Practice Management can help your healthcare facility meet or exceed the credentialing requirements of CMS. We have over 15 years of experience in credentialing and licensing, and we are experts in verifying provider credentials. Contact us today to learn more about our credentialing services and how we can help you protect your patients.