Credentialing Process - Cook County Health
Credentialing Process Medical Staff Services Department October 23, 2020
Initial Appointment and Reappointment (Every 2 years) Medical Staff Bylaws/Joint Commission/National Commission of Quality Assurance (NCQA) § Initial Appointment – Candidate accepts employment offer: § Clinical Department Chair submits a Release of Application form to MSSD for processing (Initial Appointment only) § Applicant/Reapplicant submits application including CCH credentialing supplemental forms: Mandated State of IL Credentialing/Recredentialing Application (signature of attestation statement indicates all information on the State of Illinois form is correct with full disclosure of adverse actions) Consent and Release Form Supplemental Form (additional demographic information and disclosures) Clinical Privilege Form (specialty of clinical patient care) APRNs and PAs (Collaborating Physician is required) Government Photo ID (initial applicant) 2
Credentialing Application Process Data Collection and Primary Source Verification (PSV) Morrissey Software On the Web (MSOW credentialing Software) –Data Entry from Application Primary Source Verification (PSV) is queried directly from the organization (Red Flags identified): State of IL License/Controlled Substance DEA Certificate Federal/State OIG Board Certification Opt Out (Medicare) National Practitioner Data Bank AMA/AOA Profile NPI Malpractice Insurance/Claims History SAM (Federal Sanctions) Peer References Social Security Death Masterfile Education/Training (Medical School/Residency/Fellowship/Initial Applicants) Reappointment (other Residency or Fellowship) Hospital Affiliations (present and past) 3
Credentialing File Approval Process Complete file includes all PSV and Required Application & Supplemental Forms üDepartment Chair Review/Approval üNon-Physician Provider Committee for Recommendation (PAs, APNs, LCSW ) ü Credentials Committee for Recommendation üCredentials Committee Recommendations to Executive Medical Staff (EMS)/Medical Executive Committee (MEC) üEMS/MEC presentation of Recommendation to Quality and Patient Safety Board (QPS) QPS is final approval of clinical privileges. The practitioner receives letter of QPS Board approval from MSSD and this triggers Human Resources Onboarding. 4
Closing of QPS Approved Files Process Completed file: MSOW software updated with approval dates (Initial Appointment/Reappointment) ü Credentials Committee Approval Date ü QPS Approval Date ü All documentation with required approval signatures ü All PSV ü Board Approval Letter ü Completed file scanned into MSOW 5
Breakdown of Credentialed Practitioners Credentialed Practitioners Physicians, 793, 77% NPPs, 243, 23% PHYSICIANS NPPs MD - 713 PA-C - 78 DO - 47 APRN - 69 DDS - 21 Clinical Psychologists - 32 DMD – 8 Social Worker - 29 DPM - 4 Certified Registered Nurse Anesthetists - 13 Perfusionists - 8 Dental Hygienists - 6 Optometrists - 4 Genetic Counselor - 1 Physicians NPPs 6
Thank you.
Credentialing Application Process Morrissey Software On the Web (MSOW credentialing Software) -Data Entry from Application Primary Source Verification (PSV) is queried directly from the organization (Red Flags identified): State of IL License/Controlled Substance DEA Certificate Federal/State OIG Board Certification
This plan addresses both Cook County and the Grand Portage Reservation. Grand Portage lies within the boundaries of Cook County, but is managed by the Tribe and is not subject to Cook County's administration. However, for the purposes of brevity, this plan will be referred to as the Cook County Comprehensive Trails Plan.
accept the uniform credentialing form as the sole application for a health care provider to become credentialed. The Maryland Insurance Administration issued Bulletin 09-25 to designate the Council for Affordable Quality Healthcare's (CAQH) form as the uniform credentialing form for health plans. Dental plans have a separate credentialing .
a statewide CVO concept to facilitate provider credentialing, which was endorsed during the 84th Texas Legislature in SB 200. The bill established a vision for Texas to streamline the Medicaid provider credentialing process. Texas Association of Health Plans (TAHP) and TMA have selected Aperture, LLC, for a statewide Credentialing
Chatham County Chattahoochee County Chattooga County Cherokee County Clarke County Clay County Clayton County Cobb County Coffee County Colquitt County Columbia County Cook County Coweta County Crisp County 320 6 2 1 2 4 1 10 12 6 4 43 1 1 3 2 4 11 4 1 5 6 6 5 60 1 1 7 22 1 58 51 7 3 8 4 6 5 19.80% .37% .12% .06% .12% .25% .06% .62% .74% .37% .
Candidate Handbook for State Credentialing for the National Clinical Mental Health Counseling Examination (NCMHCE) The Center for Credentialing & Education, Inc. (CCE) values diversity. There are no barriers to credentialing on the basis of gender, race, creed, age, sexual orientation, or national origin. 3 Terrace Way Greensboro, NC 27403-3660
on Credentialing in Pharmacy CounCil on Credentialing in PharmaCy Am J Health-Syst Pharm. 2014; 71:1891-1900 This publication is owned by the Council on Credentialing in Phar - macy (CCP). The document may be retrieved from www.pharmacy . for Certification in Geriatric Pharmacy, and Pharmacy Technician Educators Council. Address .
Candidate Handbook for State Credentialing for the National Counselor Examination (NCE) The Center for Credentialing & Education, Inc. (CCE) values diversity. There are no barriers to credentialing on the basis of gender, race, creed, age, sexual orientation, or
Fe, asam folat dan vitamin B 12). Dosis plasebo yaitu laktosa 1 mg (berdasarkan atas laktosa 1 mg tidak mengandung zat gizi apapun sehingga tidak memengaruhi asupan pada kelompok kontrol), Fe 60 mg dan asam folat 0,25 mg (berdasarkan kandungan Fero Sulfat), vitamin vitamin B 12 0,72 µg berdasarkan atas kekurangan
