All hospitals, doctor offices, managed-care insurance companies, and laboratories can credential physicians. Credentialing refers to the process of gathering information about a doctor to determine their qualifications to practice medicine in a particular specialty.
The credentialing process is overseen by several agencies. Before being hired by insurance companies or medical facilities, medical providers must pass a credentialing procedure. You can also get more information about verified professional credentialing via http://lcvo.org/.
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Sometimes referred to simply as physician credentialing or medical credentialing. This will verify the provider's education, licensure and training, and overall ethical standing in the medical community.
The medical provider must submit information to the credentialing agency in order to be approved for the doctor's credential. These are the areas of specialization:
*Education – verify medical school and post-graduate training.
*Licenses – Where a doctor has licenses
*Background Check – Any criminal history is searched
*Malpractice Claims: Check for malpractice claims and/or award
*Malpractice Insurance: Ensure appropriate levels of insurance
Before accepting a doctor into their network of participating providers, insurance companies, even government-sponsored payers will conduct a thorough medical check.
Before a provider can be included in an insurance company's network, managed care organizations must also credential them. Private physician practices often credential their doctors in order to provide high-quality care.