Credentialing Services
ACI Health’s Credentialing services are essential in the healthcare industry, ensuring that healthcare professionals meet specific qualifications and standards before they are allowed to practice or provide services. Here are some common offerings under credentialing services.
Credential Verification
This involves the thorough verification of a healthcare provider’s education, training, licensure, and work history to ensure they meet the necessary qualifications.
Primary Source Verification
Credentialing services often include primary source verification, which checks the authenticity of a provider's credentials directly from the original source, such as educational institutions or licensing boards.
Background Checks
Comprehensive background checks may be conducted to identify any legal or professional issues that could affect a provider's eligibility to practice.
Ongoing Monitoring
Many credentialing services offer continuous monitoring of healthcare providers’ licensure status, malpractice claims, and disciplinary actions to ensure ongoing compliance with standards.
Application Processing
Credentialing services assist healthcare organizations with the processing of applications for new providers, ensuring all necessary documentation is collected and submitted.
Hospital Privileging
This involves granting healthcare professionals the authority to perform specific procedures or services within a healthcare facility based on their credentials and expertise.
Policy Development
Credentialing services may help healthcare organizations develop and implement credentialing policies and procedures that comply with regulatory requirements and industry standards.
Accreditation Support
Credentialing services can assist healthcare organizations in meeting the credentialing criteria required for accreditation by bodies such as The Joint Commission or the National Committee for Quality Assurance (NCQA).
Training and Education
Some credentialing services offer training programs for healthcare organizations to ensure staff are knowledgeable about the credentialing process and regulatory requirements.
Database Management
Credentialing services may provide database solutions to help healthcare organizations manage provider credentials, track expiration dates, and streamline the credentialing process.
Consultative Services
Consulting services may be available to help organizations assess their credentialing processes, identify areas for improvement, and implement best practices.
