The Difference Between Credentialing and Privileging

The main task of credentialing is to verify the physician’s qualification.

On some rare occasion, hospitals will grant temporary approval of privileges, while the credentials are undergoing the verification process. To avoid lengthy delays or any potential back and forth confusion it is a great choice for any physician to be proactive and obtain their own primary source verification (PSV). Leveraging technology a physician can have encrypted access to their own PSV enabling them to permit access to anyone or any organization as they deem appropriate.

Credentialing process is usually held by a credentialing committee, which can also grant privileges. The credentialing committee consists of representatives of physicians who have privileges in that healthcare facility, and they make recommendations about the applicant to the governing body (for example, the medical staff executive committee). Different hospitals may have different committees. They can be composed of medical staff with administrative representation, or be more of an inter-professional group.

In some hospitals, staff is required to take care of the administrative process of credentialing and privileging processes, and then they should send information to the administrative body for a final decision. Besides, demand for credentialing has created many private credentialing services. These services usually help process application packages, verify credentials and send information to the organization.

Differences between Appointments, Credentialing, and Privileges in a Nutshell (www.albertahealthservices.ca):

– Appointments: becoming a member of the medical staff

– Credentialing: screening and evaluating qualifications

– Privileges: identifying the specific procedures and patient care services a physician will be able to provide, at specific sites

References

  1. ^ highly skilled industries (businessblog.trueprofile.io)

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