In an earlier blog, I posted some good tips for credentialing your doctors. From what I have seen lately on discussions on Linkedin, folks are really having a hard time using CAQH, so I thought it was worth taking the time to outline some of the simple prep work that can save you hours of time during the credentialing process.
Indeed, no physician hired into our group was allowed to start unless I had a copy of each of the documents needed for credentialing. You would be amazed at how quickly the papers reached my desk!
Although we live in the new "paperless" age, you would be wise to organize a folder for each physician in your practice that contains all the paperwork necessary to make the constant credentialing processes a breeze. On the outside of each folder, I note the following:
Physician's Name, Address, Home Phone, Cell Phone, Pager #, Date of Birth, Social Security Number, Spouse's Name.
Name and Address of Undergraduate School and Date of graduation. I also then list : Medical School Name and Address, Date of graduation, Internship location and name of program supervisor and dates, residency- the same and fellowship- the same
State Licensee Number and Expiration Date / UPIN
DEA Number and Expiration Date
NPI number
CAQH number / User ID and password
Medicare / Medicaid ID numbers.
Hospital Affiliations
Malpractice Insurance
A copy of these documents are stored inside the folder, so that easy access allows you to fly through the application process. As I update Registrations and DEA, I merely change the expiration dates on the outside of the folder. Contained in the folder can also be:
Name/ Address and Phone of 3 physicians for recommendations.
CME credits
ACLS Certifications
Infection Control Certificate and on and on.
Pulling and making a copy is the hardest work you will have to do after your individual folders are created. You may also want to consider scanning these into a word document under each doctors name. I have used both methods and still kept the folders up to date because in the long run, I found them easier to use and peruse!
CAQH ID numbers can easily be obtained from a variety of insurance plans. If you go to the CAQH web-site, they will advise you how to get your personal CAQH number. The initial application can be lengthy process, but after you input the physicians data once, keeping the file up to date is simple and fast. Those insurers that demand their own application will almost invariably accept CAQH downloads as long as they have an original signature.
Prepare in advance and you will find that credentialing is an easy and sometimes enjoyable process.
Indeed, no physician hired into our group was allowed to start unless I had a copy of each of the documents needed for credentialing. You would be amazed at how quickly the papers reached my desk!
Although we live in the new "paperless" age, you would be wise to organize a folder for each physician in your practice that contains all the paperwork necessary to make the constant credentialing processes a breeze. On the outside of each folder, I note the following:
Physician's Name, Address, Home Phone, Cell Phone, Pager #, Date of Birth, Social Security Number, Spouse's Name.
Name and Address of Undergraduate School and Date of graduation. I also then list : Medical School Name and Address, Date of graduation, Internship location and name of program supervisor and dates, residency- the same and fellowship- the same
State Licensee Number and Expiration Date / UPIN
DEA Number and Expiration Date
NPI number
CAQH number / User ID and password
Medicare / Medicaid ID numbers.
Hospital Affiliations
Malpractice Insurance
A copy of these documents are stored inside the folder, so that easy access allows you to fly through the application process. As I update Registrations and DEA, I merely change the expiration dates on the outside of the folder. Contained in the folder can also be:
Name/ Address and Phone of 3 physicians for recommendations.
CME credits
ACLS Certifications
Infection Control Certificate and on and on.
Pulling and making a copy is the hardest work you will have to do after your individual folders are created. You may also want to consider scanning these into a word document under each doctors name. I have used both methods and still kept the folders up to date because in the long run, I found them easier to use and peruse!
CAQH ID numbers can easily be obtained from a variety of insurance plans. If you go to the CAQH web-site, they will advise you how to get your personal CAQH number. The initial application can be lengthy process, but after you input the physicians data once, keeping the file up to date is simple and fast. Those insurers that demand their own application will almost invariably accept CAQH downloads as long as they have an original signature.
Prepare in advance and you will find that credentialing is an easy and sometimes enjoyable process.
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