Data analytics for performance and quality measures

Data analytics for performance and quality measures

Credentialing

Credentialing is a formal process that utilizes an established series of guidelines to ensure that patients receive the highest level of care from healthcare professionals who have undergone the most stringent scrutiny regarding their ability to practice medicine. This assures the patient that he or she is being treated by providers whose qualifications, training, licensure, and ability to practice medicine are acceptable. Credentialing also ensures that all healthcare workers are held to the same standard.  QPI will ensure that all essential supporting credentials are monitored and maintained for accuracy.

CAQH—Provider ID—Application/ AttestationDEA Certificate
List of all previous and current practicesCDS Certificate
IDs (UPIN, PTAN, Medicaid, NPI)IRS Form: W9
Curriculum VitaeMalpractice Face Sheet
Medical LicenseSummary of pending/ settled malpractice cases
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