Medical credentialing is the application process of a healthcare facility to review legal qualifications and allow a healthcare 
provider to use the facility.

The process involves providing legal documentation such as federal, state, or local licenses to validate the healthcare provider&rsquo;s 
training and provide safe, effective treatment for the patient. The provider credentialing process needs to be completed for each new 
provider at a facility. Provider re-credentialing is required every 2-3 years, depending on the individual state requirements.

What is medical credentialing?

Similar to medical credentialing, hospitals and facilities are also subject to regulations dictated by the Office of Inspector General 
(OIG) and the National Committee for Quality Assurance (NCQA). These federal entities outline the regulations in which facilities run their credentialing process for physicians.

&nbsp;

Credentialing compliance is the enforcement of the list of regulations these federal entities outline. These processes include:

<ul>
	<li>
	Credentialing
	</li>
	<li>
	Internal auditing
	</li>
	<li>
	Monitoring
	</li>
	<li>
	Credentialing education
	</li>
	<li>
	Development of plans of corrective action
	</li>
</ul>

What is credentialing compliance?

Provider compliance in credentialing can be a tedious task when you have to manually track documentation and expirable certifications and licenses. That&rsquo;s why, when tracking a long list of providers, it&rsquo;s best to work with an automated system where the credentialing coordinator can request documentation and receive notifications in an automated environment. Without ever risking missing an expiration date.

Physician credentialing (FAQ for .io)