credentialing process

as a new HIM consultant you have landed your first client! A behavioral health center recently had a site survey for accreditation and they were cited because the physician credentialing process was “sloppy and amateur”. They have hired you as a HIM consultant to create a record keeping process summary and tool for their work with credentialing physicians. Use a Microsoft application, either Excel, or Access to keep track of the elements and feel free to use whatever software tools you wish beyond that. You should make your tool and summary as professional as possible so that it could be deployed to the facility rapidly.

Credentialing Process Lab – Requirements

1. Prepare a process summary that details the internal physician credentialing process.

2. Create a form or internal tracking tool (MS Excel, MS Access, etc.) to be used by the facility to oversee the credentialing process.

3. You may make up a facility name and details about the facility as you wish. Make your tool appealing and professional.

4. Presentation and professionalism counts! Assume that the accredting body will be returning to reanalyze the facility.

Use the handout “Ten Things to Know about Physician Credentialing” and the short video “Three Questions every HCO Should Ask” to help get you started on this project.

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