At 1ˢᵗ Credentialing we know that when our clients place their trust in us, we take that responsibility seriously by communicating with our clients to create a transparent and collaborative partnership.
Healthcare organizations of every size realize that hiring 1ˢᵗ Credentialing is the most economical and efficient way to solve their credentialing needs. We have the training, expertise and commitment it takes to keep a complex process moving forward at all times.
1ˢᵗ Credentialing supports healthcare practices of all sizes - from health systems, to community hospitals, to large group practices, to smaller organizations. We help get your providers up and practicing as fast as possible.
Learning more about the credentialing process benefits us and our clients. 1ˢᵗ Credentialing offers regular videos and newsletter updates to bring our clients and those interested in innovations in credentialing up to speed.
In the world of medical credentialing, it’s essential to ensure that information and documentation are accurate. The best way to accomplish this is by using a primary source to verify provider credentials.
Primary source verification uses direct, or primary, sources to verify practitioner information. A primary source can be an organization, body or person who actually issued the information. As a primary source, these entities would have direct and verifiable knowledge of the validity of that information.
Examples of Primary Sources
Specifically, when verifying licensing, education, training history and certifications, the body that issued those documents would be the primary source and can be:
Federal and state government agencies for licensing, sanctions, the National Practitioner Data Bank, state certifications, military records, criminal history and background checks.
Educational institutions for post-graduate training records and medical school.
Hospitals for privileges granted.
Employment sources for work history.
Professional associations for certifications and affiliations.
To verify a peer reference as supplied by a provider, primary source verification requires direct personal contact. Not only can you verify the accuracy of the information but you can further assess the provider’s relationship with the individual to make sure it fits your policies.
Failure to verify the accuracy of information amounts to negligent credentialing and can expose your practice to considerable legal and regulatory risk.
What Are Not Primary Sources for Verifications?
Verifying documents directly from the practitioner are not primary sources – they must come directly from the issuer.
Here are some examples of sources that are not primary:
Information provided by the physician
Information provided by a medical school professor
Remember, your patients’ safety is of utmost importance, and you also don’t want to expose your organization to significant regulatory and legal risk. Primary source verification is the industry standard and critical for accurate and verifiable credentialing.
Let Us Manage All Your Payer Enrollment and Credentialing Services
If you require medical credentialing and payer enrollment needs for your practice or medical facility, please contact 1st Assistant. Our experienced and dedicated specialists will provide all credentialing and enrollment services quickly and will monitor your account for ongoing updates and re-attestations. Heidi Henderson, our company owner and President, is eager to meet you and discuss your payer enrollment needs. Please call us at 512.201.2668 or contact us via the website.
Our credentialing experts are here to help you assess exactly which solutions you need and let you know how inexpensively we could put you on the right track. 1ˢᵗ Credentialing includes primary source verification and payor enrollment for all insurance networks including Medicare, Medicaid, Medi-Cal and insurance networks. Don’t wait another minute, contact our terrific team today!