Credentialing Guidelines
As NALTO® Member Firms, we have agreed to uphold industry Best Practices, including the intake, credentialing, and verification of our Physician Candidates.
This past Spring, at the Annual NALTO® Conference in San Antonio, TX, we held a New Member Orientation Session and Reception. This was successfully attended by over 35 attendees. One of the key topics of interest was the NALTO® Credentialing Guidelines within our Standards of Best Practices. Frank Phillips, President of MDA, Inc., and current Past President of NALTO® gave the presentation.
As NALTO® Member Firms, we have agreed to uphold industry Best Practices, including the intake, credentialing, and verification of our Physician Candidates.
First, the intake documentation collected and verified on a physician candidate should include:
Credentials Verification Guidelines
- Provider’s current CV
- Completed and signed Application
- Three Peer References (Physicians colleagues within 18 months)
- Copies of State Licenses & CDS’s
- DEA Certificate
- Diplomas and Training Certificates
Have a process in place to not just collect these items from your Physician Candidates, but make certain you have verified each document as well.
Second, every NALTO® Member Company should have their own Physician Candidate Application that includes:
Application
- Full legal name/ address/ contact info
- Schooling and Training with dates Mo/Yr
- DOB/ Social Security Number (W9 Form for 1099 Independent Contractor Processing)
- Delineation Questions
- Explanations of any “Yes” Answers
- Explanation of Past or Present Medical Malpractice Claim
- Complete Work History
- Attestation Statement / Signature/ Date
Third, references should be collected on Physician Candidates prior to allowing the candidate to represent your company.
References
- Three separate opinions from peers that can attest to the provider’s clinical, abilities, personality and rapport
- Should have worked with provider within the past 24 months with date of last interaction
- Both written and verbal references are acceptable/ company should obtain directly from reference themselves
Many more details including some very resourceful on-line links were provided in the presentation.
- This presentation will be conducted again this fall that the New Member Orientation on September 27th at 4:30pm at the NALTO® Fall Fly-In, Las Vegas. At this session we will have an opportunity for further discussion and questions. You may also review the full presentation here
