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Tip: Combat Credentialing Errors

Analysis  |  By Credentialing Resource Center  
   June 28, 2021

MSPs play a vital role in preventing both types of credentialing errors through diligently following verification procedures.

This article was first published June 28, 2021, by HCPro's Credentialing Resource Center, a sibling publication to HealthLeaders.

There are two main types of credentialing errors: information errors and decision errors. Either can result in a fair hearing or a lawsuit.

An information error occurs when information that could affect a credentialing decision isn’t provided or discovered during the credentialing process.

A lack of vital information can result in an uninformed decision by the medical executive committee or credentials committee, so it’s imperative for the medical staff services department to have processes in place that allow MSPs to collect the information necessary to prevent this type of error.

decision error occurs when all necessary information was provided, but a poor decision was made.

MSPs play a vital role in preventing both types of credentialing errors through diligently following verification procedures, by identifying and addressing inconsistencies and information gaps, and by reporting their findings.

The Credentialing Resource Center (CRC) is the premier destination for credentialing, privileging, and peer review expertise. Membership provides MSPs, quality professionals, and medical staff leaders with a collection of continuously updated tools, best practice strategies, and compliance tips developed by industry experts. With three membership tiers, you can customize your access level depending on your education and training needs. Learn more


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