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Puget  Sound  Credentialing  Services

Credentials Verification Services

PSCS offers the following credentialing services and will credential to your policy. PSCS will provide discounts from standard rates based on contractual period as outlined on our pricing sheet. 

INITIAL CREDENTIALING & PRIVILEGING-MEDICAL STAFF

INITIAL CREDENTIALING-STANDARD PRIMARY SOURCE VERIFICATION PACKAGE

· Application and attestation collection

· Collection of organization specific required documents, excluding Privileges

· Primary source verification of the following elements:

o Board Certification

o Current License (all)

o DEA/CDS Certification

o Education

o Hospital affiliations (all)

o Malpractice coverage and claims history

o Prior State License(s)

o Professional references

o Training (including internship, residency, fellowship)

o Work History

o OIG Exclusions, EPLS (Medicare exclusions/sanctions), Medicare Opt-out check

* Checklist outlining primary source verifications requested and received date

· Summary in memo format as needed for any adverse or otherwise noteworthy information/verification

RECREDENTIALING & PRIVILEGING – MEDICAL STAFF

REAPPOINTMENT CREDENTIALING-STANDARD PRIMARY SOURCE VERIFICATION PACKAGE

· Application and attestation collection

· Collection of organization specific required documents, excluding Privileges

· Primary source verification of the following elements:

o Board Certification

o Current License (all)

o DEA/CDS Certification

o Hospital affiliations (all)

o Malpractice coverage and claims history

o Professional references (if required by credentials policy)

o Work History (if required by credentials policy)

o OIG Exclusions, EPLS (Medicare exclusions/sanctions), Medicare Opt-out check

· Checklist outlining primary source verifications requested and received date

· Summary in memo format as needed for any adverse or otherwise noteworthy information/verification

ENHANCED PRIMARY SOURCE VERIFICATION PACKAGE

ENHANCED PRIMARY SOURCE VERIFICATION PACKAGE (Initial Credentialing and/or Recredentialing)

Pass-through fees will be collected for any required primary source verification that results in PCSC incurring expense to obtain that verification. The Customer retains the right to opt out of each or all of these services. If the Enhanced PSV Package is select, the necessity for each element will be determined by PSCS:

· AMA Master File/ Profile

· AOA Profile

· FSMB Query

· NPDB

· Other Misc as needed   

$invoice to be provided

All primary source verifications will be obtained per NCQA and/or DNV and Joint Commission best practices, as well as per the Customers established best practices/credentialing policy.

Contact Janis Backstrom to request a pricing sheet or quote at [email protected].