No Easy Job
Credentialing and recredentialing providers is a complex process for health plans, hospitals and health systems, and state Medicaid agencies. Here’s why:
- Physicians are licensed in multiple states and provide telehealth services across state lines. This requires license verification with each state board and compliance to that state’s unique regulations.
- Identity matching is complicated due to physicians having the same name, maiden names, alias names, nicknames, or abbreviated names.
- To get a complete view, each physician must be screened, and credentials verified against thousands of primary sources.
We screen all 868 provider types (taxonomies) in all 56 U.S. states and jurisdictions and can monitor your population to keep you in compliance, even when new legislation is passed. Individual states and federal standard-setting organizations have ever-changing regulatory requirements, but Verisys stays up to date on all changes and that means you maintain ongoing compliance and avoid fine, fees, and penalties.