Q&A: Which items on an application need primary source verification?
A: Verify the following pieces of information by contacting their sources (or issuers):
Medical school graduation
Completion of a residency and/or fellowship program
Information from all prior and current professional liability insurance carriers concerning claims, suits, and settlements, and restrictions or limitations of coverage during the past five years
The applicant's clinical work experience during the past six to 12 months
Licensure status in all current or past states of practice
Information from the Board Action Data Bank of the Federation of State Medical Boards
The American Medical Association's Physician Masterfile Profile or the American Osteopathic Physician Profile
The National Practitioner Data Bank for sanctions and malpractice claims; information from the Education Council for Foreign Medical Graduates (if applicable)
Federal Drug Enforcement Administration/State Controlled Dangerous Substance certificate (if needed)
The Office of Inspector General's list of individuals/entities excluded from Medicare, Medicaid, and other federal payment programs
Relevant work history (hospital appointments, clinical privileges, etc.) and professional societies/organizations
Other information as deemed necessary
Editor's note: Questions and topic suggestions can be e-mailed to CVU at mcoler@hcpro.com. We'll find an expert or resource to tackle the credentialing or verification issues that are challenging you.
