PSV
TJC
NCQA
WILD CARD
100

Used to verify education and sometimes board certification for osteopathic physicians

Wat is AOA Profiles

100

Required by the Joint Commission to assist in the evaluation of a provider by other like providers

What is Peer Reference

100

Considered the highest level of education acceptable to verify education

What is Residency

100

The regulation body that requires use of a credentials committee

What is NCQA

200

Utilized to check for Mandatory Exclusions. Felony convictions relating to unlawful manufacture, distribution, prescription, or dispensing of controlled substances.

What is the OIG

200

Used to re-evaluate provider competency and continued membership or privileges at no more than 24 months

What is Reappointment

200

The length of time a provider can be approved before needing reappointed.

What is 36 months.

200

The amount of time in which hospital affiliation verifications must be obtained according to State Regulation

What is the previous 5 years.

300

Approved display agent of the American Board of Medical Specialists

What is Certifacts

300

A document issued by the government that must be personally viewed and documented prior to a provider giving patient care at your facility

What is an ID

300

The amount of time that primary source verifications are good prior to committee approval

What is 180 days

300

The telemedicine location where the patient is physically located

What is the Originating Site

400

Used to verify medical education equivalency completed outside of the US and Canada

What is ECFMG or Educational Commission of Foreign Medical Graduation

400

Given the authority to approve or amend the medical staff bylaws

What is the Governing Board

400

Required to authenticate a primary source verification

What is initial and date

400

Federal law that prevents hospitals from transferring, discharging or refusing care to patients based on their ability to pay or coverage

What is EMTALA

500

A common source used for verifying malpractice history

NPDB

500

Must be verified prior to granting urgent patient care need temporary privileges

What is current licensure and current competency

500

The number of days allowed to send an approval notification letter to the provider post committee approval

What is 60 days

500

The maximum amount of time that a medical malpractice payer has to report a payment due to settlement or judgement to the NPDB and Licensing Board

What is 30 days

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