Privileging Basics
This is the formal process by which a hospital authorizes a provider to perform specific procedures
What is Privileging
These privileges are granted for a limited time while a provider’s full application is being processed.
What is temporary privileges
These providers are physicians who have completed residency and are board-certified
What are MD's
This form must be completed by providers to request privileges
What is the privileging application
Before privileging, this process verifies a provider’s qualifications, education, and training.
What is Credentialing
These privileges are granted for emergency situations when immediate care is needed.
What are disaster/emergency privileges
These advanced practice providers often require collaborative agreements to be privileged
What are NP's
Providers must submit this type of documentation to support their requested privileges
What are training certificates or procedure logs
This document outlines the specific procedures and services a provider is allowed to perform.
What is the Delineation of Privileges (DOP)
These privileges are granted to providers who are new
What is initial privileges
These providers specialize in anesthesia
CRNA's
This is the term for verifying a provider’s claims about education, training, and experience
What is primary source verification
Privileges must be reviewed and renewed at this regular interval.
What is every two years
These privileges are granted after a provider has completed their initial evaluation period.
What are full privileges
A licensed healthcare professional who provides direct patient care diagnosing and treating illnesses and injuries under the supervision of a physician
This is the minimum number of peer references typically required for privileging
What is three
This committee typically reviews and approves privileging recommendations
What is the Medical Executive Committee (MEC)
Privileges that are granted every two years
what is reappointment
A fully licensed physicians who complete the same medical education and can practice in all medical and surgical specialties, like MDs
What is a DO
This is the term for the process of checking a provider’s malpractice history.
What is claims history review