What is Credentialing?
Credentialing is the process in which a health care organization, entity, or hospital assesses a licensed medical professional’s qualifications in order to provide care or services there. This process usually requires review of a professional’s licensure, education, training, experience, work history, insurance, professional references, and other qualifications. The credentialing process is used to protect patients and ensure they are receiving high quality care from providers.
Most credentialing involves the hiring entity checking the applicant’s name against the OIG’s exclusion list and Federal National Practitioner Databank system. If you have had prior professional discipline, criminal convictions, or malpractice actions on your professional record, it can negatively impact your ability to obtain credentialing necessary to obtain employment, licensure, and even insurability. If you have a negative mark on your professional record, the Law Firm of Marvin Firestone, MD•JD, & Associates, LLP can help guide you through the credentialing process, review your credentialing materials, and help present your credentialing application in the best light possible customized to your circumstances. We can also help evaluate whether you have any appeal right with the OIG and/or National Practitioner Databank to have derogatory marks removed or responded to.
California Healthcare Lawyers Assisting with Credentialing Application
Our healthcare lawyers can also assist with preparing your credentialing application to help ensure you are presenting your record to the credentialing body from a favorable perspective, even if there is a derogatory mark on your record. We can help guide you and create a strategy that can help mitigate and rehabilitate your professional reputation.
If you have already submitted your application and have been notified of a denial, you may have limited time to act to formally appeal the denial or else the right may be waived.
If you have lost your license to practice your profession in California, our law firm can assist in getting your license reinstated. Click here to learn more about the reinstatement process.
Schedule a FREE Initial Phone Consultation With a Lawyer Today!
To schedule a FREE initial phone consultation with a lawyer experienced with the credentialing process, fill out our online form or call our law firm directly at (650) 212-4900 1-800-LAW-MDJD (1-800-529-6353).
Our firm has offices located in the San Francisco Bay Area and the Central Coast serving clients throughout California.