|
Credentialing Elements Verified
PREFERRED
is the only rehabilitation network that performs ongoing
monitoring of practitioner credentials. License to
Practice Sanctions and Professional Liability Activity
details are reviewed on a monthly basis through reports
generated by primary source verification. This feature
distinguishes each PREFERRED
practitioner as the sole provider who treats plan
enrollees, surpasses compliance guidelines, and remains
compliant between credentialing cycles. (Elements
and sources may be amended periodically in accordance
with NCQA requirements.)
Effective August 1, 2003, PREFERRED
Therapy Providers, Inc. will be implementing Primary Source
Verification (PSV) of all practitioner elements in accordance with standards set forth by the National Committee for Quality Assurance
(NCQA).
| Licensure |
State Licensing
Institution |
| Education (Highest) |
State Licensing
Agency OrDirectly with School |
| Board Certification
(if applicable) |
NBCOT Or Specialty
Board |
| Malpractice
Coverage |
Insurance Carrier
or Declaration page from Practitioner |
| Malpractice
History |
NPDB or Insurance
Carrier |
| Application
(Work History) |
Practitioner |
| NPDB |
NPDB |
| Sanctions Against
Licensure |
NPDB or State Licensing Board |
| Medicare /
Medicaid Sanctions |
NPDB or Department
of Health & Human Services or OIG |
| Two Professional
References |
Practitioners |
|