Fairview System Credentialing Office
Providing comprehensive health care practitioner credentialing Services to Fairview hospitals and clinics, Fairview Physician Associates (FPA) and Behavioral Healthcare Providers (BHP).
- Simplify the credentialing process — health care practitioners submit only one credentialing application and privilege form when applying to one or multiple Fairview contracted entities at initial appointment or reappointment.
- Eliminate duplication of credentialing application and verification processes previously performed by each individual contracted entity.
- Standardize the credentialing process and privilege forms throughout the Fairview System.
- Efficiently store and manage practitioner credentialing information for all contracted entities in one centralized department and database.
- Behavioral Healthcare Providers (BHP)
- Fairview Lakes Medical Center (Wyoming, Minn.)
- Fairview Ambulatory Clinics
- Fairview Northland Medical Center (Princeton, Minn.)
- Fairview Physician Associates (FPA)
- Fairview Ridges Hospital (Burnsville, Minn.)
- Fairview Southdale Hospital (Edina, Minn.)
- University of Minnesota Medical Center, Fairview (Minneapolis, Minn.) - including Fairview Maple Grove Medical Center and Fairview Maple Grove Ambulatory Surgery Center
- University of Minnesota Medical Center, Fairview - Specialty Clinics* (Minneapolis, Minn.)
*Staffed by University of Minnesota Physicians
Scope of Services:
- Collect and process applications for initial appointment, reappointment and additional privileges for all credentialed practitioners
- Obtain primary source verification (verifying all elements of application directly with source such as medical school, residency program, previous hospitals, licensing board and any other required source)
- Identify and investigate red flags found during credentialing process
- Process privilege forms and obtain required documentation
- Maintain credentialing database
- Maintain system-wide privilege forms
- Conduct ongoing monitoring and verification of license, malpractice insurance, DEA certificate and board certification for all applicable practitioners
- Conduct ongoing monitoring of sanctions or disciplinary actions such as licensure or Medicare/Medicaid sanctions
- Maintain active and archived credentials files
- Complete verification of Fairview membership and privileges for other organizations
- Perform delegated credentialing for health plans
- Assist in preparation and participate in credentialing portion of accreditation and regulatory surveys at contracted entities
The Fairview System Credentialing Office provides a wide range of services to its contracted entities that are unique for a Credentials Verification Organization (CVO). A “typical” CVO generally only performs the primary source verification of credentialing elements on an application. The CVO’s client (such as a hospital Medical Staff Office) then completes the review, identification and investigation of red flags as well as facilitating completion of privilege forms with supporting documentation. The Fairview System Credentialing Office performs all of the above duties for their contracted entities (see Scope of Services above).
- Conduct a thorough review and verification of credentialing information so Fairview entities can evaluate practitioners' ability to provide quality patient care and minimize risk for Fairview Health Services.
- Strive to provide Fairview entities with accurate information to facilitate their credentialing and privileging decisions.
- Commit to upholding the standards of the Joint Commission and the National Committee for Quality Assurance, legal regulations, and the Fairview values of dignity, integrity, service and compassion.
The Fairview System Credentialing Office is used as a model for health care system Credentials Verification Organizations (CVO) and is recognized for customer-oriented service, community education and high quality credentialing directly impacting the quality of patient care provided at Fairview entities.