Credentialing is a process used to assess the qualifications and practice history of healthcare professionals. Most health care organizations are required to credential their providers to ensure proper education standards and work history have been met.
Major accrediting organizations include the National Committee for Quality Assurance (NCQA) and The Joint Commission. These independent, nonprofit organizations set quality standards for health care companies, credentialing organizations and hospitals. The process includes a review of a doctor’s or other health care professional’s completed education, training, and licenses. It also includes any certifications in the provider’s area of specialty.
Due to the changing dynamics of the health care industry this process can be time consuming and costly, which is where SCM can step in to help complete the process in a timely, cost effective manner.
The credentialing proccess SCM’s Credential Processs
SCM contracts with many different health care organizations around the country, including hospitals, surgery centers, independent practices, health care plans, and private facilities.
Our specialty, knowledge, and experience enable us to provide services nationwide to both large and small organizations. No matter your verification needs, SCM’s staff is here to help you through the process.
Many facilities have their own bylaws and guidelines that they must follow, which means that flexibility and knowledge are essential in providing credentialing services. SCM stays up to date on the various credentialing standards, continually developing our knowledge base to meet the needs of every organization. Our credentialing process conforms to the specifications of the various accrediting organizations such as NCQA, The Joint Commission (formerly known as JCAHO), AAAHC, and URAC.
SCM Associates has a strong commitment to quality service that results in cost reduction. We tailor our services to meet your organization’s needs, whether that means full-service credentialing and monitoring or just a single verification. SCM will work to make the credentialing process easier for you.
We have over 15 years of experience and expertise in the credentialing industry, and we assist new medical facilities to establish credentialing guidelines as well as to educate professionals who are new to the process. Our service and commitment to excellence are what help SCM in creating winning working relationships.
SCM strives to stay abreast of technological advances in the industry, and we use an up-to-date program with web connectivity. Through a secure login portal from our website clients can download applications, gain access to their applicant data, follow the verification process, and submit missing information. We have stringent security controls in place to protect your information, maintain confidentiality, and provide HIPAA compliance. Allowing real-time access to records enables our clients to get the documentation they need and speeds the process along from start to finish.
The credentialing process does take time to complete due to the significant amount of paperwork involved, but SCM guarantees a specified turnaround time on complete applications or your services are discounted. Due to the type and nature of primary source verification much of the process relies on the response time of others. To minimize these delays SCM follows ups multiple times by email, fax, and phone to obtain responses as quickly as possible.
Our physical location is:
Our mailing address is:
Our office hours are:
You can reach us at:
2700 Dawson Avenue, Signal Hill, CA 90755
2700 Dawson Avenue, Signal Hill, CA 90755
8:00 a.m. to 5:00 p.m. Pacific time
Phone: (562) 866-5162 (714) 220-0815
Fax: (562) 867-8564 (714) 220-0539
The answer is yes. One of SCM’s core philosophies is its excellence in personalized service to all our clients. When a client sets up an account with SCM we assign a customer service representative to your account and that person becomes your primary point of contact to handle all aspects of your credentialing needs.
To obtain your NPDB number you can go online to their website at http://npdb-hipdb.hrsa.gov/ and print out the application form. Fill this out and mail it in, keeping a copy for your records. They will mail you your NPDB number once they have approved your application. At that time you can authorize SCM as your agent, and contact us for our NPDB number, at which time we can advise you on the process.
This information is set up as soon as you arrange for services with SCM. Your customer service representative will send you all the information to log in and view your records. If you have misplaced this information, please contact your customer service representative and they will send you the instructions.