Credentialing

Stop chasing practitioners for credentials. Manage the credentialing process with a simple digitised pathway. Collect, verify and maintain data in a single source of truth that integrates with internal and external healthcare data systems to ensure you stay compliant. 

Cgov’s Credentialing solutions provides workflows to manage all types of credentialing & can create bespoke workflows to match the organisational needs.  

1. New application refers to the process where a practitioner applies to join a healthcare organisation for the first time. This process involves submitting necessary documents, undergoing background checks, verifying qualifications, licenses, training, and professional references. The goal is to evaluate the practitioner’s credentials and ensure they meet the organisation's standards for providing care. 
2. Renewal/re-credentialing is the process of renewing a practitioner's credentials, typically done every 2-3 years. It involves reviewing the practitioner’s ongoing professional performance, including their clinical activities, licensure status, continuing education, and any disciplinary actions. Recredentialing ensures that practitioners continue to meet the standards and qualifications required to maintain their practice within a healthcare organisation. 
3. Variation to scope of practice refers to a request for a practitioner to expand or modify their approved clinical privileges or responsibilities. This may involve adding new services, procedures, or specialties that the practitioner is authorised to perform, based on additional training or experience. The request requires evaluation and approval by the credentialing body to ensure that the practitioner’s qualifications align with the new scope of practice. 
4. Hospital initiated review refers to a process where a healthcare facility conducts a proactive evaluation of a practitioner's credentials, performance, or qualifications. This review is typically initiated by the hospital or organisation to assess whether the practitioner continues to meet the facility's standards or if there have been changes in their professional status (e.g., licensure issues, complaints, or performance concerns). It ensures that practitioners maintain the necessary qualifications to provide safe, quality care to patients.  
5. Urgent/temporary credentialing is a streamlined credentialing process for practitioners who need to be granted provisional or temporary privileges quickly due to urgent staffing needs, such as during emergencies, short-term assignments, or high patient volume periods. While these credentials are not permanent, they allow practitioners to provide care on a temporary basis while undergoing a full credentialing review. 

While we provide comprehensive credentialing processes for all typical scenarios, we understand that every organisation is unique. Whether you have unique credentialing requirements, complex processes, or specialised credentialing for specific roles, we can work with you to design and implement a workflow that fits seamlessly with your organisation's goals.

Healthcare organisations carry a heavy administration burden when it comes to credentialling. Both small and large organisations have the onus to ensure health practitioners – nurses, doctors, dentists, pathology and pharmacy are qualified for the scope of practice for your facility. Cgov’s Credentialing removes the administrative burden for healthcare organisations. 

Professionals have a lot of demands on their time. Cgov’s  Credentialing simplifies submission of key credentials reducing the administrative burden that medical professionals usually face.

Healthcare organisations must validate individuals’ credentials upon receiving them. Cgov’s Credentialing increases compliance and speeds up validation of credentials in a number of ways. 

Scope of practice changes, restrictions or health status can be tough to keep on top of with a large medical workforce. Keep your healthcare organisation on track with compliance by leveraging Cgov’s established integrations: