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  1. Home
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  3. Things to Watch Out for During Credentialing and License Verification

Things to Watch Out for During Credentialing and License Verification

While performing provider credentialing and license verification, there is a huge possibility of missing fields in the provider’s application. Although several issues could be subtle, there are several potential issues to watch out for by every healthcare provider or care facility. Hence, you should remain alert and take relevant action in case you experience potential issues. Or else, you may risk the reputation of your care facility and the safety of your patients.

This article aims to list those potential issues to watch during credentialing and license verification so that you can easily identify them. If you need timely support, contact Credidocs, the medical licensing provider and healthcare credentialing provider, right away.

Credentialing application – warning signs

  1. Incomplete application
  2. Unsigned application
  3. Application without dates
  4. Contact details of the past employers
  5. Not providing the relevant information
  6. Missing adequate documents
  7. An incomplete list of references or including only the retired healthcare professionals as references
  8. A mismatch between the applicant information and the information of relevant references

Employment-related warning signs

  1. Proof of poor performance
  2. Malpractice history if any
  3. Patient or staff complaints
  4. Repetitive changes in the employment history
  5. Loss of privileges in the past healthcare facilities
  6. Missing the accountability of gaps in educational or employment history

Licensing-related warning signs

  1. Having a license in the state that’s not disclosed
  2. Providing inaccurate or incomplete information regarding the licenses
  3. License sanctions
  4. Leaving behind the license
  5. Nonaccountability for past adverse actions if any
  6. Medical liability claims or judgments if any
  7. Incomplete application
  8. Unsigned application
  9. Application without dates

It is well known that the medical credentialing process is complicated, expensive, time-consuming, and lengthy. Still, every healthcare organization must make sure they perform credentialing carefully and thoroughly. If there is any negligence in the credentialing process by recruiting incompetent or unscrupulous care providers, it will increase the risk of putting your patients in danger and lead to legal issues.

Information regarding legal issues, settlements, or lawsuits is not readily available and healthcare organizations are unable to track them due to the nonexistence of any official body. Usually, cases are filed locally, and care facilities settle them on their own.

What should you do?

Now that you are aware of the significance of credentialing and license verification, it’s mandatory to conduct them properly to run your practice smoothly. However, it’s very difficult for your healthcare organization to conduct these processes effectively and efficiently. There could be a huge risk of errors due to administrative overload.

This is where you need timely help in streamlining the credentialing and license verification process. Connect with Credidocs, the trusted healthcare credentialing provider who can remove this headache from you so that you can focus on core priorities. Furthermore, its 24-hour ongoing license monitoring service can warn your care facility if there is any issue with your provider’s license. Take the right action by joining hands with Credidocs to keep your patients and organization safe and hassle-free. Contact Credidocs, the medical licensing provider, right away to get started.

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Physician License Renewals: Understanding Grace Periods

When it comes to dealing with certain issues, seeking the help of those who have already faced the same problem can be highly beneficial. This holds true for the renewal of medical licenses, as there are numerous licensed services available to assist with this process.

Therefore, if you are a doctor in need of license renewal, utilizing medical license services may be the right path for you. Failing to renew your medical license in a timely manner can result in severe consequences.

To ensure that you can continue providing medical care without any complications, it is crucial to always renew your license on time. It is advisable to not even wait for the grace period provided for license renewal.

Should you consider renewing your license with a physician licensing service?

Yes. There are various companies and services, such as Credidocs, that specialize in helping doctors and nurses with their licensing needs. Delegating the responsibility of renewing your license to such a service can free up your time for other important tasks. However, you may wonder if it is worth the investment and if you can trust someone else to handle this task on your behalf. Here are several reasons why many doctors opt for medical licensing services:

1. Tailored solutions: Before placing an order, you will be required to complete an application that allows you to provide the service with all the necessary details. This ensures that the professionals assisting you have all the information they need to help with your license renewal.

2. Speedy renewal process: As you may already know, the renewal process can be time-consuming. By working with a trustworthy licensing service, you can be confident that your license will not only be renewed on time but possibly even earlier.

3. Stress-free experience: Let's be honest, renewing your license can be a stressful and exhausting endeavor, especially if it is your first time going through the process.

4. Comprehensive assistance: Physician licensing services like Credidocs take care of every aspect of your license and renewal process, alleviating the burden of paperwork from your shoulders.

5. Expert guidance: Successfully renewing your license requires a deep understanding of state laws and government requirements. By partnering with a highly reputable physician license service, you can rest assured that you will be supported by knowledgeable professionals who are well-versed in these matters. Additionally, you will have the opportunity to ask any questions you may have.

6. Guaranteed success: The key to a successful license renewal lies in choosing the right physician licensing service. If you make the right choice, you can have peace of mind knowing that you are likely to renew your license swiftly on your first attempt. Moreover, you can oversee the entire process and provide feedback to the service if you wish to make any changes or additions.

What happens if your medical license expires?

If your medical license expires, you will be prohibited from legally practicing medicine in the state. This interruption can have several negative consequences, even if it is only temporary:

  1. Patient Care: Patients who require medical treatment will not be able to receive care from you. Even if another physician is able to take over, the continuity of care will be disrupted.
  2. Personal Earnings: If a significant portion of your work involves clinical care, being unable to render care means you will not be able to earn income. This can result in not receiving a paycheck for the duration of the license expiration.
  3. Professional Liability: Practicing medicine with an expired license puts you at a substantial risk of liability. If something goes wrong during a patient's care, they may have a strong case against you, and your expired license could potentially nullify your medical malpractice insurance.
  4. Professional Reputation: While you may be able to hide a short lapse in licensure from patients by attributing it to vacation or personal days, you won't be able to hide it from all of your colleagues. They will want to know what happens if you claim vacation, and your license renewal application will be reviewed by some of your professional peers.

Any lapse in your medical license can be inconvenient, embarrassing, and costly.

When are medical license renewals due?

The renewal period for medical licenses varies by state, as each state has its own requirements. In some cases, medical doctors and doctors of osteopathic medicine may have different renewal dates within the same state.

Generally, most states require medical licenses to be renewed every one or two years. Some states allow for a three-year gap between renewals. Common deadlines for renewals are December 31, January 31, birthdate/month, June 30/July 1, and October 30/November 1. These dates are just a few examples of more common deadlines.

Some states have different dates based on your last name (e.g., West Virginia, Ohio) or specific departments (e.g., Alaska). Additionally, some states may have a grace period for medical license renewal, although this can vary. Our Credidocs website provides helpful information, but these few details illustrate the complexity of license renewal due dates.

How do physicians renew their medical licenses?

Checking your current license status is often the easiest approach. Physicians must go through a process to renew their medical license. The process varies depending on the state and can involve completing continuing education hours, submitting a form, and paying a fee.

Each state has its own application requirements and review process, so the timeline for renewal can vary. If a license expires due to procrastination or forgetfulness, the process becomes more complex.

In these cases, a higher fee and additional paperwork may be required. For prolonged lapses in licensure, a clinical skills assessment and/or physician assessment may be necessary.

Physician License Renewal Simplified

To simplify the renewal process, Credidocs can manage your renewals for you. They will notify you of your specific renewal due date and handle all the paperwork with state medical boards. With their expertise in working with licensure boards in all 50 states, they ensure that you are properly licensed to provide medical care.


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09/14/2023
Everything You Should Know about Medical License Renewal Grace Period

To avoid serious consequences, it is essential to ensure the timely renewal of your medical license. By diligently renewing it before the due date, you can avoid any complications when delivering medical care. It is highly recommended not to rely on any grace period for your license renewal.

Before discussing the significance of the license renewal grace period, let us first understand the licensing process from start to finish.

Comprehending the comprehensive medical licensing process

If you have received your medical degree from a foreign country or if you are a refugee or immigrant who graduated from medical school internationally and wish to become a licensed doctor in the United States, the process to obtain licensure involves joining a residency program accredited by the Accreditation Council for Graduate Medical Education (ACGME) that is certified by the Educational Commission for Foreign Medical Graduates (ECFMG).

In the case that you have completed medical school in the U.S., you may also need to verify your eligibility with the ECFMG. Once you have obtained certification from the ECFMG, you can proceed to apply for and complete the Medical Graduate Education Program, commonly referred to as residency.

The following steps will provide you with guidance on the certification process and help you efficiently pursue your goal of becoming a licensed doctor in the United States.

  1. Ensure your eligibility with ECFMG (Educational Commission for Foreign Medical Graduates).
  2. Acquire your ECFMG Certification by successfully passing the USMLE (United States Medical Licensing Examination) exams.
  3. Complete and submit your residency application.
  4. Successfully fulfill all the requirements of your residency program until its completion.
  5. Successfully pass Step 3 of the USMLE Exam.
  6. Apply for medical licensure with your state's medical board.
  7. Receive your official license to legally practice medicine.

What occurs if your healthcare professional license expires?

If your license has expired, it is unlawful for you to practice medicine in the state. This prohibition remains in place regardless of the duration of the interruption (which is often extended). Any interruption in your ability to provide medical care is bound to result in various detrimental consequences.

  1. Patient care: If you are unable to provide medical treatment, your patients will have to seek care from other physicians, which can disrupt the continuity of their care.
  2. Personal earnings: If a significant portion of your work involves clinical care, not being able to treat patients will result in a loss of income. This means you may not receive a paycheck for the entire duration that your expired license prohibits you from practicing medicine.
  3. Professional liability: Practicing medicine with an expired license can expose you to significant liability risks. Whether you are aware or unaware of the expiration, patients could build strong cases against you if something goes wrong during their care. Additionally, your expired license may nullify any medical malpractice insurance you have.
  4. Professional reputation: While you may be able to conceal a brief licensure lapse from your patients by claiming it as a vacation or personal day, your colleagues will eventually find out. They will naturally want to know the reason behind your absence, and the revelation of an expired license can potentially damage your professional reputation.

Losing or having any lapse in your provider license can cause inconvenience, embarrassment, and financial burden.

What is the deadline for renewing physician licenses?

The renewal period for physician licenses varies by state and can be different for medical doctors and doctors of osteopathic medicine in the same state. Most states require renewals every one or two years, although a few allow three years between renewals. The renewal deadlines also vary, with common dates being December 31, January 31, birthdate/month, June 30/July 1, and October 30/November 1. Some states even have different renewal dates based on last name or specific departments. There may be a grace period for renewal in some states, but this is not consistent. The Medical License Application & Renewal Fee Guide provides helpful information, but it is best to check your current license status to determine your specific renewal due date because of the complexity involved.

What is the process for physicians to renew their healthcare professional licenses?

Renewing a physician's license involves more than just meeting the deadline. It entails completing continuing education hours, submitting a form, and paying a fee. However, each state has its own application requirements and review processes, resulting in varying timelines for renewal. It is not guaranteed to be a quick process. If your license expires due to last-minute procrastination or forgetfulness, the renewal process becomes more complicated. You may have to pay a higher fee and provide extra documentation. In situations where the lapse in licensure is prolonged, a clinical skills assessment and/or physician assessment may be necessary.

Renew your provider license easily

Keeping your provider license current while simplifying the renewal process is important. Credidocs can assist you with maintaining your license.

With our expertise in dealing with medical boards in all 50 states, Credidocs will manage your renewals for you. It will notify you when your specific renewal deadline is approaching while handling all the paperwork. We also specialize in making sure you're properly licensed to provide medical care.


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08/08/2023
How Should You Manage Multiple State Licenses Successfully?

If healthcare professionals want to continue providing their patients with exceptional care and service, it is absolutely necessary for them to manage multiple state licenses and credentials. However, it isn't always easy. When it comes to juggling various licenses and requirements, you might run into a lot of problems.

This is why, Credidocs is here to assist. This article aims to discuss the significance of managing multiple credentials and licenses, as well as some strategies for remaining organized and in compliance with all requirements.

The Advantages of Holding Multiple Healthcare Provider Licenses

First and foremost, having licenses in multiple states can increase your employment prospects. You can work anywhere and possibly even travel for work. Additionally, having multiple licenses can increase your value to your medical professional that operates across state lines (such as telemedicine).

However, it's not just about job openings. You also have more knowledge and skills because you are licensed in multiple states. Holding licenses in multiple states can make you a more versatile and well-rounded healthcare provider because each state has its own requirements and regulations.

The Difficulties of Dealing with Various State Licenses and Certifications

Holding various state licenses and certifications enjoys its benefits; however, it's not without its challenges. Dealing with that large number of licenses and certifications can be very overwhelming for medical professionals.

Managing the numerous state-specific licensing requirements is one of the greatest obstacles. Healthcare professionals need to familiarize themselves with the particular requirements of each state in which they intend to practice because each state has its own set of requirements, such as those for education, experience, and examinations.

The application procedure itself is yet another obstacle. It can be challenging and time-consuming to obtain a license in each state. You will be required to submit an application, provide supporting evidence, and pay fees, which may or may not be very different from state to state. In order to ensure that the application process runs as smoothly as possible, it is essential to comprehend the specific requirements of each state.

The same goes for the requirements for renewal. Each state has its own arrangement of licensure renewal necessities, which can incorporate proceeding with continuing education credits, renewal fees, and documentation. To avoid licensure issues, it is essential to keep up with renewal requirements.

7 Tips for Smooth Licensure Management

  1. Tip 1: Comprehend the licensure necessities for each state including continuing education, background verifications, and training documentation. Keep up with these requirements because failing to do so could result in disciplinary action. Most states offer medical license lookup tools to make it easier to check practitioners' license status. Visit the U.S. medical license lookup section for state-specific lookup tools.
  2. Tip 2: Prepare an Excel sheet or record to track necessities and cutoff times in a single place including the license name, expiry date, number of continuing education (CE) credits, background verifications, and whatever else is required. Additionally, if you want to avoid license suspension or disciplinary action, set reminders and regularly update the document.
  3. Tip 3: Exploit Multi-state compacts (IMLC) to make licensing more straightforward. Notwithstanding, you must explore which states are essential for the understanding and which kinds of licenses or accreditations are covered.
  4. Tip 4: Keep your licenses and credentials current by taking advantage of the opportunities for continuing education. Make sure the credits you earn are accepted for your specific licensure renewal by keeping track of the number of hours you must complete.
  5. Tip 5: Securely keep records. With regard to record-keeping, medical care experts must keep up with accurate proofs of continuing education, duplicates of licenses or certifications, and some other important documentation.
  6. Tip 6: Keep awake to date with changes in state prerequisites or guidelines.
  7. Tip 7: To alleviate the administrative burden, it may be prudent to make use of third-party resources. Full-service licensing management, application support services, license verification services, and other medical licensing services are just a few examples of the valuable support and assistance that medical license provider like Credidocs can provide with managing licenses and credentials.

Why should outsourcing be your choice?

Reduce the amount of work you have to do and save time by outsourcing administrative tasks related to provider licensing and credentialing. Rather than spending innumerable hours on desk work and exploring the intricacies of the licensing procedure, you can zero in on the main objective - delivering great patient care.

The capacity to remain current with constantly changing state-specific requirements is yet another significant advantage of employing medical licensing services. With new guidelines being executed consistently, it tends to be difficult for you to stay aware of the most recent changes. However, professionals in medical license provider like Credidocs keep meticulous records of these revisions and make certain that their customers always comply.

Improve efficiency by centralizing the management of your medical licenses so that you can end up saving time and money. By utilizing a one-stop platform to deal with your licenses as a whole and approved certifications, you can undoubtedly monitor lapse dates, renewal necessities, and other significant subtleties.

Important license and credential documentation can also be tracked by these platforms. This could include credits for continuing education or malpractice insurance. By having all of this documentation in one spot, you can keep away from any last-minute scrambling.

Additionally, centralized management can assist with job changes. Having all of a provider's licenses and credentials organized and current can make the transition much easier if they are moving to a new state or changing jobs. The licensing and credentialing process may be spared from any unnecessary delays or complications.

How Credidocs Makes a Difference

At Credidocs, we know how crucial it is to keep up with the licensing and credentialing procedures. As a result, we provide a platform that makes the process easier and lets you keep track of your progress and comply with licensing and certification requirements.

Schedule a consultation with Credidocs and let us handle the management of your credentials and certificates while you concentrate on growing your medical practice and giving your patients the best possible service.


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07/11/2023
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Physician License Renewals: Understanding Grace Periods

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Everything You Should Know about Medical License Renewal Grace Period

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