CREDENTIALINGCURRENT

Follow the record. Separate the decisions. Keep the workforce ready.

Coverage desk

Regulations and Standards

Source-backed reporting and analysis connected to the companies, capabilities, authorities, and operating domains it affects.

PECOS enrollment is not a credentialing or privileging decision

CMS uses PECOS for Medicare enrollment and related maintenance; provider organizations still need separate evidence and authority for credentialing, privileging, and payer participation decisions.

Medicaid federal database checks need entity scope

42 CFR 455.436 requires Medicaid agencies to check defined providers and associated people against federal databases at specified points. Systems must preserve who, which source, when, and what followed.

CMS makes telemedicine credentialing reliance conditional

42 CFR 482.22 permits a hospital to rely on certain distant-site credentialing and privileging decisions for telemedicine only through a defined written-agreement path. Reliance is governed, not automatic.