Centralized Credentialing – Frequently Asked Questions (FAQs) for Existing Providers
Why is RWJBarnabas Health (RWJBH) developing a Credentials Verification Organization (CVO)?
- Feedback received from our providers identified opportunities to eliminate redundancy and duplication of efforts relating to provider credentialing functions of the various RWJBH hospitals and organizations.
- Through the establishment of a CVO, providers will now complete one (1) application in support of the hospital credentialing/privileging and as applicable, the managed care/payor enrollment process.
What are the benefits of the CVO?
- The CVO provides a single point of contact for providers to expedite the gathering of credentialing information with a simplified process and minimal disruption for their support staff.
- For providers requiring insurance credentialing, the RWJBH universal application will also facilitate the credentialing associated with payor enrollment.
- The CVO will serve as a central repository for providers allowing for one point of contact where providers may submit documents and update contact information. The CVO will then provide notification of changes to downstream systems/departments.
How will the roll-out of the CVO impact me as it pertains to my future reappointment application(s)?
Many of our providers hold membership/privileges at more than one RWJBH hospital. In response to the feedback related to the submission of reappointment applications for individual hospitals, we will be transitioning providers to system reappointment date. Transition to a system date will enable the practitioner to complete one application for all hospitals.
Does this mean there is one Medical Staff for RWJBH?
No. A CVO does not replace the roles/responsibilities of the local Medical Staff Offices. The CVO performs credentialing responsibilities in support of the local hospitals. Each local hospital will maintain a separate Medical Staff and their respective Medical Staff Office will continue to make decisions regarding the granting of membership/privileges.
If I am already on staff at an RWJBH Entity, how do I apply to another RWJBH entity?
See Application for Privileges.
If I am already on staff at an RWJBH hospital, how do I request changes to my current listing of privileges at a local hospital (additions/relinquishments)?
Please contact the appropriate RWJBH hospital's Medical Staff Office in which you wish to request additional privileges.
Will I continue to incur fees associated with maintenance of medical staff membership/privileges?
Following the launch of the CVO, physicians and other health care providers applying to join RWJBH will incur a one-time, universal application fee on behalf of the CVO. This fee is intended to cover the costs incurred during the credentialing process.
- Separate and apart from the application fee, local hospitals will continue to charge annual medial staff dues. Rates vary depending on the local hospital policies, procedures and bylaws.
- For additional information, contact the individual medical staff office representatives.
