The Fairview System Credentialing Office (FSCO) provides a wide range of benefits to its contracted entities:
- Streamlines the credentialing process so practitioners submit only one credentialing application form when applying to one or multiple Fairview, HealthEast and/or contracted entities at initial appointment or reappointment;
- Eliminates duplication of credentialing verification processes;
- Standardizes the credentialing process and application forms throughout the Fairview and HealthEast Systems; and
- Efficiently stores and manages practitioner credentialing information for all contracted entities in one centralized department and database.
- Behavioral Healthcare Providers (BHP)
- Bethesda Hospital (St. Paul, MN)
- Crosstown Surgery Center (Edina, MN)
- Fairview Ambulatory Clinics
- Fairview Lakes Medical Center (Wyoming, MN)
- Fairview Maple Grove Ambulatory Surgery Center (Maple Grove, MN)
- Fairview Northland Medical Center (Princeton, MN)
- Fairview Physician Associates (FPA)
- Fairview Ridges Hospital (Burnsville, MN)
- Fairview Southdale Hospital (Edina, MN)
- HealthEast Clinics
- M Health Ambulatory Surgery Center (Minneapolis, MN)
- M Health Clinics (Minneapolis, MN) (joint venture owned by Fairview and University of Minnesota Physicians)
- Ridges Surgery Center (Burnsville, MN)
- St. John’s Hospital (Maplewood, MN)
- St. Joseph’s Hospital (St. Paul, MN)
- University of Minnesota Medical Center (Minneapolis, MN) (includes East Bank, West Bank, University of Minnesota Masonic Children’s Hospital and University of Minnesota Health Maple Grove Clinics)
- University of Minnesota Medical Center - Specialty Clinics (Minneapolis, MN) (staffed by University of Minnesota Physicians)
- Woodwinds Health Campus (Woodbury, MN)
Scope of Services:
The FSCO maintains compliance with Joint Commission (JC) and National Committee for Quality Assurance (NCQA) credentialing standards for CVO accreditation certification.
- Collect and process applications for initial appointment, reappointment and additional privileges for all credentialed practitioners
- Obtain primary source verification with medical school, residency program, employers, previous hospitals, peer references, licensing board and other required sources
- Identify and investigate red flags found during credentialing process
- Process privilege forms and obtain required documentation
- Maintain credentialing database and system-wide privilege forms
- Ongoing monitoring and verification of license, malpractice insurance, DEA certificate and board certification for all applicable practitioners
- Ongoing monitoring of sanctions or disciplinary actions such as licensure or Medicare/Medicaid sanctions
- Maintain active and archived credentials files
- Provide verification of Fairview and HealthEast membership and privileges for other organizations upon request
- Perform delegated credentialing for health plans
- Assist in preparation and participate in credentialing portion of accreditation and regulatory surveys at contracted entities
To conduct a thorough and accurate review and verification of credentialing information so Fairview, HealthEast, and contracted entities can evaluate practitioners' ability to provide quality patient care and minimize risk. The FSCO uses electronic processes for credentialing and privileging. Practitioners are notified of their reappointments via the email address on file with the FSCO and no longer receive a paper packet in the mail. Please be sure to keep your email address up to date with the FSCO and monitor your email for important credentialing information. If you need to update your email address with the FSCO, please contact us:
Fairview System Credentialing Office
4000 Central Avenue NE, Suite 300
Columbia Heights, MN 55421
To request an initial application, add a facility (update application) or request additional privileges, an application request form needs to be submitted. A link to the electronic application packet and privilege form(s) will be emailed directly to the email address provided on the form.
Initial Credentialing Packet includes:
- MN Uniform Credentialing application
- Privilege form(s)*
- Criminal Background Study Disclosure and Authorization Form*
- Fairview Authorization and Release
- CME Attestation
- Medicare/Medicaid Attestation
- Required Learning Attestation**
- Immunization Attestation**
- Application Fee Payment Form
- Initial application fee is $250.00.
- Initial Application fee for FPA or BHP-only is $150.00
*does not apply to FPA or BHP-only applicants
**does not apply to HealthEast-only applicants
Applicants may review their submitted application and information from publicly available documents at any time during the verification process. Please contact us to request information. If there are discrepancies in the information received during the process, applicants will be allowed an opportunity to provide corrected information.
Contact Information for Initial Appointments Staff
Initials phone: 612-672-7700 and Press Option 1
Initials fax: 612-672-4123
Initials email: firstname.lastname@example.org
Important information for all applicants:
All credentialed practitioners are expected to read and be aware of the information contained in the Code of Professional Behavior.
Practitioners who hold privileges at a Fairview facility are also responsible to read and be aware of the information contained in the Privileging Principles.
Proctoring of privileges may be requested if a practitioner does not meet the criteria, such as number of cases performed, as indicated on the privilege form. Proctoring requests must be approved in advance of performing the procedure. Information on the process and forms are in the Proctoring Policy.
All providers who are applying to be credentialed at a Fairview facility must review an Education Packet as orientation. An attestation will be included with the Initial application packet for the provider to attest to having reviewed the education packet. Initial credentialing cannot be completed until the education packet has been reviewed and the attestation has been completed.
Immunization Requirements for Initial Applicants:
Fairview and UMP Employed Providers
Your immunization requirements will be taken care of during your pre-placement health screening. Your recruiter (UMP) or your onboarding coordinator (FV) will assist you with setting up this appointment. There's no need to submit documentation prior to your pre-placement exam.
HealthEast Employed Providers
Immunization compliance is required for all HealthEast employed practitioners. Please see below for requirements.
1. Please use this form for information regarding immunization requirements: HealthEast Initial Immunization Requirements form
2. Email immunization documentation to HealthEast EOHS: email@example.com
All other providers*
Immunization compliance is required for all practitioners. Please follow the steps below as soon as possible to ensure the processing of your application is not delayed.
1. Submit the required Immunization Attestation included with your electronic application.
2. Please use the following form for information regarding immunization requirements: Fairview Initial Immunization Requirements form
3. Email immunization documentation to Fairview EOHS: DEPT-EOHS- CREDENTIALING@Fairview.org
*does not apply to FPA and/or BHP-only providers
Initial Process Steps
The initial credentialing and privileging process has many steps and detailed requirements, but on a high level, includes the following:
- An applicant must submit an application request form. Two emails will be sent to the practitioner at the email address provided on the application request form that will include login instructions to the ‘Practitioner Home Page’ where electronic application forms can be accessed and completed.
- When all required forms are completed, Credentialing Staff in the FSCO will be assigned the application to assure completion of all required documents, verifications, and privilege criteria.
- Requests for information will be communicated to the applicant by email from the Credentialing Staff. Various departments may also be in contact with the applicant, such as Recruitment, Human Resources, Provider Enrollment, Department Contacts, and Employee Occupational Health Services. Requests from other departments may be similar to the information requested by the FSCO but may be needed for other non-credentialing purposes.
- After all verifications and required documents have been received, the application is reviewed by a Quality Reviewer in the FSCO. After an application is reviewed and deemed complete, it is sent to each entity where privileges and/or credentialing is being requested. Applicants are notified via email when their application is being sent for the review and approval process.
- Next, the application is reviewed by a Medical Staff Coordinator at each entity that privileges and/or credentialing were requested. When this is complete, the application is sent to the Department Chair/Clinic Council/Credentials Reviewer for review and recommendation, then to the Credentials Committee for review and recommendation, then to the Medical Executive Committee (if applicable), and finally to the entity(ies) Board for approval (if applicable).
- When approval has been granted, the Medical Staff Office at each entity sends a Board Letter to notify applicants of the details of their approval and effective date at that entity.
- After approval has been granted, practitioners may begin caring for patients within the scope of their approval.
- Practitioners are expected to read the Bylaws from each entity they are practicing and be familiar with what is required and expected of them. This information will be provided at the time of approval and is available on the Fairview Intranet.
- Practitioners with privileges need to be reappointed every 24 months and practitioners without privileges (FPA or BHP-only) need to be reappointed every 36 months.
Delegated credentialing is a formal process by which an organization gives another entity the authority to perform credentialing functions on its behalf.
Practitioners covered under the FSCO’s delegated credentialing contracts with health plans do not have to submit initial or reappointment credentialing applications to the contracted health plans. These covered practitioners who are credentialed in the FSCO are enrolled with the contracted health plans directly through the FSCO. These practitioners are accepted into health plan provider panels the date of Fairview, HealthEast, and/or contracted entity(ies)’s credentialing approval. A health plan may decide to credential the practitioner via their process instead of Fairview’s, but this is rare and usually occurs if there is something in the practitioner’s history that raises concern for the health plan.
By participating in delegated credentialing agreements, the FSCO is required to meet NCQA credentialing standards which is the accreditation organization for health plans. In addition, health plans have a responsibility to audit Fairview’s credentialing policies and processes annually. The FSCO also participates in the credentialing portion of each contracted health plan’s NCQA accreditation survey. The FSCO is an NCQA-Certified Credentials Verification Organization (CVO).
The delegated credentialing process eliminates duplication of credentialing efforts and reduces costs because practitioners do not have to complete a credentialing application for each health plan. Practitioners do not have to manage multiple reappointment dates. This process also allows practitioners to start providing services without needing to wait for separate approvals from the delegated health plans.
Health Plans that Delegate Credentialing to the FSCO
- America's PPO
- First Health/Coventry/Aetna
- Hennepin Health (formerly MHP)
- South Country Health Alliance (SCHA)
- Wisconsin Physician Services (WPS)