Primary Source Verification (PSV) is the process of directly confirming a healthcare provider’s qualifications—such as licenses, education, and certifications—with the original issuing source. It is an absolute core requirement in the provider credentialing process. Consequently, PSV ensures that only qualified, licensed, and competent professionals are allowed to treat patients. For example, a state licensing board confirms an active medical license directly. PSV removes reliance on self-reported or unverified documents.
Why PSV Matters for Safety and Revenue
The diligent application of Primary Source Verification (PSV) provides critical benefits to your practice’s safety, compliance, and financial health:
- Verifies Authenticity: PSV ensures the accuracy and legitimacy of all credentialing documents. Direct contact with the issuing institution eliminates errors and reduces reliance on unverified claims.
- Enhances Patient Safety: By thoroughly verifying credentials, PSV protects patients from unqualified or fraudulent practitioners. This safeguards care quality and reduces clinical risks, mitigating potential malpractice claims.
- Ensures Regulatory Compliance: Organizations like the National Committee for Quality Assurance (NCQA) and The Joint Commission mandate PSV for accreditation. Therefore, non-compliance may lead to penalties, audits, or severe reputational damage.
- Prevents Fraud and Mitigates Risk: PSV detects forged diplomas, expired licenses, or inflated experience claims. This allows organizations to actively avoid negligent credentialing and legal exposure. Ultimately, it acts as a filter, building trust among patients and payers.
Conclusion
Failing to verify credentials through Primary Source Verification (PSV) creates avoidable liability and compromises patient care. In summary, PSV acts as the credible foundation for credentialing, ensuring that your practice onboards only qualified professionals.