Credentialing and Provider Enrollment: high-yield desk drill

The rule

Attest only what you have seen. Primary-source verification beats a photocopy.

Next step

A missing license or expired malpractice face sheet keeps the file incomplete.

Never miss

• CAQH and payer portals are the source system.
• Your tracker is not the credential.
• Revalidation calendars are payer-specific.
• License restrictions reopen the file.

Traps

• Inventing employment to fill a work-history gap.
• Marking enrolled to clear the board.
• Attesting because the provider is busy.

Shortcuts

• Identity, license, education, malpractice, application.
• Deficiency letters get fixed and the status stays waiting.
• New location can reopen the file.

Terms

• PSV. Primary-source verification with the issuer or a recognized agent.
• Revalidation. The payer's cycle for confirming the file is still true. Confirm the current cycle.
• Face sheet. Current evidence of license or coverage. Expired is incomplete.

Memory hooks

• SEE-THEN-ATTEST. No document, no attestation Every file.